Elderwood at Williamsville

In the surveyor’s words

From the most serious findings on record at Elderwood at Williamsville, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Aug 10, 2021

  Based on record review and interviews conducted during an Abbreviated survey (Complaint #NY 845) completed on [DATE], the facility failed to initiate Cardiopulmonary Resuscitation (CPR) to an unresponsive resident who had Full Code status with Advance Directives in place for one (Resident #1) of five residents reviewed. Specifically, at 9:50 PM on [DATE], Resident (#1) was found unresponsive, without a pulse, respirations, or blood pressure by RN #1. RN #1 failed to check code status of Resident #1, failed to initiate a Code Blue (emergency response) to summon additional help, failed to activate the 911 system, and failed to provide cardio-pulmonary resuscitation efforts for a resident who was a full code. RN #1 contacted RN (#2) Supervisor. […]

• Actual harm, isolatedF689Jan 21, 2025

  Based on interview and record review conducted during the Standard survey and Complaint (#NY00348063) with an exit date of 1/21/2025, the facility did not ensure the resident's environment remained free from accident hazards over which the facility had control and provide adequate supervision and assistive devices to prevent accidents for one (1) (Resident #154) of three (3) residents reviewed for accidents. Specifically, on 7/13/2024 Resident #154 identified as severely cognitively impaired wandered off the 2nd floor Memory Care Unit (Unit 3) without staffs' knowledge, exited through the emergency stair-well door, which did not alarm, went down the stairs and exited the building through a second door to the outside. […]

• No harm, potential for more than minimal, widespreadF725Jan 21, 2025

  Based on interview, observation, and record review conducted during complaint investigations (#NY00359668, #NY00335735, #NY00349153, #NY00347833, #NY00350434) conducted during a Standard survey completed on [DATE], the facility did not ensure sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the facility did not having sufficient nurse staffing on a 24-hour basis to adequately care for residents' needs. […]

• No harm, potential for more than minimal, patternF804Jan 21, 2025

  Based on observation, interview and record during the Standard survey completed on 1/21/25, the facility did not ensure that food and drink was palatable, attractive and at a safe and appetizing temperature for five (Unit 1, Unit 2, Unit 3, Unit 4, and Unit 5) of five test trays. Specifically, food and beverages during meals were served at suboptimal temperatures, were not palatable and not attractive. Residents #53, #68, #94, #97, and #131 were involved. The findings are: The policy and procedure titled Food Temperature Requirements and Holding Time last modified on 6/28/2019 documented the Director of Dining Services was responsible for assuring that the proper temperatures and holding times for foods were maintained during the preparation and service of meals. […]

• No harm, potential for more than minimal, patternF812Jan 21, 2025

  Based on observation, interview, and record review during the Standard survey completed on 1/21/25, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, issues included a dust laden ceiling, including devices on the ceiling, and a damaged wall. This affected one of one Main Kitchen. The findings are: The policy and procedure titled Kitchen, Dining and Dietary Equipment Routine Cleaning Policy, modified 4/26/19, documented the Director of Dietary Services will plan a regular cleaning schedule for the thorough sanitation of the kitchen equipment, dish room, and staff dining areas. […]