Inspection Reports for
Elderwood at Cheektowaga

F 0690: The facility did not provide appropriate care for residents with indwelling Foley catheters. Resident #3's catheter drainage bag was improperly positioned above bladder level, the resident was not wearing a urinary leg bag as care planned, and there were no medical provider orders for catheter care. The comprehensive care plan was not updated to reflect the resident's current urinary status.

10 NYCRR 415.4 (b)(1)(i) - The facility failed to protect Resident #1 from verbal and mental abuse by Certified Nurse Aide #1 who yelled at the resident and made disrespectful comments. The abuse was verified by investigation and witness statements.

Free from abuse and neglect

Antibiotic stewardship program

Drug regimen review, report irregular, act on

Label/store drugs and biologicals

Notify of changes (injury/decline/room, etc. )

Personal privacy/confidentiality of records

Radiology/other diagnostic services

Request/refuse/dscntnue trmnt;formlte adv dir

Emergency lighting

Fire alarm system - testing and maintenance

General requirements - other

Subdivision of building spaces - smoke barrie

F 0609: The facility did not report an allegation of abuse involving Resident #1 within two hours to the Administrator and State Survey Agency as required.

F 0610: The facility failed to thoroughly investigate an allegation of abuse for Resident #1, with no documented evidence of investigation or interviews.

10 NYCRR 415.11(c)(3)(i) The facility did not ensure medications were never left unattended at Resident #1's bedside and did not verify that the resident swallowed the medications before signing off on the Medication Administration Record.

Services provided meet professional standards

F 0690: The facility did not ensure appropriate care for residents with indwelling urinary catheters to prevent urinary tract infections. Catheter tubing and drainage bags were improperly handled and often touched the floor, increasing infection risk for Residents #106 and #120.

F 0758: The facility did not implement gradual dose reductions or behavioral interventions for psychotropic medications as clinically indicated. Resident #88 continued to receive antipsychotic medication without adequate indication or documented attempts to discontinue.

F 0804: The facility did not provide food and drink at safe and appetizing temperatures. Observations showed hot foods like lasagna were served below the required temperature and residents reported cold or lukewarm food and beverages on Units One and Two.

Bowel/bladder incontinence, catheter, uti

Criminal history record check process

Department criminal history review

Free from unnec psychotropic meds/prn use

Nutritive value/appear, palatable/prefer temp

Alcohol based hand rub dispenser (abhr)

Electrical systems - essential electric syste

Gas equipment - precautions for handling oxyg

Subdivision of building spaces - smoke barrie

F 0677: The facility failed to ensure residents dependent on staff for activities of daily living received necessary grooming and personal hygiene care, evidenced by a resident with long jagged fingernails with brown debris.

F 0758: The facility did not ensure residents' drug regimens were free from unnecessary psychotropic medications, specifically lacking adequate indication for Risperidone use in one resident.

F 0804: The facility failed to provide food and drink that was palatable, attractive, and served at safe appetizing temperatures, with food items served cold or dry in two units.

F 0812: The facility did not store and distribute food in accordance with professional standards, with outdated and undated food items found in a unit kitchenette.

F 0880: The facility failed to implement an infection prevention and control program, including improper linen handling with dirty linens placed on the floor and oxygen nasal cannula tubing stored on the floor without protective barriers.