Inspection Reports for
Elderwood at Lockport

104 Old Niagara Road, Lockport, NY, 14094

Back to Facility Profile

Citations (last 4 years)

Citations (over 4 years) 6.5 citations/year

Citations are regulatory findings recorded during state inspections.

27% worse than New York average
New York average: 5.1 citations/year

Citations per year

16 12 8 4 0
2021
2022
2023
2025

Inspection Report

Routine
Citations: 2 Date: May 2, 2025

Visit Reason
The inspection was a Standard survey conducted to assess compliance with care and infection prevention regulations at the nursing home.

Findings
The facility failed to ensure that residents unable to perform activities of daily living received necessary grooming assistance, specifically for one resident with unwanted facial hair. Additionally, the facility did not maintain an effective infection prevention and control program, as staff failed to wear gowns during incontinent care for a resident with ESBL infection.

Citations (2)
F 0677: The facility did not provide adequate care and assistance for activities of daily living, resulting in one resident having visible unwanted facial hair despite policies requiring shaving on shower days or when visible hair is noticed.
F 0880: The facility failed to implement an infection prevention and control program by not ensuring staff wore gowns during incontinent care for a resident with ESBL infection, risking cross contamination.
Report Facts
Residents affected: 1 Residents affected: 1 Colony count: 100000

Employees mentioned
NameTitleContext
Certified Nurse Aide #1Certified Nurse AideInterviewed regarding grooming care and shaving practices for Resident #6
Certified Nurse Aide #2Certified Nurse AideInterviewed regarding shaving schedule and practices for Resident #6
Registered Nurse #1Unit ManagerInterviewed about shaving policies for residents
Registered Nurse #2Registered NurseInterviewed about shaving practices for residents
Director of NursingDirector of NursingInterviewed about shaving responsibilities and infection control expectations
Certified Nurse Assistant #3Certified Nurse AssistantObserved and interviewed regarding gown use during incontinent care for Resident #54
Certified Nurse Assistant #4Certified Nurse AssistantObserved and interviewed regarding gown use during incontinent care for Resident #54
Registered Nurse Unit Manager #3Registered Nurse Unit ManagerInterviewed about infection control expectations for Resident #54
Assistant Director of Nursing/Infection PreventionistAssistant Director of Nursing/Infection PreventionistProvided infection control policies and interviewed about gown use requirements
Physician #1PhysicianInterviewed about expectations for staff gown and glove use during incontinent care

Inspection Report

Annual Inspection
Capacity: 60 Citations: 5 Date: May 2, 2025

Visit Reason
Certification Survey with 2 health and 3 life safety code citations including ADL care, infection prevention, electrical systems, fire drills, and sprinkler system deficiencies, all corrected by mid-2025.

Findings
Certification Survey with 2 health and 3 life safety code citations including ADL care, infection prevention, electrical systems, fire drills, and sprinkler system deficiencies, all corrected by mid-2025.

Citations (5)
ADL care provided for dependent residents
Infection prevention & control
Electrical systems - essential electric system
Fire drills
Sprinkler system - maintenance and testing

Inspection Report

Complaint Investigation
Capacity: 60 Citations: 15 Date: Jun 6, 2023

Visit Reason
Complaint Survey with 6 health and 9 life safety code citations including ADL care, infection prevention, nurse staffing, resident rights, electrical systems, emergency lighting, fire alarm, gas equipment storage, means of egress, portable fire extinguishers, sprinkler system, and smoke barrier deficiencies, mostly corrected by July 2023.

Findings
Complaint Survey with 6 health and 9 life safety code citations including ADL care, infection prevention, nurse staffing, resident rights, electrical systems, emergency lighting, fire alarm, gas equipment storage, means of egress, portable fire extinguishers, sprinkler system, and smoke barrier deficiencies, mostly corrected by July 2023.

Citations (15)
ADL care provided for dependent residents
Department criminal history review
Infection prevention & control
Posted nurse staffing information
Resident rights/exercise of rights
Sufficient nursing staff
Electrical systems - essential electric system
Emergency lighting
Fire alarm system - testing and maintenance
Gas equipment - cylinder and container storage
Means of egress - general
Means of egress requirements - other
Portable fire extinguishers
Sprinkler system - maintenance and testing
Subdivision of building spaces - smoke barrier

Inspection Report

Capacity: 60 Citations: 1 Date: Jun 27, 2022

Visit Reason
Covid-19 Survey with a Level 2 citation for reporting to the national health safety network, widespread scope, not corrected as of report.

Findings
Covid-19 Survey with a Level 2 citation for reporting to the national health safety network, widespread scope, not corrected as of report.

Citations (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Citations: 1 Date: Nov 22, 2021

Visit Reason
Covid-19 Survey with a Level 2 citation for infection prevention & control, isolated scope, corrected by January 7, 2022.

Findings
Covid-19 Survey with a Level 2 citation for infection prevention & control, isolated scope, corrected by January 7, 2022.

Citations (1)
Infection prevention & control

Inspection Report

Routine
Citations: 2 Date: Jul 30, 2021

Visit Reason
The inspection was a Standard Survey conducted to assess compliance with regulatory requirements related to menu adherence and infection prevention and control practices.

Findings
The facility failed to follow the prepared menus for mechanically altered diets by substituting ground pork with gravy instead of Polish sausage. Additionally, the facility did not maintain proper infection prevention and control practices for residents with indwelling urinary catheters, as catheter drainage bags and tubing were observed in direct contact with the floor without barriers.

Citations (2)
F 0803: The facility did not follow the prepared menus for mechanically altered diets on 7/28/21, providing ground pork with gravy instead of Polish sausage to residents requiring puree and ground consistencies.
F 0880: The facility failed to establish and maintain an infection prevention and control program, as indwelling urinary catheter drainage bags and tubing for Residents #43 and #60 were observed directly on the floor without barriers, increasing infection risk.
Report Facts
Residents affected: 15 Residents affected: 2 Catheter size: 16 Balloon size: 5 Balloon size: 10 UTI protocol fluid amount: 240 UTI protocol duration: 7

Employees mentioned
NameTitleContext
Food Service DirectorInterviewed regarding menu substitution and food preparation practices
Registered DietitianInterviewed regarding menu adherence
Licensed Practical Nurse #1LPNInterviewed regarding expectations for reporting catheter bag placement
Licensed Practical Nurse #2LPNInterviewed regarding infection control issues with catheter bags on floor
Registered Nurse Unit Manager #1RN UMInterviewed regarding catheter bag contamination risk
Registered Nurse Unit Manager #2RN UMInterviewed regarding catheter tubing contact with floor
Director of NursingDONInterviewed regarding infection control and catheter bag placement
Regional RN ConsultantInterviewed regarding catheter bag cleaning and placement
AdministratorInterviewed regarding catheter bag affixation to bed
Certified Nursing Assistant #1CNAInterviewed regarding catheter bag handling and barriers
Certified Nursing Assistant #3CNAInterviewed regarding catheter bag placement and handling
Resident #60's PhysicianPhysicianInterviewed regarding catheter bag infection risk

Viewing

Loading inspection reports...