Inspection Reports for
Elderwood at Wheatfield
2600 Niagara Falls Boulevard, Niagara Falls, NY, 14304
Back to Facility Profile4 Reports
Inspection Report — Aug 14, 2024
Complaint Investigation State
Date: Aug 14, 2024
Visit Reason
State-compiled facility profile showing 21 inspections from 2022 to 2026 with citation and complaint history.
Complaint Details
The facility received 159 complaints with 23 on-site inspections conducted. Four citations resulted from those complaints.
Findings
Across 21 inspections, 17 had no citations while 4 resulted in 32 total citations split evenly between standard health and life safety code violations. The facility had 159 complaints with 23 on-site inspections and one enforcement action recorded.
Citations (27)
Standard Health Citation — quality of care: Assistive Devices - Eating Equipment/utensils not properly managed.
Standard Health Citation — quality of care: Free Of Accident Hazards/supervision/devices deficiencies noted.
Standard Health Citation — quality of care: Infection Prevention & Control protocols not fully met.
Standard Health Citation — quality of care: Maintains Effective Pest Control Program was inadequate.
Standard Health Citation — quality of care: Posted Nurse Staffing Information was insufficient.
Standard Health Citation — quality of care: Reporting Of Alleged Violations was deficient.
Standard Health Citation — quality of care: Resident Records - Identifiable Information not properly protected.
Standard Health Citation — quality of care: Resident Rights/exercise Of Rights not fully upheld.
Standard Health Citation — quality of care: Safe/clean/comfortable/homelike Environment was lacking.
Standard Health Citation — quality of care: Self-determination was not adequately supported.
Standard Health Citation — quality of care: Sufficient Nursing Staff was not maintained.
Standard Health Citation — quality of care: Treatment/svcs To Prevent/heal Pressure Ulcer were deficient.
Life Safety Code Citation — NFPA requirements: Corridor - Doors did not meet requirements.
Life Safety Code Citation — NFPA requirements: Doors With Self-closing Devices were noncompliant.
Life Safety Code Citation — NFPA requirements: Electrical Equipment - Power Cords And Extens were unsafe.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric Syste were deficient.
Life Safety Code Citation — NFPA requirements: Exit Signage was inadequate.
Life Safety Code Citation — NFPA requirements: Fire Alarm System - Testing And Maintenance was insufficient.
Life Safety Code Citation — NFPA requirements: Fire Drills were not properly conducted.
Life Safety Code Citation — NFPA requirements: Hazardous Areas - Enclosure was deficient.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing was inadequate.
Life Safety Code Citation — NFPA requirements: Subdivision Of Building Spaces - Smoke Barrie was noncompliant.
Standard Health Citation — quality of care: Reporting - National Health Safety Network was deficient.
Standard Health Citation — quality of care: Department Criminal History Review was deficient.
Standard Health Citation — quality of care: General Requirements were not met.
Life Safety Code Citation — NFPA requirements: Alcohol Based Hand Rub Dispenser (abhr) was noncompliant.
Life Safety Code Citation — NFPA requirements: Portable Space Heaters were unsafe.
Report Facts
Inspections on page: 21
Total violations/deficiencies cited: 32
Inspections with violations: 4
Inspections without violations: 17
Total complaints: 159
On-site complaint inspections: 23
Plan of correction counts: Not stated
Total fines: 10000
Number of enforcement actions: 1
Inspection Report — Aug 14, 2024
Routine CMS
Date: Aug 14, 2024
Visit Reason
Routine standard survey inspection of Elderwood at Wheatfield nursing home to assess compliance with regulatory requirements including resident rights, care, safety, staffing, infection control, and environment.
Findings
The facility was found deficient in multiple areas including resident dignity and choice, staffing shortages impacting care delivery, infection control breaches, incomplete medical records, inadequate pest control, and failure to provide appropriate adaptive equipment for meals. Several residents did not receive care according to their preferences or care plans, and privacy and dignity issues were noted during hospice assessments.
Citations (11)
F0550: The facility did not ensure resident dignity and privacy during hospice nursing assessment conducted in the dining room with other residents present.
F0561: Residents #1, #55, and #56 were not provided showers twice weekly as care planned and preferred, and Resident #56 was not assisted out of bed as preferred.
F0584: Unit 1 had a strong urine odor and presence of flies in resident rooms, dining, and lounge areas, indicating inadequate housekeeping and pest control.
F0609: Allegation of abuse to Resident #69 was not reported to the State Survey Agency within the required two-hour timeframe.
F0686: Resident #38 had a newly identified Stage II pressure ulcer on the right buttock that was not promptly assessed, measured, or documented by qualified staff.
F0689: Resident #84 eloped from the facility and was found in the parking lot; the facility failed to provide adequate supervision to prevent elopement.
F0725: Facility failed to maintain sufficient nursing staff on multiple shifts, resulting in inability to provide care according to residents' care plans and preferences.
F0732: Facility did not post daily nurse staffing information with actual numbers of licensed and unlicensed nursing staff per shift and lacked a policy for completing the DOH Staffing Report.
F0810: Resident #85 was not provided special eating equipment as care planned; bowls and mugs were not used, impacting resident's ability to eat independently and safely.
F0880: Staff failed to use proper personal protective equipment and hand hygiene when providing care to residents on enhanced barrier precautions and during incontinent care.
F0925: Facility did not maintain an effective pest control program; flies were observed in resident rooms, dining rooms, and common areas on Unit 1.
Report Facts
Staffing shortages: 9
Urine volume: 550
Pressure ulcer size: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #2 | Unit Manager | Reported Resident #69 abuse allegation immediately to Director of Nursing and Administrator |
| Director of Nursing | Acknowledged delay in reporting Resident #69 abuse allegation; responsible for staffing and care oversight | |
| Certified Nurse Aide #4 | Observed not wearing PPE during catheter care for Resident #15; failed hand hygiene during incontinent care for Resident #82 | |
| Certified Nurse Aide #18 | Observed not wearing PPE during catheter care for Resident #15; reported staffing shortages impacting care | |
| Certified Nurse Aide #5 | Observed not performing proper hand hygiene during incontinent care for Resident #82 | |
| Scheduling Specialist | Responsible for DOH Staffing Report; did not update actual staffing numbers | |
| Food Service Director | Responsible for ensuring correct adaptive eating equipment provided to residents | |
| Director of Rehabilitation | Provided occupational therapy assessments and recommendations for Resident #85 adaptive equipment |
Inspection Report — Nov 9, 2022
CMS
Date: Nov 9, 2022
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Elderwood at Wheatfield, related to a regulatory survey completed on 2022-11-09.
Findings
No health deficiencies were found during the survey.
Inspection Report — Dec 6, 2019
Routine CMS
Date: Dec 6, 2019
Visit Reason
The inspection was conducted as a Standard Survey to assess the facility's compliance with infection prevention and control requirements.
Findings
The facility failed to ensure a safe, sanitary, and comfortable environment to prevent communicable diseases. Specifically, improper infection control practices were observed during incontinence care for a resident on contact precautions for VRE.
Citations (1)
F 0880: The facility did not provide and implement an effective infection prevention and control program. Staff failed to maintain proper infection control practices during incontinence care, including improper hand hygiene and reuse of soiled washcloths, leading to potential cross contamination.
Report Facts
Residents Affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #5 | Certified Nursing Assistant | Observed and intervened during improper incontinence care |
| CNA #6 | Certified Nursing Assistant | Performed improper incontinence care and infection control practices |
| RN Unit Manager #2 | Registered Nurse Unit Manager | Provided interview regarding proper infection control procedures |
Viewing
Loading inspection reports...
