Inspection Reports for
Elderwood at Williamsville

One standard health citation related to pharmacy services and records with level 2 severity, corrected by September 12, 2025.

The visit was complaint-related under Complaint #NY00374712. The complaint was substantiated as the facility failed to administer medications timely and notify the medical provider.

The facility failed to ensure timely administration of Resident #1's anticonvulsant medications within the allowed timeframe and did not notify the medical provider of late administrations. Multiple medication audit reports documented several instances of medications being administered late, sometimes by two or more hours, without appropriate notification to supervisors or medical providers.

One standard health citation for free from abuse and neglect with level 2 severity, corrected by June 20, 2025.

The complaint investigation (#NY00370991) substantiated sexual abuse by Resident #2 against Resident #1. Resident #1 was unable to consent due to severe dementia. The facility took actions including separating the residents, monitoring Resident #2, psychiatric evaluation, and staff education. The incident was reported and documented by nursing staff.

The facility failed to protect Resident #1 from sexual abuse by Resident #2. The investigation confirmed that Resident #2 touched Resident #1's breast without consent, and appropriate follow-up actions including separation of residents, psychiatric evaluation, and staff in-service were implemented.

Multiple standard health and life safety citations including bowel/bladder incontinence, food sanitation, accident hazards (level 3 severity), resident rights, nursing staff sufficiency, and various life safety code issues; all corrected by March-April 2025.

The complaint investigations involved multiple issues including resident dignity violations by staff, inadequate ambulation for residents with limited mobility, unsafe environment leading to resident elopement and injury, improper catheter care, insufficient staffing levels impacting resident care, poor food quality and temperature control, and unsanitary kitchen conditions.

The facility failed to ensure residents were treated with dignity and respect, provide appropriate ambulation and care to prevent decline in range of motion, maintain a safe environment to prevent accidents, provide proper catheter care, maintain adequate staffing levels, serve food at safe temperatures and palatable quality, and maintain kitchen sanitation including ceiling cleanliness and wall repair.

The complaint investigations included allegations of undignified treatment of residents, inadequate ambulation care, unsafe environment leading to resident elopement and injury, and insufficient staffing impacting resident care and safety. The allegations were substantiated based on observations, interviews, video review, and record analysis.

The facility failed to ensure residents were treated with dignity and respect, failed to provide appropriate ambulation care to prevent decline in range of motion, did not maintain a safe environment preventing elopement and injury, and did not have sufficient nursing staff to meet residents' needs.

Two standard health citations for investigating and reporting alleged violations with level 2 severity, corrected by May 23, 2024.

The complaint investigation was substantiated for failure to timely report suspected abuse and failure to conduct a thorough investigation into the abuse allegation involving Resident #1. The facility did not report the incident immediately and did not interview other residents who may have been impacted.

The facility failed to timely report an allegation of abuse involving a resident and did not conduct a thorough investigation, including interviewing other residents who may have been affected by the accused staff member. The investigation was incomplete and delayed, and staff did not follow required reporting procedures.

One standard health citation for quality of care with level 2 severity, corrected by March 5, 2024.

Complaint #NY00294465 triggered the abbreviated survey due to allegations that residents did not receive treatments as ordered. The complaint was substantiated with findings of incomplete wound care and PICC line maintenance.

The facility failed to ensure that seven residents received treatments as ordered by the physician, including pressure ulcer treatments and PICC line care. Multiple nursing staff acknowledged inability to complete treatments due to staffing issues, and key administrators and providers were unaware of the extent of non-compliance.

One standard health citation for reporting to national health safety network with level 2 severity, not marked as corrected.

Multiple standard health and life safety citations including ADL care, assistive devices, bowel/bladder incontinence, food sanitation, psychotropic meds, nutritive value, parenteral fluids, criminal history checks, and various life safety code issues; all corrected by February 17, 2023.

The facility was found deficient in multiple areas including inadequate personal hygiene care for residents, improper catheter care leading to potential urinary tract infections, lack of proper PICC line maintenance, failure to implement gradual dose reductions for psychotropic medications, serving food at unsafe temperatures, failure to provide required adaptive eating equipment, and poor food storage and hygiene practices in nourishment rooms and kitchen.

One standard health citation for reporting to national health safety network with level 2 severity, not marked as corrected.

One standard health citation for reporting to national health safety network with level 2 severity, not marked as corrected.

The facility failed to ensure timely disbursement of resident personal funds for one resident and did not report an incident of failure to follow the care plan resulting in a resident fall and injury to the state within the required timeframe.