FIDDLERS GREEN MANOR REHABILITATION & NURSING CTR

Nursing Home Inspector

168 WEST MAIN STREET
SPRINGVILLE, NY 14141
Erie County
Phone: 716-592-4781
Provider Number: 335457
Last Inspection: 05/09/2017

About the Nursing Home

Number of Beds: 82
Number of Residents: 71
Beds Available: 11
Percent Occupancy: 87%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

14

Facility
18

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

14

2017
80

2016
47

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

5/9/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Potential 3 7/1/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Potential 3 7/1/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 7/1/2017
 
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 7/1/2017
 

4/5/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Pattern : Potential 3 5/27/2016
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Potential 3 5/27/2016
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 5/27/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 5/27/2016
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Pattern : Minimal 4 5/27/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 5/27/2016
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Pattern : Minimal 4 5/27/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 5/27/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 5/27/2016
 
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern : Minimal 4 5/27/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 5/27/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 5/27/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 5/27/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 5/27/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 5/27/2016
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Isolated : Minimal 3 5/27/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 5/27/2016
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 5/27/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 5/27/2016
 
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Isolated : Minimal 3 5/27/2016
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 5/27/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 5/27/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 5/27/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/27/2016
 

4/14/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 6/11/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 6/11/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 6/11/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 6/11/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 6/11/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 6/11/2015
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 6/11/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 6/11/2015
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Potential 3 6/11/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 6/11/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 6/11/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/11/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 6/11/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 6/11/2015
 
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 6/11/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

1/5/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 3/4/2016
 

10/8/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/5/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/5/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 12/5/2015
 

6/25/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/17/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 71 145.81 167.28
Registered Nurses 0.52 0.79 0.74
Licensed Practical / Vocational Nurses 1.15 0.98 0.84
Certified Nursing Assistants 2.19 2.43 2.30
Total Staff Hours 3.86 4.20 3.88

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NY State Avg%
of high risk long-stay residents with pressure ulcers 11 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 92 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 94 96
of long-stay residents experiencing one or more falls with major injury 3 2 2
of long-stay residents who have depressive symptoms 3 7 8
of long-stay residents who lose too much weight 10 5 6
of long-stay residents who received an antianxiety or hypnotic medication 30 15 15
of long-stay residents who received an antipsychotic medication 19 13 13
of long-stay residents who self-report moderate to severe pain 12 4 3
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 35 21 16
of long-stay residents whose need for help with daily activities has increased 18 16 13
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 2 2 3
of low risk long-stay residents who lose control of their bowels or bladder 22 57 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 80 80 81
of short-stay residents who had an outpatient emergency department visit 9 10 9
of short-stay residents who made improvements in function 50 68 68
of short-stay residents who newly received an antipsychotic medication 11 1 1
of short-stay residents who self-report moderate to severe pain 19 10 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 71 82 82
of short-stay residents who were rehospitalized after a nursing home admission 28 19 21
of short-stay residents who were successfully discharged to the community 21 55 48
of short-stay residents with pressure ulcers that are new or worsened 3 1 0