Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Elderwood At Liverpool during CMS and state inspections, most recent first.
Resident Council concerns were not consistently addressed, investigated, or responded to with a rationale. Residents reported unresolved issues including missing clothing and items, staffing concerns, and staff using cellphones in resident areas and dining rooms. Minutes showed repeated old and new business items marked unresolved or partially resolved, and a resident stated a missing-clothing concern raised in Council was never acted on.
Surveyors found the second-floor hallway carpet visibly dirty with crumbs, debris, and stains on multiple observations, and staff said hallway vacuuming had not been happening regularly. A resident room smelled of urine, had an unmade bed and powder on the floor, and the resident’s family reported repeated cleanliness concerns. Another resident’s bathroom light was out for days despite multiple work orders, and staff were unclear about the repair status.
Improper sanitizer testing and dish drying practices were observed in the kitchen. Expired sanitizer test strips were used to check the quaternary solution in the 3-bay sink, and a Dietary Worker used a cloth to dry dishes and silverware as they came out of the dish machine instead of air-drying them. The FSD stated the expired strips would not read sanitizer concentration correctly and that using a cloth to dry dishes could cause cross contamination and spread germs to residents.
Baseline Care Plan Missing Sling Order and Use for Arm Fracture: A resident admitted from the hospital with a right upper arm fracture, pelvic fracture, and impaired cognition had a hospital recommendation for a right arm sling and non-weight bearing status, but the initial orders and baseline care plan did not include the sling. Staff later documented the sling inconsistently, and during observation the sling was not supporting the resident’s arm.
Failure to complete ordered wound care and follow wound consultant recommendations for a resident with an unstageable heel pressure ulcer. The resident had a stalled wound, intermittent noncompliance with compression wraps, and was observed without the ordered heel boot or wraps. The TAR lacked documentation for several ordered wound treatments, and there was no documented follow-up on the recommended vascular consult.
An opened lidocaine vial and two opened insulin pens were found in a med cart with no documented open dates. An LPN stated the opening nurse was supposed to label the date and initials, and that undated insulin products were considered expired and should not be given. An RN manager stated staff should check med expiration dates each shift and that insulin pens and vials are only good for 30 days after opening.
Improper Dumpster Area Sanitation: The facility failed to keep the area around an outside dumpster near the kitchen free of food debris, wrappers, and used gloves. Surveyors observed the trash and debris around the dumpster and fence, while staff from dietary, housekeeping, maintenance, and the DON gave differing accounts of who was responsible for monitoring and cleaning the area. The facility also did not have a specific policy on dumpster maintenance.
Infection control was deficient when an RN caring for a resident on C-diff contact precautions did not follow the facility’s PPE and hand hygiene requirements. The RN administered medications while wearing gloves and a mask, handled items from the bedside table with the same gloves, exited the room, and used hand sanitizer instead of soap and water, despite acknowledging that C-diff required soap-and-water hand hygiene and full contact-precaution PPE.
Missing Medicare Non-Coverage Notice: A resident remained in the facility after Medicare Part A ended, but the required SNF ABN (CMS-10055) was not provided or signed by the POA before non-covered services began. The BOM stated the notice should have been given in advance so the resident or representative could understand financial liability for non-covered services.
Resident Council Concerns Not Addressed
Penalty
Summary
The facility did not ensure that views, grievances, or recommendations voiced by residents during Resident Council meetings were considered, acted upon, and responded to with a rationale. During a resident group meeting, nine anonymous residents stated the facility did not always follow up, address, or resolve their concerns, including missing clothing and items not being replaced or returned if there was no receipt of purchase, as well as inadequate nursing and kitchen staffing. Resident #17 also stated they had reported missing clothing in Resident Council, but nothing was done. Resident Council minutes showed repeated concerns over several months, including staffing concerns, staff using cellphones in resident areas and dining rooms, missing items from resident rooms, an elevator sign issue, and a lack of nursing presence on the units. The minutes documented items as not resolved or partially resolved, but there was no documented evidence that the concerns were investigated or that rationales and responses were provided to the Resident Council in subsequent meetings. The Director of Activities stated minutes were sent to managers and that concerns were discussed in meetings, while the Director of Social Work stated missing-item complaints were usually investigated, but they had not been made aware of Resident #17's missing items.
Unclean Hallways, Urine Odor in Room, and Broken Bathroom Light
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment on the second floor. Surveyors observed the hallway carpet outside multiple resident rooms to be visibly dirty on several occasions, with crumbs, dirt clumps, particles, plastic tips, packaging pieces, bread or cracker crumbs, string, food crumbs, skin flakes, paper pieces, a medicine cup, a plastic stopper, debris, and dark brownish-gray line stains. The Director of Environmental Services stated the carpets were spot cleaned several times a week and thoroughly cleaned a few times a year, while staff interviews indicated hallway vacuuming had not been occurring regularly since renovation and that the floors were dirty. A resident room was also observed to be unclean. During an observation, the room floor had white powder next to the bed, the room smelled of urine, and the bed was not made. The resident’s family member stated the room was often unclean, smelled like urine, and had a sticky floor, and that staff had to be asked to clean it. Staff interviews confirmed that the resident urinated in the room and that housekeeping was supposed to pay more attention because this had become more common, but the issue was described as being addressed only when there was a problem. The bathroom in another resident room had a broken light bulb. The resident stated the light had been out for two or three days and there was no other light unless the door was left open. The electronic maintenance system showed multiple work orders for the bathroom light not working, and staff interviews showed confusion about the requests and whether bulbs were available. The Maintenance Director stated a bathroom light outage was a high-priority issue that should be resolved in 30 minutes or less, but the light remained out during the observation period.
Improper sanitizer testing and dish drying practices
Penalty
Summary
Proper sanitation practices were not followed in the main kitchen when expired sanitizer testing strips were used to test the sanitizer strength in the three-bay sink. During an observation, the Food Service Manager demonstrated testing the sanitizer strength using strips stored near the sink, and the Food Service Director later confirmed the strips had expired in January 2025 and were not known to be expired at the time of use. The facility policy stated that the dietary services supervisor was to test the sanitizing solution strength daily, and the Food Service Director stated that expired test strips would not read sanitizer concentration correctly. The facility also failed to follow its own dishwashing procedure when a cloth was used to dry dishes and silverware as they came out of the dish machine. During an observation, a Dietary Worker was unloading clean dishes and silverware and used a white dish cloth to wipe the items because they were wet. The worker stated they had not been taught to do this and wanted to make sure the dishes were dry. The Food Service Director stated staff were trained to air dry items that were cleaned and sanitized in the dish machine, and that using a cloth to dry dishes could cause cross contamination and spread germs to residents.
Baseline Care Plan Missing Sling Order and Use for Arm Fracture
Penalty
Summary
The facility failed to develop and implement a baseline care plan that included the minimum healthcare information necessary to properly care for a resident within 48 hours of admission. Resident #97 was admitted from the hospital with diagnoses including a right upper arm fracture, osteoporosis, and a right pelvic fracture. The admission MDS documented moderately impaired cognition, impairments of one arm and one leg, maximal assistance needed for upper body dressing, total dependence for transfers, and no training on a splint or brace. The hospital orthopedic consult documented that the right upper arm was to be non-weight bearing and that a sling was to be used. The 12/19/2025 physician orders did not include the use of a right arm sling, and the baseline care plan only documented a closed fracture of the right arm with general interventions such as medications, safety education, monitoring for skin changes and swelling, orthopedic consultations as needed, and PT/OT evaluations and treatments per orders. There was no documented evidence of sling use. A nurse practitioner later documented that the resident had a sling for the right arm, and a physician later documented that the resident was to be non-weight bearing to the right arm and a sling was to be used. During observation, the resident was lying in bed with the sling between the right arm and the bed sheet, and the sling was not supporting the upper arm.
Failure to Complete Ordered Wound Care and Follow Wound Consultant Recommendations
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was not met for one resident with an unstageable left heel pressure ulcer. The resident had diagnoses including weakness, hypertension, and dementia with agitation, and the record showed the resident was at risk for pressure ulcers and had pressure-reducing devices and dressings in use. The care plan directed weekly assessment of the left heel wound and treatment per order, and the wound consultant documented that the wound healing had stalled, with intermittent noncompliance with compression wraps and the resident ambulating unassisted despite staff instruction. The wound consultant changed the treatment to betadine-moistened gauze and discussed obtaining a vascular consult because of the stalled wound, if the family agreed. Later wound notes continued the same treatment and noted the resident still ambulated unassisted and staff had removed the heel boot to prevent falls. The record did not contain physician orders or care plan documentation for the left heel boot or compression wraps, and there was no documented follow-up related to the recommendation for a vascular consult. Observed care did not match the documented wound interventions. The resident was seen walking without an assistive device and later sitting in a wheelchair without the heel boot or compression wraps. The treatment administration record showed ordered wound care for the right heel and left heel, but there was no documented evidence that the ordered treatments were administered on several day shifts in February. Staff interviews confirmed that wound care ordered for a shift was expected to be completed and documented, and that if it was not documented, it was not done. Staff also stated they were unaware the vascular consult recommendation had not been addressed and that the wound care provider’s recommendations were expected to be followed.
Undated Opened Medications in Medication Cart
Penalty
Summary
Drugs and biologicals were not stored in accordance with accepted professional standards on the 1st floor North medication cart. During a storage review, an opened vial of lidocaine 1% with no opened date was found in the top drawer, along with an opened glargine insulin pen for Resident #185 and an opened Lantus Solostar pen for Resident #21, both of which also had no documented opened dates. The facility policy stated that medication administration should follow current practice standards and that expiration dates should be checked before administration, including manufacturer guidance for medications with shortened expiration such as insulin. During interview, an LPN stated the nurse opening an insulin pen or vial was supposed to write the open date and initials on it, and that any nurse administering the medication should check expiration and open dates before giving it. The LPN also stated that if an insulin pen or vial did not have an open date, it was considered expired, should not be given, and should be discarded. The LPN said they did not give those medications that day. An RN manager later stated each medication nurse should check expiration dates in the medication cart and medication room every shift, and that insulin pens and vials were only good for 30 days after the open date; the undated insulin pens and vial were considered expired because there was no way to know when they were opened.
Improper Dumpster Area Sanitation
Penalty
Summary
The facility failed to ensure garbage and refuse were disposed of properly for one dumpster observed outside near the kitchen. During the survey observation, the area around the dumpster had food debris, food wrappers, and used gloves on the ground and near the fence surrounding the dumpster area. The facility’s Assistant Dining Services Manager Evening Checklist procedure form, dated 09/2002, stated food service would observe the dumpster area in the evening to check for food debris and ensure the dumpster lids were closed. During interviews, the Food Service Manager and Food Service Director stated the area around the dumpster should be free of food debris and garbage to prevent rodents and for sanitation. They reported the dumpsters were used for food waste, food packaging waste, and cardboard, but they did not know which department was responsible for maintaining the cleanliness of the area. The Housekeeping Director stated housekeeping, maintenance, and dietary worked together to monitor the area, but no single department was primarily responsible. The Maintenance Director stated maintenance was responsible for clearing snow around the dumpster area, and the DON stated the facility did not have a specific policy on dumpster maintenance.
Infection Control Lapse During C-diff Contact Precautions
Penalty
Summary
Provide and implement an infection prevention and control program was cited after surveyors observed that infection control practices were not followed for a resident on contact precautions for C-diff. Resident #48 had diagnoses including multidrug-resistant organism, was cognitively intact, and was frequently incontinent of urine and stool, with loose stools documented over several days. The resident had a physician order to remain in the room and receive services in the room while on C-diff contact precautions, and the facility’s list identified the resident as being on contact precautions for active C-diff. During an observation, Registered Nurse #16 administered eye drops, an inhaler, and other medications in applesauce while wearing gloves and a mask, but did not wear the full PPE described by facility staff for contact precautions. The nurse then picked up an unused pain patch and medication boxes from the resident’s bedside table with the same gloves, exited the room, and placed the items on the medication cart before removing gloves and using hand sanitizer. The nurse stated they had not followed contact precautions because they did not see the sign and acknowledged that soap and water were needed because hand sanitizer was not effective against C-diff. Facility leadership stated staff were expected to wear a gown, gloves, and a mask in the room, and that medication boxes should not be brought into the room.
Missing Medicare Non-Coverage Notice
Penalty
Summary
The facility did not provide the required Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (CMS-10055) to a Medicare beneficiary when Medicare Part A coverage ended and the resident remained in the facility. Resident #208 had a Medicare Part A skilled services episode that began on 6/30/2025, with the last covered day of Part A services on 09/01/2025. The Notice of Medicare Non-Coverage (CMS-10123) documented the episode start date and the effective end date of services. The record also showed a handwritten note on the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage indicating the CMS-10055 was not signed by the resident's Power of Attorney on 10/03/2025. During interview, the Business Office Manager stated the notice should have been provided at least two days before non-coverage began, but it was not, and that time was taken for the family to decide what to do regarding the resident's continued stay. The Business Office Manager also stated that without the advance notice, the resident would not know financial liability for non-covered services received.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Liverpool
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bishop Rehabilitation And Nursing Center | 5.1 mi | — | 1 | 0 |
| The Cottages At Garden Grove, A Skilled Nrsg Comm | 5.2 mi | — | 1 | 0 |
| St Camillus Residential Health Care Facility | 6.3 mi | — | 20 | 0 |
| Central Park Rehabilitation And Nursing Center | 6.5 mi | — | 0 | 0 |
| Sunnyside Care Center | 7.3 mi | — | 14 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.