Resident Health Quality » Courtyard Gardens Health and Rehabilitation Center

Used in Quality Measure Five Star Rating - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents whose ability to move independently worsened 33.1 72.5 35.4 40.7
Percentage of high risk long-stay residents with pressure ulcers 16.7 25.0 8.5 13.3
Percentage of long-stay residents experiencing one or more falls with major injury 6.2 7.5 9.2 7.1
Percentage of long-stay residents whose need for help with daily activities has increased 37.0 58.9 35.7 39.3
Percentage of long-stay residents who self-report moderate to severe pain 4.8 16.0 10.9 7.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7 3.0 2.1 2.4
Percentage of long-stay residents with a urinary tract infection 8.1 1.5 4.1 4.0
Percentage of long-stay residents who received an antipsychotic medication 20.0 14.8 20.0 18.8

Used in Quality Measure Five Star Rating - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents who made improvements in function * * * 68.3
Percentage of short-stay residents who newly received an antipsychotic medication 6.5 8.0 * 7.6
Percentage of short-stay residents who self-report moderate to severe pain * 7.4 12.0 9.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.1 27.4 29.4 26.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 0.0 1.7 6.1 5.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 98.7 99.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 20.8 18.2 34.8 39.4
Percentage of long-stay residents who have depressive symptoms 6.5 3.1 4.6 3.9
Percentage of long-stay residents who were physically restrained 1.5 3.0 2.6 1.8

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84.8 84.8 84.8 84.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.0 91.1 89.3 89.0
  1. * Not Available - The number of residents is too small to report.  Call the facility to discuss this quality measure.

Nursing homes regularly collect assessment information on all their residents using a form called the Minimum Data Set. The information collected includes the residents' health, physical functioning, mental status, and general well being. Nursing homes self-report this information to Medicare.

About Quality Measures

References

  1. http://www.medicare.gov/NursingHomeCompare/Data/Long-Stay-Residents.html
  2. http://www.medicare.gov/NursingHomeCompare/Data/Short-Stay-Residents.html