Resident Health Quality » Windsor Gardens Convalescent Center of Hawthorne

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 17.4 6.1 5.3 7.0
Percentage of high risk long-stay residents with pressure ulcers 11.8 8.9 11.5 11.7
Percentage of long-stay residents experiencing one or more falls with major injury 1.6 0.0 2.9 1.9
Percentage of long-stay residents whose need for help with daily activities has increased 11.1 10.7 10.3 8.5
Percentage of long-stay residents who self-report moderate to severe pain 2.3 0.0 0.0 2.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.2 1.1 3.4 2.6
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 2.9 2.3
Percentage of long-stay residents who received an antipsychotic medication 7.4 3.6 4.8 5.1

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 60.6 50.7 * 56.3
Percentage of short-stay residents who newly received an antipsychotic medication 1.9 2.5 2.4 2.2
Percentage of short-stay residents who self-report moderate to severe pain 6.0 2.2 0.0 3.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.3 8.3 15.6 14.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.2 97.2 97.2 97.2
Percentage of long-stay residents who lose too much weight 15.5 6.7 8.1 9.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 98.6 99.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 30.0 36.0 33.3 32.1
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.0

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 95.6 95.6 95.6 95.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 98.5 99.7
  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