Resident Health Quality » Windsor Gardens Convalescent Hospital

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 23.3 35.7 35.0 30.6
Percentage of high risk long-stay residents with pressure ulcers 10.9 7.1 9.7 11.1
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 1.7 1.5 1.1
Percentage of long-stay residents whose need for help with daily activities has increased 13.7 24.5 17.6 19.8
Percentage of long-stay residents who self-report moderate to severe pain 6.3 11.4 6.2 8.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a urinary tract infection 1.7 0.0 1.5 0.8
Percentage of long-stay residents who received an antipsychotic medication 0.0 0.0 0.0 0.4

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 70.6 71.0 74.1 71.0
Percentage of short-stay residents who newly received an antipsychotic medication 2.0 2.3 1.1 2.2
Percentage of short-stay residents who self-report moderate to severe pain 13.1 16.0 16.2 16.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.5 14.0 12.7 11.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 85.5 85.5 85.5 85.5
Percentage of long-stay residents who lose too much weight 1.8 5.4 4.8 3.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.3 90.0 83.6 82.8
Percentage of low risk long-stay residents who lose control of their bowels or bladder 55.0 * * 49.3
Percentage of long-stay residents who have depressive symptoms 1.9 0.0 1.7 0.9
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 55.2 55.2 55.2 55.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 48.7 48.9 43.3 46.3
  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