Resident Health Quality » Windsor Elmhaven Care 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 41.9 26.3 16.8 24.2
Percentage of high risk long-stay residents with pressure ulcers 24.4 28.0 20.8 24.3
Percentage of long-stay residents experiencing one or more falls with major injury 1.1 0.0 0.0 0.3
Percentage of long-stay residents whose need for help with daily activities has increased 7.3 17.3 11.8 10.0
Percentage of long-stay residents who self-report moderate to severe pain 1.6 2.8 0.0 1.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.7 4.9 2.1 3.5
Percentage of long-stay residents with a urinary tract infection 2.2 2.4 1.2 2.0
Percentage of long-stay residents who received an antipsychotic medication 15.1 16.5 14.8 15.2

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 61.4 60.8 68.7 63.9
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 1.6 2.3 1.3
Percentage of short-stay residents who self-report moderate to severe pain 2.6 12.0 3.1 6.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 33.3 31.6 32.5 31.9
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.0 98.0 98.0 98.0
Percentage of long-stay residents who lose too much weight 9.1 7.6 10.1 8.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 47.2
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 78.0 78.0 78.0 78.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.6 98.8 98.7 97.6
  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