Resident Health Quality » Windermere 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 22.6 40.1 21.0 29.2
Percentage of high risk long-stay residents with pressure ulcers 19.0 13.4 18.6 17.2
Percentage of long-stay residents experiencing one or more falls with major injury 2.0 2.3 1.1 1.7
Percentage of long-stay residents whose need for help with daily activities has increased 20.5 13.9 19.0 18.4
Percentage of long-stay residents who self-report moderate to severe pain 12.8 13.6 11.0 12.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.6 3.5 2.7 3.6
Percentage of long-stay residents with a urinary tract infection 5.2 5.8 4.7 5.3
Percentage of long-stay residents who received an antipsychotic medication 11.2 10.4 9.0 9.3

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 58.1 73.6 91.1 79.7
Percentage of short-stay residents who newly received an antipsychotic medication 1.8 0.0 0.0 1.0
Percentage of short-stay residents who self-report moderate to severe pain 14.3 26.5 27.5 23.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.2 14.5 14.0 15.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 77.1 77.1 77.1 77.1
Percentage of long-stay residents who lose too much weight 6.7 3.6 9.4 6.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 71.4 74.4 86.2 79.8
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 65.2 54.5 61.8
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 1.0 1.2 1.1 0.8

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 63.7 63.7 63.7 63.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 58.7 70.2 76.1 70.4
  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