Resident Health Quality » Delmar Gardens of Gwinnett

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 10.4 22.6 9.8 16.0
Percentage of high risk long-stay residents with pressure ulcers 5.0 7.7 7.3 6.8
Percentage of long-stay residents experiencing one or more falls with major injury 6.3 4.4 6.1 5.8
Percentage of long-stay residents whose need for help with daily activities has increased 8.6 14.3 5.1 18.6
Percentage of long-stay residents who self-report moderate to severe pain 2.7 3.2 3.5 4.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.3 4.6 3.1 3.9
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 2.1 1.1
Percentage of long-stay residents who received an antipsychotic medication 14.6 13.3 10.2 12.6

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 82.8 84.1 83.3 82.0
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 2.2 2.1 1.2 1.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.1 19.4 20.0 16.7
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 5.1 2.9 5.3 5.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.6 91.1 87.8 89.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 68.1
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 92.2 92.2 92.2 92.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.0 97.2 97.9 95.0
  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