Resident Health Quality » Twin Willows Nursing 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 * 16.6 * 18.4
Percentage of high risk long-stay residents with pressure ulcers 15.0 * * 18.9
Percentage of long-stay residents experiencing one or more falls with major injury 10.3 6.7 3.8 5.2
Percentage of long-stay residents whose need for help with daily activities has increased 17.4 8.0 8.7 11.7
Percentage of long-stay residents who self-report moderate to severe pain * * * 8.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 14.3 14.2 12.8 14.4
Percentage of long-stay residents with a urinary tract infection 7.1 0.0 11.5 5.3
Percentage of long-stay residents who received an antipsychotic medication 20.0 19.2 13.0 18.8

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 2.7
Percentage of short-stay residents who self-report moderate to severe pain * * * 25.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 38.5 26.9 25.0 28.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 4.0 3.8 4.2 3.9
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 * * * 92.3
Percentage of long-stay residents who have depressive symptoms 3.8 3.6 4.0 3.7
Percentage of long-stay residents who were physically restrained 6.9 10.0 11.5 9.6

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 * * * 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * 95.5 96.6
  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