Resident Health Quality » Windemere Park Health and Rehab 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 18.1 13.6 12.7 18.2
Percentage of long-stay residents experiencing one or more falls with major injury 2.9 0.0 2.0 1.1
Percentage of long-stay residents whose need for help with daily activities has increased 3.4 2.6 7.3 6.7
Percentage of long-stay residents who self-report moderate to severe pain 3.5 5.3 6.1 5.3
Percentage of high risk long-stay residents with pressure ulcers 8.3 20.0 14.7 12.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.8 2.2 3.2 1.9
Percentage of long-stay residents with a urinary tract infection 2.9 6.1 4.0 3.4
Percentage of long-stay residents who received an antipsychotic medication 41.2 30.6 33.3 33.5
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.0

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 86.7 86.8 84.1 83.8
Percentage of short-stay residents who newly received an antipsychotic medication 3.3 5.0 2.1 2.8
Percentage of short-stay residents who self-report moderate to severe pain 16.1 17.8 25.9 20.7
Percentage of short-stay residents with pressure ulcers that are new or worsened 1.3 2.4 2.8 1.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.1 31.6 39.0 32.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 84.6 84.6 84.6 85.2
Percentage of long-stay residents who lose too much weight 11.4 14.3 20.4 13.6
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 * * * 69.4
Percentage of long-stay residents who have depressive symptoms 0.0 4.1 3.9 2.2

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.6 95.6 96.0 95.3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81.5 81.5 81.5 82.8
  1. * 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