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 * * * 16.9
Percentage of long-stay residents experiencing one or more falls with major injury * * 4.2 2.5
Percentage of long-stay residents whose need for help with daily activities has increased * * 9.5 7.1
Percentage of long-stay residents who self-report moderate to severe pain * * * 5.6
Percentage of high risk long-stay residents with pressure ulcers * * * 6.6
Percentage of long-stay residents with a catheter inserted and left in their bladder * * 0.0 0.7
Percentage of long-stay residents with a urinary tract infection * * 0.0 2.5
Percentage of long-stay residents who received an antipsychotic medication * * 26.1 31.6
Percentage of long-stay residents who were physically restrained * * 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 85.1 89.7 88.6 87.7
Percentage of short-stay residents who newly received an antipsychotic medication 6.0 3.1 2.3 3.5
Percentage of short-stay residents who self-report moderate to severe pain 29.2 20.8 16.3 19.3
Percentage of short-stay residents with pressure ulcers that are new or worsened 2.8 1.3 0.6 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 * * 19.0 21.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine ** ** 84.6 84.6
Percentage of long-stay residents who lose too much weight * * 8.3 11.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine * * 95.8 95.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder ** * * 56.5
Percentage of long-stay residents who have depressive symptoms * * 4.2 6.2

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 52.1 60.6 85.1 76.0
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 75.0 75.0 81.5 80.2
  1. * The number of residents is too small to report. Call the facility to discuss this quality measure.
  2. ** The data for this measure is missing. 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