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 28.0 17.4 27.0 26.5
Percentage of high risk long-stay residents with pressure ulcers 6.1 5.6 8.1 5.3
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 0.0 0.5
Percentage of long-stay residents whose need for help with daily activities has increased 11.9 4.9 4.8 10.6
Percentage of long-stay residents who self-report moderate to severe pain 7.5 19.2 13.7 11.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 2.8 1.2
Percentage of long-stay residents with a urinary tract infection 0.0 2.2 0.0 2.1
Percentage of long-stay residents who received an antipsychotic medication 31.1 28.3 27.7 27.2

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 77.0 73.0 67.8 73.1
Percentage of short-stay residents who newly received an antipsychotic medication 0.9 2.8 2.3 1.8
Percentage of short-stay residents who self-report moderate to severe pain 23.8 19.0 21.2 21.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.0 24.4 28.6 27.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.0 92.0 92.0 92.0
Percentage of long-stay residents who lose too much weight 7.3 7.3 7.1 5.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 97.9 97.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 70.0 63.6 68.8
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 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 87.7 87.7 87.7 87.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.0 77.9 57.6 73.9
  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