Resident Health Quality » Willow Springs Rehabilitation and Healthcare 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 7.7 10.6 10.1 10.3
Percentage of high risk long-stay residents with pressure ulcers 6.6 3.9 2.8 4.6
Percentage of long-stay residents experiencing one or more falls with major injury 2.0 2.0 1.0 1.5
Percentage of long-stay residents whose need for help with daily activities has increased 13.8 9.8 19.4 13.6
Percentage of long-stay residents who self-report moderate to severe pain 2.3 1.1 1.4 1.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 1.1 0.6
Percentage of long-stay residents with a urinary tract infection 1.0 0.0 0.0 0.2
Percentage of long-stay residents who received an antipsychotic medication 1.1 1.1 0.0 0.5

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 71.2 67.3 68.0 68.0
Percentage of short-stay residents who newly received an antipsychotic medication 0.5 1.1 1.1 1.0
Percentage of short-stay residents who self-report moderate to severe pain 5.7 1.7 0.9 2.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.3 13.5 9.4 13.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3 97.3 97.3 97.3
Percentage of long-stay residents who lose too much weight 3.2 1.0 1.0 1.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 84.0 87.0 83.0 82.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder 54.5 53.2 55.8 61.0
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 2.4 0.8
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.2

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 61.8 61.8 61.8 61.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 60.4 43.1 24.7 38.3

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