Resident Health Quality » Good Shepherd Village at Endwell

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 4.3 45.7 28.1 24.1
Percentage of high risk long-stay residents with pressure ulcers 19.2 4.3 3.8 8.7
Percentage of long-stay residents experiencing one or more falls with major injury 3.6 3.6 0.0 2.6
Percentage of long-stay residents whose need for help with daily activities has increased 23.1 14.8 11.5 15.7
Percentage of long-stay residents who self-report moderate to severe pain 10.6 12.5 5.0 9.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.0
Percentage of long-stay residents who received an antipsychotic medication 0.0 10.7 6.9 6.9

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 * * * 81.8
Percentage of short-stay residents who newly received an antipsychotic medication * * * 0.0
Percentage of short-stay residents who self-report moderate to severe pain * * * 2.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.1 0.0 3.7 4.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.0 97.0 97.0 97.0
Percentage of long-stay residents who lose too much weight 14.8 4.3 5.0 7.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.4 100.0 100.0 98.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 71.8
Percentage of long-stay residents who have depressive symptoms 3.6 0.0 3.4 3.4
Percentage of long-stay residents who were physically restrained 3.6 3.6 3.4 3.4

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 87.5 87.5 87.5 87.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.0 100.0 * 97.1
  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