Resident Health Quality » Excel at Woodbury for Rehab and Nursing, LLC

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 7.2 15.4 10.5 10.4
Percentage of high risk long-stay residents with pressure ulcers 6.1 2.0 6.4 4.7
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 1.9 2.0
Percentage of long-stay residents whose need for help with daily activities has increased 6.5 8.9 4.1 6.4
Percentage of long-stay residents who self-report moderate to severe pain 2.8 2.7 2.3 2.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7 0.0 0.0 0.4
Percentage of long-stay residents with a urinary tract infection 2.0 4.0 3.8 3.4
Percentage of long-stay residents who received an antipsychotic medication 11.1 6.7 10.9 11.6

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 88.9 97.4 97.3 94.5
Percentage of short-stay residents who newly received an antipsychotic medication 3.1 2.2 2.3 2.5
Percentage of short-stay residents who self-report moderate to severe pain 1.8 0.8 0.4 0.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.0 20.0 15.4 14.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.2 98.2 98.2 98.2
Percentage of long-stay residents who lose too much weight 6.0 0.0 2.0 2.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 98.0 98.1 98.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 25.0 * 25.0 18.7
Percentage of long-stay residents who have depressive symptoms 2.1 0.0 0.0 0.5
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 92.9 92.9 92.9 92.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.3 95.7 97.9 94.7
  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