Resident Health Quality » Windsong Nursing & Rehab

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 11.1 13.6 21.8 13.2
Percentage of high risk long-stay residents with pressure ulcers * 10.0 * 9.1
Percentage of long-stay residents experiencing one or more falls with major injury 2.0 1.9 3.9 2.9
Percentage of long-stay residents whose need for help with daily activities has increased 6.7 14.3 8.7 8.7
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 2.3 0.6
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 3.8 2.0 1.5
Percentage of long-stay residents who received an antipsychotic medication 15.4 14.3 20.0 16.8

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 * * * 37.4
Percentage of short-stay residents who newly received an antipsychotic medication * * * 4.5
Percentage of short-stay residents who self-report moderate to severe pain 4.2 * * 3.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.3 12.2 10.9 12.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 82.1 82.1 82.1 82.1
Percentage of long-stay residents who lose too much weight 2.1 4.1 4.4 4.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 25.0 32.1 32.1 27.9
Percentage of long-stay residents who have depressive symptoms 70.8 70.2 71.7 71.1
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 92.3 92.3 92.3 92.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.6 82.6 * 84.1
  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