Resident Health Quality » Windsor Hills Nursing 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 40.5 20.6 28.4 36.5
Percentage of high risk long-stay residents with pressure ulcers 13.6 13.2 8.5 11.9
Percentage of long-stay residents experiencing one or more falls with major injury 1.4 1.4 5.3 2.4
Percentage of long-stay residents whose need for help with daily activities has increased 27.7 16.1 27.7 24.4
Percentage of long-stay residents who self-report moderate to severe pain 4.0 0.0 1.3 1.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.4 0.0 1.0 2.0
Percentage of long-stay residents with a urinary tract infection 1.4 0.0 0.0 0.3
Percentage of long-stay residents who received an antipsychotic medication 13.4 10.9 11.4 11.5

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 * * * 61.1
Percentage of short-stay residents who newly received an antipsychotic medication 2.9 2.6 0.0 1.8
Percentage of short-stay residents who self-report moderate to severe pain 11.1 8.3 0.0 6.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 29.0 22.7 22.5 23.4
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 15.9 10.8 2.9 7.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.4 95.7 92.1 94.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 33.3 31.3 53.8 39.3
Percentage of long-stay residents who have depressive symptoms 16.1 16.9 1.4 8.2
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 74.2 74.2 74.2 74.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.3 73.1 59.3 70.7
  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