Resident Health Quality » Willow Springs Health & Rehabilitation 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 18.9 16.8 29.8 22.6
Percentage of high risk long-stay residents with pressure ulcers 6.4 5.3 2.7 4.3
Percentage of long-stay residents experiencing one or more falls with major injury 6.2 3.4 3.3 4.4
Percentage of long-stay residents whose need for help with daily activities has increased 20.0 6.7 14.3 15.5
Percentage of long-stay residents who self-report moderate to severe pain 9.8 17.7 13.3 12.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 2.2 0.0 0.5
Percentage of long-stay residents with a urinary tract infection 7.8 10.5 9.8 9.3
Percentage of long-stay residents who received an antipsychotic medication 14.1 14.0 13.3 13.1

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 7.5
Percentage of short-stay residents who self-report moderate to severe pain * * * 17.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.2 16.7 20.4 20.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.4 91.4 91.4 91.4
Percentage of long-stay residents who lose too much weight 7.1 6.4 7.4 6.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.8 89.7 82.0 85.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 50.0 40.7 38.5 41.4
Percentage of long-stay residents who have depressive symptoms 3.3 0.0 1.7 1.3
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 69.6 69.6 69.6 69.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 47.8 50.0 32.0 41.2
  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