Resident Health Quality » Trinity Nursing and Rehabilitation of Winnsboro Lp

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 9.4 * * 7.4
Percentage of high risk long-stay residents with pressure ulcers * 12.5 * 14.6
Percentage of long-stay residents experiencing one or more falls with major injury 2.9 2.8 5.9 5.6
Percentage of long-stay residents whose need for help with daily activities has increased 12.5 15.4 3.7 10.6
Percentage of long-stay residents who self-report moderate to severe pain 4.5 0.0 0.0 1.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.9 1.6 0.0 0.9
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 3.7 0.0 0.0 1.7

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 * * * 52.1
Percentage of short-stay residents who newly received an antipsychotic medication 4.5 5.0 0.0 2.3
Percentage of short-stay residents who self-report moderate to severe pain 0.0 4.0 14.8 8.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.2 18.8 16.7 18.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 0.0 3.1 6.7 2.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.1 86.1 82.4 89.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 19.0
Percentage of long-stay residents who have depressive symptoms 6.1 2.9 0.0 2.3
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 78.6 78.6 78.6 78.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 60.0 48.4 35.5 47.6
  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