Resident Health Quality » Envoy of Williamsburg, 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 10.1 23.3 14.3 16.0
Percentage of high risk long-stay residents with pressure ulcers 6.2 11.3 12.5 9.9
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.8 1.7 1.3
Percentage of long-stay residents whose need for help with daily activities has increased 5.1 18.8 14.7 12.1
Percentage of long-stay residents who self-report moderate to severe pain 9.7 7.6 12.6 10.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0 0.9 2.6 1.5
Percentage of long-stay residents with a urinary tract infection 1.7 4.3 0.0 1.5
Percentage of long-stay residents who received an antipsychotic medication 21.2 20.8 21.6 20.8

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 38.6 * * 39.4
Percentage of short-stay residents who newly received an antipsychotic medication 3.8 3.4 3.6 3.3
Percentage of short-stay residents who self-report moderate to severe pain 30.8 21.6 9.3 16.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.6 20.4 21.5 19.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4 98.4 98.4 98.4
Percentage of long-stay residents who lose too much weight 7.3 5.6 0.9 3.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 84.2 83.9 78.5 77.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 36.4 36.7 34.7 35.6
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
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 90.4 90.4 90.4 90.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.0 91.1 62.9 65.7
  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