Resident Health Quality » Signature Healthcare of Brookwood Gardens

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 33.0 18.8 10.3 18.0
Percentage of high risk long-stay residents with pressure ulcers 14.1 18.3 9.8 12.8
Percentage of long-stay residents experiencing one or more falls with major injury 1.3 2.4 3.5 2.4
Percentage of long-stay residents whose need for help with daily activities has increased 30.9 16.4 10.8 15.6
Percentage of long-stay residents who self-report moderate to severe pain 4.2 5.1 5.6 4.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.2
Percentage of long-stay residents with a urinary tract infection 0.0 1.2 0.0 0.6
Percentage of long-stay residents who received an antipsychotic medication 33.8 32.9 32.9 32.5

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 60.3 70.2 88.7 73.1
Percentage of short-stay residents who newly received an antipsychotic medication 1.8 0.0 0.0 0.5
Percentage of short-stay residents who self-report moderate to severe pain 16.5 7.0 0.0 7.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 37.7 28.8 22.9 26.9
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6 97.6 97.6 97.6
Percentage of long-stay residents who lose too much weight 8.1 1.5 4.5 6.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7 94.0 97.7 95.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 95.2 100.0 97.6
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 73.5 73.5 73.5 73.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.3 78.5 83.2 82.6
  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