Quality Metrics Report for the FY 2020 Appropriations Act · 2019. 7. 11. · Quality Metrics...

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• The up arrow (↑) indicates in order to meet this measure the data result must be at or above the national average. • Approved Appeal indicates the facility submitted and received an approved appeal. • Granted indicated SCNFs and their respective NFs that are grandfathered for CoreQ participation. • NA = Not Applicable indicates CMS reported, “the number of residents is too small to report” for the measure, which resulted in the facility not having an average to report. Does not meet the national benchmark. • QPS #1-5 is collected by CMS. QPS #6 & 7 is collected by the DHS vendor. surveyable residents and 30 surveyable family members. • No Score indicates the NF was not able to meet the minimum amount of resident and families to be surveyed and no appeal was filed. Does not meet the national benchmark. A NF/SCNF must have a minimum of 30 All measures are replicated how it is shown on the CMS website. • No Response indicates the NF/vendor did not respond/provide data to the DHS vendor. Does not meet the national benchmark. Quality Metrics Report for the FY 2020 Appropriations Act • The down arrow (↓) indicates in order to meet this measure the data result must be at or below the national average. • SCNFs and their respective NFs are listed separately. July 2019

Transcript of Quality Metrics Report for the FY 2020 Appropriations Act · 2019. 7. 11. · Quality Metrics...

Page 1: Quality Metrics Report for the FY 2020 Appropriations Act · 2019. 7. 11. · Quality Metrics Report for the FY 2020 Appropriations Act • The down arrow (↓) indicates in order

• The up arrow (↑) indicates in order to meet this measure the data result must be at or above the national average.

• Approved Appeal indicates the facility submitted and received an approved appeal.

• Granted indicated SCNFs and their respective NFs that are grandfathered for CoreQ participation.

• NA = Not Applicable indicates CMS reported, “the number of residents is too small to report” for the measure, which resulted in the facility not having an average to report. Does not meet the national benchmark.

• QPS #1-5 is collected by CMS. QPS #6 & 7 is collected by the DHS vendor.

surveyable residents and 30 surveyable family members.

• No Score indicates the NF was not able to meet the minimum amount of resident and families to be surveyed and no appeal was filed. Does not meet the national benchmark. A NF/SCNF must have a minimum of 30

All measures are replicated how it is shown on the CMS website.

• No Response indicates the NF/vendor did not respond/provide data to the DHS vendor. Does not meet the national benchmark.

Quality Metrics Report for the FY 2020 Appropriations Act

• The down arrow (↓) indicates in order to meet this measure the data result must be at or below the national average.

• SCNFs and their respective NFs are listed separately.

July 2019

Page 2: Quality Metrics Report for the FY 2020 Appropriations Act · 2019. 7. 11. · Quality Metrics Report for the FY 2020 Appropriations Act • The down arrow (↓) indicates in order

Quality Metrics Report for the FY 2020 Appropriations Act

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1 ABIGAIL HOUSE FOR NURSING & REHABILITATION LLC 315267 0.00% 0.00% 1.49% 3.03% 1.13% Y 0.00% 1.33% 0.66% 0.66% 0.66% N 1.27% 0.67% 1.32% 1.97% 1.31% Y 32.32% 34.04% 37.63% 39.36% 35.84% N NR N

2 ABINGDON CARE & REHABILITATION CTR 315141 6.60% 8.33% 6.67% 3.88% 6.37% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.44% 0.81% 0.71% 0.00% 0.74% Y 11.11% 3.57% 6.92% 12.03% 8.41% Y NR N

3 ACTORS FUND HOME, THE 315377 6.35% 8.20% 3.33% 5.45% 5.83% N 6.58% 7.79% 6.67% 6.94% 7.00% N 2.63% 5.19% 5.33% 4.17% 4.33% N 22.67% 18.92% 26.03% 23.19% 22.70% N NR N

4 ADVANCED SUBACUTE REHABILITATION CTR AT SEWELL 315516 0.00% 1.64% 3.51% 1.69% 1.71% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.28% 0.00% 1.09% 1.11% 0.87% Y 0.00% 0.00% 5.26% 10.59% 3.96% Y NR N

5 ALAMEDA CTR FOR REHABILITATION & HEALTHCARE 315180 4.44% 5.97% 4.76% 5.00% 5.04% Y 1.48% 1.46% 1.02% 0.50% 1.11% N 1.47% 0.97% 1.02% 0.50% 0.99% Y 10.38% 13.44% 10.86% 11.30% 11.49% Y NR N

6 ALARIS HEALTH AT BELGROVE 315366 0.00% 5.56% 2.56% 0.00% 2.03% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.35% 5.66% 1.85% 0.00% 2.97% Y 5.26% 6.67% 4.35% 2.13% 4.60% Y 88.00% Y

7 ALARIS HEALTH AT BOULEVARD EAST 315254 6.06% 12.90% 5.41% 6.25% 7.65% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.94% 3.92% 3.00% 3.23% 3.02% Y 20.31% 22.03% 16.67% 8.33% 16.84% N 96.50% Y

8 ALARIS HEALTH AT CASTLE HILL 315344 8.89% 7.00% 7.14% 8.49% 7.88% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.29% 3.38% 2.82% 0.71% 2.80% Y 8.76% 9.09% 8.03% 8.82% 8.68% Y 93.50% Y

9 ALARIS HEALTH AT CEDAR GROVE 315357 10.99% 9.78% 8.60% 13.83% 10.80% N 0.77% 0.76% 0.76% 0.73% 0.76% N 0.77% 0.76% 0.76% 0.00% 0.57% Y 5.79% 4.10% 6.72% 8.94% 6.39% Y 91.00% Y

10 ALARIS HEALTH AT HAMILTON PARK 315300 15.38% 10.47% 12.94% 13.79% 13.15% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.04% 0.70% 0.71% 0.74% 1.05% Y 10.56% 12.41% 9.77% 11.02% 10.94% Y 88.00% Y

11 ALARIS HEALTH AT HARBOR VIEW 315310 9.52% 3.49% 5.88% 6.67% 6.39% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.85% 0.86% 0.87% 1.71% 1.07% Y 0.89% 0.92% 1.85% 2.70% 1.59% Y 83.50% Y

12 ALARIS HEALTH AT JERSEY CITY 315083 13.33% 9.09% 10.77% 3.17% 9.09% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 1.36% 2.65% 2.74% 1.69% Y 1.68% 1.63% 2.42% 2.54% 2.07% Y 83.00% Y

13 ALARIS HEALTH AT KEARNY 315192 1.49% 1.39% 4.69% 8.47% 4.01% Y 0.96% 0.93% 0.93% 0.93% 0.94% N 3.85% 7.41% 6.48% 5.61% 5.84% N 14.89% 10.75% 4.44% 3.26% 8.34% Y 80.50% Y

14 ALARIS HEALTH AT RIVERTON 315198 11.11% 12.90% 10.00% 10.00% 11.00% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.06% 1.03% 0.00% 1.09% 1.04% Y 6.98% 9.09% 9.52% 9.64% 8.81% Y 90.50% Y

15 ALARIS HEALTH AT ROCHELLE PARK 315308 6.56% 4.92% 5.83% 8.13% 6.36% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.50% 0.52% 1.03% 0.51% Y 16.57% 13.41% 11.56% 9.71% 12.81% Y 69.50% N

16 ALARIS HEALTH AT THE FOUNTAINS 315476 8.65% 13.08% 14.16% 10.81% 11.68% N 2.40% 2.43% 1.95% 1.16% 1.98% N 2.00% 1.62% 0.78% 0.78% 1.29% Y 1.65% 0.82% 0.80% 0.82% 1.02% Y 95.50% Y

17 ALARIS HEALTH AT WEST ORANGE 315449 4.08% 7.69% 2.13% 4.08% 4.50% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 1.61% 1.45% 0.77% Y 0.00% 6.35% 6.56% 6.15% 4.77% Y 69.50% N

18 ALLENDALE NURSING HOME 315497 7.35% 5.80% 6.15% 9.52% 7.21% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.95% 2.56% 4.17% 2.86% 3.38% N 2.67% 2.60% 4.23% 2.99% 3.12% Y NR N

19 AMBOY CARE CTR 315305 9.88% 5.95% 4.05% 10.39% 7.57% N 1.32% 1.30% 0.70% 1.37% 1.17% N 2.65% 3.25% 1.40% 1.37% 2.17% Y 22.43% 19.13% 18.87% 20.37% 20.20% N NR N

20 ANCHOR CARE & REHABILITATION CTR 315314 2.44% 4.71% 2.38% 2.53% 3.01% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.22% 1.48% 1.54% 2.46% 1.93% Y 8.06% 6.72% 1.79% 0.00% 4.14% Y 100.00% Y

21 ANDOVER SUBACUTE & REHAB I 315044 7.14% 4.92% 1.67% 1.59% 3.83% Y 2.42% 1.59% 0.74% 0.76% 1.38% N 3.23% 3.17% 1.48% 3.79% 2.92% Y 12.75% 14.81% 16.38% 17.43% 15.34% Y NR N

22 ANDOVER SUBACUTE AND REHAB II 315248 3.57% 0.76% 3.57% 4.03% 2.98% Y 7.92% 6.74% 5.84% 3.01% 5.87% N 1.16% 0.96% 1.81% 1.60% 1.38% Y 38.99% 42.14% 39.58% 45.00% 41.43% N NR N

23 APPLEWOOD ESTATES 315292 3.57% 0.00% 0.00% 6.67% 2.56% Y 9.68% 6.67% 6.67% 8.82% 7.96% N 12.90% 10.00% 6.67% 2.94% 8.13% N 19.35% 20.00% 16.67% 17.65% 18.42% N NR N

24 ARBOR GLEN CTR 315036 14.29% 13.79% 9.43% 8.93% 11.61% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.37% 2.15% 4.40% 3.30% 3.30% Y 7.50% 7.14% 7.50% 8.75% 7.72% Y NS N

25 ARBORS CARE CTR 315333 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 1.28% 0.32% Y 4.00% 2.60% 1.39% 2.56% 2.64% Y 4.23% 4.05% 4.41% 6.67% 4.84% Y NS N

26 ARCADIA NURSING & REHAB 315111 5.17% 4.17% 15.79% 10.17% 8.82% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.16% 3.45% 2.27% 3.26% 3.03% Y 7.69% 10.84% 10.71% 10.23% 9.87% Y NR N

27 ARISTACARE AT CEDAR OAKS 315214 5.65% 3.17% 1.59% 2.56% 3.24% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.55% 0.00% 0.00% 1.14% 0.42% Y 5.20% 3.51% 2.98% 1.80% 3.37% Y NS N

28 ARISTACARE AT CHERRY HILL 315245 3.28% 3.08% 8.20% 9.09% 5.91% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.30% 2.15% 2.20% 4.44% 2.77% Y 18.29% 13.64% 2.44% 5.00% 9.84% Y 95.00% Y

29 ARISTACARE AT DELAIRE 315200 6.15% 6.62% 3.79% 3.08% 4.91% Y 0.00% 2.98% 0.00% 0.00% 0.74% N 1.26% 2.38% 1.73% 1.69% 1.76% Y 12.67% 11.88% 5.59% 1.91% 8.01% Y 96.50% Y

30 ARISTACARE AT MANCHESTER 315196 1.54% 1.64% 1.59% 3.17% 1.98% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 1.11% 2.08% 2.04% 1.31% Y 1.15% 1.18% 0.00% 0.00% 0.58% Y 98.50% Y

31 ARISTACARE AT NORWOOD TERRACE 315217 4.17% 6.85% 5.56% 6.94% 5.88% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.06% 1.08% 1.10% 1.12% 1.09% Y 8.05% 5.68% 4.71% 3.57% 5.50% Y NS N

32 ARISTACARE AT WHITING 315309 4.65% 6.98% 3.66% 2.13% 4.35% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.64% 1.67% 3.28% 3.94% 2.63% Y 5.22% 6.14% 1.77% 3.45% 4.14% Y NS N

33 ARMENIAN NURSING & REHABILITATION CTR 315402 0.00% 0.00% 4.76% 8.89% 3.41% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 4.08% 4.00% 5.88% 3.49% N 13.73% 14.29% 14.00% 13.73% 13.93% Y NR N

34 ARNOLD WALTER NURSING HOME 315119 7.22% 3.70% 2.83% 5.88% 4.91% Y 4.23% 3.47% 5.63% 4.23% 4.39% N 0.00% 0.69% 2.82% 2.82% 1.58% Y 5.93% 7.25% 7.41% 6.62% 6.80% Y 79.50% Y

35 ASHBROOK CARE & REHABILITATION CENTER 315064 5.36% 5.36% 7.55% 7.69% 6.49% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.53% 2.35% 3.75% 1.20% 2.46% Y 10.39% 9.64% 9.09% 8.86% 9.49% Y NR N

36 ASPEN HILLS HEALTHCARE CENTER 315260 7.46% 8.20% 5.26% 11.29% 8.05% N 0.00% 0.62% 2.41% 1.18% 1.05% N 0.61% 0.62% 1.20% 0.59% 0.76% Y 23.13% 21.37% 20.63% 14.06% 19.80% N 82.50% Y

37 ATLANTIC COAST REHAB & HEALTH 315115 6.52% 6.59% 6.90% 4.76% 6.19% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.35% 3.82% 2.42% 2.42% 3.25% Y 6.36% 5.71% 6.32% 8.42% 6.70% Y 98.50% Y

38 ATRIUM AT NAVESINK HARBOR, THE 315515 4.35% 0.00% 0.00% 0.00% 1.09% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.03% 3.03% 6.67% 3.23% 3.99% N 15.15% 18.18% 16.67% 16.13% 16.53% N NR N

39 ATRIUM POST ACUTE CARE OF LAWRENCEVILLE 315113 10.87% 13.33% 6.00% 12.77% 10.74% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 6.56% 3.33% 6.25% 4.76% 5.23% N 7.14% 1.89% 0.00% 1.82% 2.71% Y NR N

40 ATRIUM POST ACUTE CARE OF PARK RIDGE 315438 1.55% 0.78% 3.76% 0.73% 1.70% Y 0.67% 0.67% 0.66% 0.00% 0.50% N 4.70% 3.36% 3.29% 2.50% 3.46% N 10.95% 11.85% 12.23% 14.38% 12.35% Y NR N

41 ATRIUM POST ACUTE CARE OF PRINCETON 315370 5.71% 3.88% 5.88% 6.31% 5.45% Y 1.52% 1.55% 0.79% 0.00% 0.96% N 3.79% 3.88% 3.97% 2.16% 3.45% N 7.94% 12.30% 14.29% 13.74% 12.06% Y NR N

42 ATRIUM POST ACUTE CARE OF WAYNE 315335 3.16% 3.13% 4.72% 4.67% 3.92% Y 0.82% 0.00% 0.00% 0.00% 0.20% Y 5.74% 4.65% 2.10% 0.00% 3.12% Y 13.27% 14.05% 14.93% 14.73% 14.24% Y NR N

43 ATRIUM POST ACUTE CARE OF WAYNEVIEW 315291 8.05% 7.78% 4.49% 3.49% 5.95% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.88% 3.23% 1.64% 3.31% 3.26% Y 12.61% 13.27% 12.61% 9.01% 11.88% Y NR N

44 AUTUMN LAKE HEALTHCARE AT BERKELEY HEIGHTS 315195 1.82% 0.00% 0.00% 7.41% 2.31% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.66% 1.23% 2.53% 2.41% 2.46% Y 15.38% 14.29% 14.67% 11.39% 13.93% Y 97.00% Y

45 AUTUMN LAKE HEALTHCARE AT OCEANVIEW 315179 4.08% 2.04% 0.00% 5.17% 2.82% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.30% 1.20% 0.00% 1.10% 1.15% Y 21.33% 16.67% 15.79% 13.41% 16.80% N 89.50% Y

46 AVISTA HEALTHCARE 315068 6.67% 7.06% 5.00% 5.00% 5.93% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.77% 2.56% 4.24% 2.44% 3.25% Y 8.91% 9.91% 11.50% 14.41% 11.18% Y NR N

47 BAPTIST HOME OF SOUTH JERSEY 315448 0.00% 5.71% 16.67% 12.82% 8.80% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.57% 1.79% 3.77% 3.77% 3.23% Y 3.64% 3.70% 7.84% 9.62% 6.20% Y NR N

QPS #3: Pressure Ulcer 403

(National Avg: 5.57% ↓)

QPS #4: Physically Restrained 409

(National Avg: 0.40% ↓)

QPS #5: Falls with Major Injury 410

(National Avg: 3.37% ↓)

QPS #6: CoreQ

(Avg: 75.00% ↑)

NF Name Provider

Number

QPS #2: Antipsychotic Medication 419

(National Avg: 15.48% ↓)

This is the final report for fiscal year 2020. All data is final and not subject to appeal or change. 2/10

Page 3: Quality Metrics Report for the FY 2020 Appropriations Act · 2019. 7. 11. · Quality Metrics Report for the FY 2020 Appropriations Act • The down arrow (↓) indicates in order

Quality Metrics Report for the FY 2020 Appropriations Act

2017

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QPS #3: Pressure Ulcer 403

(National Avg: 5.57% ↓)

QPS #4: Physically Restrained 409

(National Avg: 0.40% ↓)

QPS #5: Falls with Major Injury 410

(National Avg: 3.37% ↓)

QPS #6: CoreQ

(Avg: 75.00% ↑)

NF Name Provider

Number

QPS #2: Antipsychotic Medication 419

(National Avg: 15.48% ↓)

48 BARCLAYS REHABILITATION & HEALTHCARE CTR 315013 1.32% 2.94% 1.52% 1.56% 1.83% Y 2.35% 0.00% 0.00% 0.00% 0.59% N 3.53% 3.85% 3.85% 2.60% 3.45% N 17.28% 12.16% 2.70% 4.11% 9.06% Y 90.50% Y

49 BARN HILL CARE CTR 315137 4.92% 5.71% 1.67% 1.75% 3.51% Y 0.00% 0.00% 0.00% 1.16% 0.29% Y 1.23% 1.11% 2.44% 2.33% 1.78% Y 2.63% 2.41% 5.00% 2.38% 3.11% Y 85.00% Y

50 BARNEGAT REHABILITATION & NURSING CTR 315222 7.94% 8.06% 8.06% 9.68% 8.44% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 2.67% 2.56% 2.50% 1.93% Y 9.46% 9.86% 13.51% 10.53% 10.84% Y 58.00% N

51 BARTLEY HEALTHCARE NURSING & REHABILITATION 315288 5.47% 5.08% 4.27% 3.48% 4.58% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.45% 2.58% 3.31% 0.69% 2.26% Y 8.33% 6.76% 8.39% 6.57% 7.51% Y NR N

52 BERGEN COUNTY HEALTH CARE CTR 315436 0.00% 0.00% 0.00% 1.32% 0.33% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.16% 1.16% 0.00% 0.00% 0.58% Y 16.05% 17.28% 10.84% 7.14% 12.83% Y 89.50% Y

53 BISHOP MCCARTHY CTR FOR REHABILITATION & HC 315126 4.35% 5.95% 5.81% 4.76% 5.22% Y 0.75% 0.77% 0.75% 0.80% 0.77% N 0.75% 1.54% 2.99% 4.80% 2.52% Y 13.18% 11.90% 12.40% 11.02% 12.13% Y 84.00% Y

54 BOONTON CARE CTR 315492 12.70% 8.06% 2.99% 11.76% 8.88% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 6.67% 8.45% 8.00% 6.49% 7.40% Y NR N

55 BRAKELEY PARK CTR 315316 0.00% 6.94% 7.14% 2.94% 4.26% Y 0.00% 1.03% 0.00% 0.00% 0.26% Y 6.25% 7.22% 6.25% 5.43% 6.29% N 9.47% 9.38% 10.42% 9.78% 9.76% Y 85.00% Y

56 BRIDGEWAY CARE & REHAB CTR AT BRIDGEWATER 315182 1.09% 2.20% 5.32% 6.38% 3.75% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.75% 1.72% 0.84% 0.84% 1.29% Y 3.54% 3.51% 5.13% 7.69% 4.97% Y 83.00% Y

57 BRIDGEWAY CARE & REHAB CTR AT HILLSBOROUGH 315510 0.00% 5.71% 5.63% 4.05% 3.85% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.30% 2.41% 3.61% 1.20% 2.13% Y 11.84% 7.32% 9.76% 11.11% 10.01% Y 91.00% Y

58 BROOKHAVEN HEALTH CARE CTR 315268 13.64% 11.94% 9.38% 7.81% 10.69% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 15.91% 16.48% 14.77% 19.15% 16.58% N 85.00% Y

59 BUCKINGHAM AT NORWOOD, THE 315290 6.31% 2.75% 4.92% 3.01% 4.25% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.18% 1.78% 2.86% 3.33% 2.29% Y 0.60% 0.60% 1.72% 2.79% 1.43% Y 71.50% N

60 BURLINGTON WOODS 315050 2.97% 4.63% 4.72% 4.08% 4.10% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.28% 1.89% 2.52% 2.56% 2.06% Y 15.17% 14.86% 14.09% 15.07% 14.80% Y 75.00% Y

61 CANTERBURY AT CEDAR GROVE 315204 7.48% 4.72% 4.50% 7.00% 5.92% N 0.00% 0.00% 0.00% 0.74% 0.18% Y 1.38% 0.72% 1.39% 2.21% 1.42% Y 8.89% 11.54% 14.29% 13.71% 12.11% Y 51.00% N

62 CARE ONE AT EAST BRUNSWICK 315472 2.70% 2.63% 2.50% 2.38% 2.55% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 2.04% 1.96% 0.00% 1.00% Y 22.92% 25.00% 24.00% 22.92% 23.71% N NS N

63 CARE ONE AT EVESHAM 315464 7.69% 5.26% 6.00% 13.33% 8.07% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 6.67% 6.52% 18.87% 16.33% 12.10% Y NS N

64 CARE ONE AT HOLMDEL 315092 10.00% 16.28% 5.26% 11.36% 10.73% N 1.92% 0.00% 0.00% 0.00% 0.48% N 1.92% 1.69% 3.70% 1.85% 2.29% Y 10.20% 5.45% 4.08% 12.00% 7.94% Y NS N

65 CARE ONE AT JACKSON 315240 4.26% 6.38% 6.25% 6.52% 5.85% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.82% 0.00% 3.70% 4.00% 2.38% Y 15.09% 11.11% 11.32% 10.20% 11.93% Y NS N

66 CARE ONE AT KING JAMES 315087 2.27% 6.12% 4.08% 6.38% 4.71% Y 1.96% 1.75% 1.72% 0.00% 1.36% N 3.92% 5.26% 5.17% 5.36% 4.93% N 12.00% 3.57% 5.26% 5.56% 6.60% Y NS N

67 CARE ONE AT MADISON AVENUE 315488 5.00% 2.38% 6.82% 5.00% 4.80% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 3.39% 5.17% 8.20% 4.19% N 9.09% 7.14% 12.73% 14.81% 10.94% Y NS N

68 CARE ONE AT MORRIS 315468 5.41% 7.14% 4.65% 4.44% 5.41% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.17% 5.66% 5.45% 7.27% 5.64% N 16.67% 15.69% 16.98% 14.81% 16.04% N NS N

69 CARE ONE AT NEW MILFORD 315306 4.92% 5.38% 7.58% 9.16% 6.76% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.03% 4.68% 4.37% 3.49% 3.89% N 15.48% 12.18% 15.76% 14.19% 14.40% Y NS N

70 CARE ONE AT ORADELL 315339 6.56% 5.00% 10.14% 11.43% 8.28% N 0.00% 1.23% 1.14% 1.08% 0.86% N 1.19% 2.47% 4.55% 4.30% 3.13% Y 9.76% 10.13% 9.41% 11.11% 10.10% Y NS N

71 CARE ONE AT THE HIGHLANDS 315132 6.45% 8.82% 5.26% 8.70% 7.31% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.88% 5.13% 4.55% 4.08% 4.91% N 12.12% 2.63% 4.65% 6.25% 6.41% Y NS N

72 CARE ONE AT VALLEY 315369 6.38% 3.92% 3.77% 3.77% 4.46% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.92% 0.00% 1.75% 0.00% 0.92% Y 3.92% 7.27% 7.27% 9.43% 6.98% Y NS N

73 CARE ONE AT WALL 315485 8.57% 13.16% 5.41% 6.25% 8.35% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.27% 4.26% 6.82% 2.56% 3.98% N 2.27% 4.26% 2.27% 0.00% 2.20% Y NS N

74 CARE ONE AT WELLINGTON 315152 15.15% 5.56% 14.29% 15.63% 12.65% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.04% 1.96% 1.96% 2.27% 2.06% Y 6.52% 4.26% 12.24% 9.30% 8.08% Y NS N

75 CARNEYS POINT REHABILITATION & NURSING CTR 315271 3.51% 3.45% 3.70% 3.77% 3.61% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.73% 1.47% 1.43% 1.47% 1.27% Y 13.73% 17.65% 16.00% 14.29% 15.41% Y 87.00% Y

76 CEDAR CREST/MOUNTAINVIEW GARDENS 315491 5.00% 1.20% 5.26% 0.00% 2.87% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.25% 0.00% 3.90% 3.95% 2.27% Y 17.72% 16.47% 11.84% 16.00% 15.51% N NR N

77 CHATHAM HILLS SUBACUTE CARE CTR 315120 2.17% 6.38% 8.51% 4.26% 5.33% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 6.78% 3.45% 1.67% 5.17% 4.27% N 17.54% 7.14% 1.79% 1.82% 7.07% Y NS N

78 CHESTNUT HILL CONV CTR 315085 21.05% 13.11% 19.30% 16.95% 17.60% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.54% 1.47% 1.52% 1.52% 1.51% Y 6.35% 6.15% 1.59% 1.56% 3.91% Y NR N

79 CLAREMONT CTR 315135 3.45% 1.56% 0.00% 1.56% 1.64% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.57% 3.41% 3.30% 1.08% 2.84% Y 5.71% 9.21% 8.00% 5.33% 7.06% Y NR N

80 CLOVER REST HOME 315429 4.17% 0.00% 0.00% 0.00% 1.04% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 11.11% 10.34% 3.70% 7.69% 8.21% Y NR N

81 COMPLETE CARE AT BEY LEA 315264 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.43% 4.11% 5.48% 5.19% 4.05% N 9.09% 9.86% 11.27% 9.33% 9.89% Y 78.50% Y

82 COMPLETE CARE AT GREEN ACRES 315265 1.43% 1.27% 2.30% 2.47% 1.87% Y 1.09% 0.00% 0.00% 0.00% 0.27% Y 5.43% 4.04% 3.85% 5.00% 4.58% N 11.69% 10.47% 7.61% 5.56% 8.83% Y NR N

83 COMPLETE CARE AT HAMILTON 315221 10.17% 0.00% 4.92% 5.00% 5.02% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.06% 3.41% 2.30% 2.30% 3.27% Y 9.33% 9.76% 10.98% 8.64% 9.68% Y 85.00% Y

84 COMPLETE CARE AT LAURELTON 315274 8.20% 5.00% 4.48% 5.80% 5.87% N 1.33% 0.00% 0.00% 0.00% 0.33% Y 4.00% 4.23% 5.41% 5.95% 4.90% N 2.78% 2.94% 7.14% 7.69% 5.14% Y 59.00% N

85 COMPLETE CARE AT PASSAIC 315331 6.15% 2.94% 6.94% 6.15% 5.55% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.76% 0.76% 0.74% 0.70% 1.49% Y 4.31% 4.35% 4.24% 5.79% 4.67% Y 71.00% N

86 CONCORD HEALTHCARE & REHABILITATION CTR 315275 4.05% 4.23% 5.41% 5.71% 4.85% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.44% 3.30% 4.12% 3.26% 3.78% N 8.00% 7.79% 9.76% 9.09% 8.66% Y NR N

87 CONTINUING CARE AT SEABROOK 315469 1.72% 3.28% 9.26% 9.62% 5.97% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.84% 4.62% 1.67% 5.36% 4.12% N 20.97% 23.08% 21.67% 21.43% 21.78% N NR N

88 CORAL HARBOR REHABILITATION & HEALTHCARE CTR 315105 4.08% 2.13% 2.22% 7.14% 3.89% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.27% 0.00% 1.23% 1.41% 0.98% Y 11.59% 15.15% 4.76% 5.45% 9.24% Y NR N

89 CORNELL HALL CARE & REHABILITATION CTR 315104 3.41% 2.06% 1.98% 3.74% 2.80% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.82% 0.80% 0.82% 0.75% 0.80% Y 5.45% 5.31% 5.50% 7.50% 5.94% Y NR N

90 COUNTRY ARCH CARE CTR 315433 8.22% 10.14% 8.57% 6.94% 8.47% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.11% 2.11% 2.97% 2.91% 2.52% Y 9.89% 7.69% 12.50% 14.29% 11.09% Y 87.50% Y

91 COUNTY MANOR REHABILITATION & HCC 315164 7.69% 14.29% 17.02% 6.67% 11.42% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.26% 4.17% 9.43% 5.66% 6.13% N 12.50% 12.77% 7.69% 7.69% 10.16% Y 73.00% N

92 COURT HOUSE CTR 315228 4.65% 2.63% 4.76% 2.56% 3.65% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.86% 1.33% 5.48% 7.14% 4.20% N 5.71% 2.67% 2.74% 2.86% 3.49% Y NS N

93 CRANBURY CTR 315353 5.48% 4.94% 0.00% 2.86% 3.32% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.94% 0.98% 1.02% 0.99% 1.48% Y 11.46% 11.46% 14.13% 12.77% 12.45% Y 80.50% Y

94 CRANFORD PARK REHABILITATION & HEALTHCARE CTR 315390 4.76% 11.63% 2.56% 11.76% 7.68% N 1.30% 1.33% 1.30% 1.37% 1.33% N 1.30% 1.33% 0.00% 0.00% 0.66% Y 12.31% 14.06% 17.19% 19.67% 15.81% N 79.50% Y

This is the final report for fiscal year 2020. All data is final and not subject to appeal or change. 3/10

Page 4: Quality Metrics Report for the FY 2020 Appropriations Act · 2019. 7. 11. · Quality Metrics Report for the FY 2020 Appropriations Act • The down arrow (↓) indicates in order

Quality Metrics Report for the FY 2020 Appropriations Act

2017

Q2

2017

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Q1Average

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NationalQ2 2018

Meets

Average

QPS #3: Pressure Ulcer 403

(National Avg: 5.57% ↓)

QPS #4: Physically Restrained 409

(National Avg: 0.40% ↓)

QPS #5: Falls with Major Injury 410

(National Avg: 3.37% ↓)

QPS #6: CoreQ

(Avg: 75.00% ↑)

NF Name Provider

Number

QPS #2: Antipsychotic Medication 419

(National Avg: 15.48% ↓)

95 CRANFORD REHAB & NURSING CTR 315091 5.04% 5.26% 5.88% 3.39% 4.89% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.04% 0.71% 0.70% 0.72% 1.04% Y 8.70% 9.02% 9.63% 6.11% 8.36% Y 76.50% Y

96 CREST HAVEN NURSING & REHABILITATION CTR 315294 2.15% 2.35% 3.49% 4.17% 3.04% Y 4.31% 4.67% 3.67% 4.12% 4.19% N 1.72% 1.85% 1.83% 1.03% 1.61% Y 13.16% 12.15% 14.81% 15.79% 13.98% Y NS N

97 CRESTWOOD MANOR 315298 6.06% 3.03% 9.38% 13.33% 7.95% N 2.44% 2.44% 2.50% 2.38% 2.44% N 7.32% 2.44% 0.00% 0.00% 2.44% Y 2.44% 0.00% 0.00% 2.38% 1.20% Y NR N

98 CRYSTAL LAKE HLTHCARE & REHAB 315125 6.67% 7.94% 10.77% 7.94% 8.33% N 6.11% 4.89% 5.00% 4.42% 5.11% N 2.78% 3.26% 2.22% 1.66% 2.48% Y 37.33% 33.78% 33.82% 31.43% 34.09% N NR N

99 CUMBERL& MANOR NURSING & REHABILITATION CTR 315396 3.33% 3.19% 5.26% 7.45% 4.81% Y 2.99% 2.94% 3.70% 5.22% 3.71% N 2.99% 4.41% 5.19% 5.97% 4.64% N 19.35% 18.25% 15.45% 16.39% 17.36% N 90.00% Y

100 DAUGHTERS OF ISRAEL PLEASANT VALLEY HOME 315029 4.82% 7.27% 8.33% 4.57% 6.25% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.30% 1.30% 0.84% 1.29% 1.18% Y 12.56% 13.36% 12.83% 11.98% 12.68% Y 81.00% Y

101 DAUGHTERS OF MIRIAM CTR 315021 5.30% 3.80% 3.18% 3.27% 3.89% Y 2.27% 1.07% 0.54% 0.54% 1.11% N 1.70% 1.60% 2.15% 2.72% 2.04% Y 8.43% 10.67% 12.99% 10.92% 10.76% Y 80.00% Y

102 DE LA SALLE HALL 315374 * * * * NA N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.70% 0.00% 0.00% 0.00% 0.93% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y NR N

103 DELLRIDGE HEALTH & REHABILITATION CTR 315129 6.98% 4.44% 7.69% 7.69% 6.70% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.35% 6.00% 10.64% 8.51% 7.37% N 6.52% 6.00% 4.26% 2.13% 4.73% Y NR N

104 DEPTFORD CTR FOR REHABILITATION & HEALTHCARE 315174 2.70% 5.56% 2.46% 4.00% 3.68% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.49% 3.68% 2.56% 2.39% 3.03% Y 19.72% 16.77% 18.01% 19.30% 18.45% N NS N

4.26% 4.17% 6.82% 6.82% 5.51% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.72% 0.00% 0.00% 0.00% 0.43% Y 3.51% 5.45% 3.85% 8.93% 5.43% Y NS Y

106 EGG HARBOR CARE CTR 315514 0.00% 8.82% 13.89% 12.90% 8.90% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 3.45% 4.84% 6.35% 3.66% N 3.39% 1.75% 0.00% 0.00% 1.29% Y 86.50% Y

107 ELIZABETH NURSING & REHAB 315106 6.52% 2.86% 9.09% 8.33% 6.70% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 2.22% 1.56% 0.95% Y 5.26% 6.67% 10.00% 3.45% 6.34% Y NR N

108 ELMORA HILLS HEALTH & REHABILITATION CTR 315010 3.16% 7.62% 8.08% 5.05% 5.98% N 2.17% 2.88% 1.52% 0.00% 1.64% N 1.45% 2.16% 2.27% 4.32% 2.55% Y 12.21% 9.85% 10.32% 8.96% 10.33% Y 86.00% Y

109 ELMS OF CRANBURY, THE 315451 11.90% 10.64% 9.30% 6.38% 9.56% N 9.09% 10.34% 1.64% 0.00% 5.27% N 1.82% 5.17% 4.92% 1.64% 3.39% N 16.36% 7.69% 1.96% 1.96% 6.99% Y NR N

110 ELMWOOD HILLS HEALTHCARE CTR LLC 315159 2.21% 2.00% 3.75% 2.65% 2.65% Y 0.83% 0.40% 0.39% 0.38% 0.50% N 2.07% 3.16% 3.11% 3.80% 3.04% Y 10.04% 11.34% 8.68% 8.87% 9.73% Y 69.00% N

111 EMERSON HEALTH CARE CTR 315360 1.14% 1.10% 3.45% 3.37% 2.26% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.01% 0.00% 0.00% 0.99% 0.50% Y 5.26% 3.92% 3.13% 4.08% 4.10% Y NR N

112 FAMILY OF CARING HEALTHCARE AT MONTCLAIR 315435 3.23% 5.71% 5.41% 10.26% 6.15% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.38% 4.44% 4.35% 2.13% 3.33% Y 9.52% 15.56% 10.87% 4.26% 10.05% Y 93.00% Y

113 FAMILY OF CARING HEALTHCARE AT RIDGEWOOD 315434 8.11% 6.25% 2.78% 10.53% 6.92% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.63% 3.03% 2.70% 2.44% 2.70% Y 10.53% 12.12% 8.11% 7.32% 9.52% Y NR N

114 FOOTHILL ACRES REHABILITATION & NURSING CTR 315425 3.33% 2.38% 0.74% 4.17% 2.66% Y 0.69% 0.68% 0.00% 0.00% 0.34% Y 2.76% 3.40% 2.56% 2.82% 2.89% Y 23.74% 25.00% 26.17% 26.28% 25.30% N NS N

115 FOREST HILL HEALTHCARE CTR 315375 11.32% 11.32% 12.00% 12.73% 11.84% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.55% 4.62% 4.69% 4.29% 4.53% N 4.69% 6.35% 11.29% 11.94% 8.57% Y NR N

116 FOREST MANOR HCC 315224 7.94% 11.11% 11.48% 16.67% 11.80% N 0.00% 0.00% 0.00% 1.98% 0.50% N 1.12% 0.00% 1.04% 2.97% 1.28% Y 15.29% 14.46% 13.19% 11.46% 13.60% Y NR N

117 FOUNTAIN VIEW CARE CTR 315327 10.34% 9.84% 10.17% 12.73% 10.77% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.02% 2.00% 1.03% 3.30% 2.09% Y 4.65% 6.98% 7.14% 7.69% 6.62% Y 83.00% Y

11.43% 6.25% 3.03% 0.00% 5.18% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 7.89% 11.76% 8.33% 0.00% 7.00% N 5.26% 5.88% 5.71% 9.38% 6.56% Y NS Y

119 GARDENS AT MONROE HEALTHCARE & REHABILITATION, THE 315336 4.35% 1.37% 1.39% 5.97% 3.27% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.50% 2.41% 1.18% 3.66% 2.44% Y 0.00% 1.30% 1.27% 1.35% 0.98% Y 91.50% Y

120 GATES MANOR 315363 11.76% 3.03% 5.71% 18.18% 9.67% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.22% 6.98% 4.76% 4.65% 4.65% N 14.29% 7.50% 5.13% 2.50% 7.35% Y NR N

121 GATEWAY CARE CTR 315177 3.85% 4.00% 2.56% 0.00% 2.60% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.30% 1.30% 1.29% 1.96% 1.46% Y 6.61% 7.38% 9.02% 7.63% 7.66% Y 64.50% N

122 GOLDEN REHABILITATION & NURSING CTR 315058 2.08% 0.00% 1.82% 2.04% 1.49% Y 1.30% 2.50% 2.53% 0.00% 1.58% N 2.60% 2.50% 3.80% 5.33% 3.56% N 18.46% 25.00% 26.47% 22.73% 23.16% N 97.50% Y

10.26% 10.26% 5.88% 5.41% 7.95% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.22% 2.13% 2.38% 0.00% 1.68% Y 4.55% 6.52% 9.76% 9.30% 7.53% Y NS Y

124 GREEN KNOLL CTR 315134 1.30% 0.00% 1.30% 1.27% 0.97% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.22% 7.27% 4.42% 0.88% 4.45% N 14.02% 14.71% 14.29% 14.15% 14.29% Y 75.50% Y

125 GREENWOOD HOUSE HOME FOR THE JEWISH AGED 315215 6.82% 3.23% 5.49% 5.62% 5.29% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.69% 2.40% 2.44% 2.48% 2.25% Y 9.48% 8.06% 9.84% 10.83% 9.55% Y NR N

126 HAMILTON CONTINUING CARE 315223 5.49% 4.55% 5.88% 3.85% 4.94% Y 0.00% 0.76% 0.00% 0.00% 0.19% Y 3.05% 3.82% 2.96% 1.54% 2.84% Y 6.92% 10.08% 6.87% 6.35% 7.56% Y NR N

127 HAMILTON GROVE HEALTHCARE & REHABILITATION, LLC 315423 2.83% 2.80% 2.78% 0.94% 2.34% Y 0.00% 0.58% 1.19% 0.00% 0.44% N 2.37% 1.74% 1.19% 1.73% 1.76% Y 18.49% 16.67% 19.31% 20.27% 18.69% N 60.00% N

128 HAMILTON PLACE AT THE PINES AT WHITING 315347 4.26% 1.92% 0.00% 2.04% 2.05% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.88% 7.27% 9.43% 7.69% 7.57% N 10.00% 7.41% 1.92% 5.88% 6.30% Y NS N

129 HAMMONTON CTR FOR REHABILITATION & HEALTHCARE 315209 3.57% 3.30% 11.63% 6.98% 6.37% N 1.71% 0.56% 0.58% 0.00% 0.71% N 2.86% 2.22% 1.73% 0.56% 1.84% Y 6.98% 3.94% 5.04% 3.48% 4.86% Y NS N

130 HAMPTON RIDGE HEALTHCARE & REHABILITATION 315312 5.61% 4.50% 3.70% 3.88% 4.42% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.31% 2.00% 1.35% 1.33% 2.00% Y 4.48% 3.76% 3.82% 3.76% 3.95% Y 94.00% Y

131 HEALTH CTR AT BLOOMINGDALE 315348 11.59% 7.04% 15.38% 9.84% 10.96% N 0.00% 1.09% 2.22% 1.15% 1.11% N 7.78% 5.43% 4.44% 3.45% 5.28% N 8.33% 12.64% 14.29% 13.41% 12.17% Y 66.50% N

132 HEALTH CTR AT GALLOWAY, THE 315210 7.55% 3.92% 9.26% 3.70% 6.11% N 0.00% 0.00% 1.25% 1.22% 0.62% N 1.35% 2.74% 3.75% 2.44% 2.57% Y 6.06% 9.09% 2.78% 4.11% 5.51% Y 77.50% Y

133 HEATH VILLAGE 315072 0.00% 1.67% 3.39% 8.00% 3.26% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.52% 1.52% 1.54% 1.59% 1.54% Y 3.13% 1.54% 3.13% 4.92% 3.18% Y 85.00% Y

134 HOLIDAY CARE CTR 315320 2.06% 2.06% 1.10% 1.09% 1.58% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.56% 4.76% 4.76% 3.57% 4.66% N 12.41% 13.67% 15.11% 15.79% 14.24% Y NS N

135 HOLLY MANOR CTR 315143 4.05% 7.35% 4.00% 9.46% 6.22% N 2.08% 1.08% 1.03% 1.04% 1.31% N 3.13% 2.15% 3.09% 2.08% 2.61% Y 21.28% 20.88% 19.15% 17.02% 19.58% N 85.50% Y

136 HOMESTEAD REHABILITATION & HEALTH CARE CTR 315378 0.00% 1.96% 3.85% 6.00% 2.95% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.06% 5.00% 2.44% 3.80% 4.07% N 2.70% 4.05% 5.33% 6.85% 4.73% Y 100.00% Y

137 HOUSE OF THE GOOD SHEPHERD 315422 5.56% 2.94% 7.89% 5.26% 5.41% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 7.89% 5.41% 5.00% 4.44% 5.69% Y NR N

138 HUDSONVIEW HEALTH CARE CTR 315112 3.80% 5.24% 4.66% 4.10% 4.45% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.27% 2.15% 2.13% 2.06% 1.90% Y 12.11% 12.39% 11.06% 10.73% 11.57% Y 75.00% Y

Approved Appeal

Approved Appeal

Approved AppealGREEN HILL 315416

FOUNTAINS AT CEDAR PARKE, THE 315297

123

EAGLEVIEW HEALTH & REHABILITATION 315014105

118

This is the final report for fiscal year 2020. All data is final and not subject to appeal or change. 4/10

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Quality Metrics Report for the FY 2020 Appropriations Act

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

NationalQ2 2018

Meets

Average

QPS #3: Pressure Ulcer 403

(National Avg: 5.57% ↓)

QPS #4: Physically Restrained 409

(National Avg: 0.40% ↓)

QPS #5: Falls with Major Injury 410

(National Avg: 3.37% ↓)

QPS #6: CoreQ

(Avg: 75.00% ↑)

NF Name Provider

Number

QPS #2: Antipsychotic Medication 419

(National Avg: 15.48% ↓)

139 HUNTERDON CARE CTR 315226 6.19% 8.89% 10.64% 8.08% 8.45% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.47% 2.27% 2.14% 2.78% 2.17% Y 1.52% 4.72% 5.19% 7.86% 4.82% Y 85.00% Y

140 IMPERIAL CARE CTR 315199 4.29% 0.00% 1.39% 1.54% 1.80% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.06% 1.00% 0.99% 0.00% 1.01% Y 12.05% 10.34% 10.34% 10.26% 10.75% Y 79.00% Y

10.81% 10.53% 7.89% 12.50% 10.43% N 2.44% 2.38% 2.27% 2.78% 2.47% Y 2.44% 4.76% 4.55% 5.56% 4.33% N 21.62% 20.51% 14.63% 12.50% 17.32% N NS Y

142 INGLEMOOR REHABILITATION & CARE CTR OF LIVING 315322 3.23% 4.62% 4.84% 7.69% 5.09% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.45% 1.47% 0.00% 0.00% 0.73% Y 24.64% 16.18% 16.67% 13.04% 17.63% N NR N

1.32% 2.38% 2.50% 2.35% 2.14% Y 2.73% 2.48% 3.51% 3.48% 3.05% Y 1.82% 0.83% 2.63% 2.61% 1.97% Y 10.19% 6.72% 5.36% 3.57% 6.46% Y 65.50% N

144 JEWISH HOME AT ROCKLEIGH 315473 6.31% 5.66% 5.61% 1.92% 4.87% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.15% 5.65% 5.38% 5.60% 4.94% N 16.39% 15.83% 14.29% 12.20% 14.68% Y 100.00% Y

145 JFK HARTWYCK AT EDISON ESTATES 315279 8.33% 5.17% 7.38% 5.74% 6.66% N 2.62% 5.21% 4.57% 5.76% 4.54% N 2.09% 2.08% 2.54% 1.57% 2.07% Y 13.45% 14.37% 14.86% 14.62% 14.32% Y NR N

146 JOB HAINES HOME FOR AGED PEOPL 315392 8.33% 0.00% 7.69% 8.33% 6.09% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.85% 3.70% 3.57% 0.00% 2.78% Y 12.00% 11.54% 7.41% 3.85% 8.70% Y NR N

147 JEFFERSON HEALTH CARE CTR 315231 7.92% 7.61% 8.05% 9.28% 8.21% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.57% 1.61% 1.67% 3.20% 2.01% Y 9.45% 7.32% 6.72% 11.20% 8.67% Y NR N

148 KING MANOR CARE & REHABILITATION CTR 315299 5.26% 8.62% 5.45% 9.43% 7.19% N 4.81% 3.74% 3.06% 2.94% 3.64% N 2.88% 1.87% 0.00% 0.00% 1.19% Y 14.81% 14.12% 8.97% 9.88% 11.95% Y NR N

149 KRESSON VIEW CTR 315207 3.23% 4.07% 4.84% 7.03% 4.79% Y 1.79% 2.33% 0.58% 1.69% 1.60% N 0.60% 1.16% 0.58% 1.13% 0.87% Y 25.00% 23.31% 22.70% 21.82% 23.21% N 65.50% N

150 LAKELAND HEALTH CARE CTR 315261 10.10% 8.91% 6.12% 5.32% 7.61% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.68% 0.64% 0.67% 0.69% 0.67% Y 16.03% 19.57% 19.26% 14.84% 17.42% N 93.50% Y

151 LAUREL BAY HEALTH & REHABILITATION CTR 315437 6.45% 14.29% 4.00% 5.36% 7.52% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.41% 3.33% 3.61% 6.10% 4.11% N 17.57% 21.05% 20.29% 25.37% 21.07% N 49.00% N

152 LAUREL MANOR HEALTHCARE & REHABILITATION CTR 315008 4.84% 1.49% 1.61% 3.13% 2.77% Y 1.39% 2.70% 2.74% 1.41% 2.06% N 1.39% 1.35% 0.00% 0.00% 0.69% Y 15.87% 13.85% 12.70% 14.52% 14.23% Y NR N

153 LEISURE PARK HEALTH CTR 315256 2.56% 0.00% 10.81% 2.94% 4.08% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.33% 2.44% 4.88% 5.26% 3.73% N 9.76% 10.00% 12.82% 11.11% 10.92% Y NR N

154 LINCOLN PARK CARE CTR 315249 4.82% 1.76% 2.37% 3.70% 3.16% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.28% 1.91% 3.02% 3.67% 2.47% Y 41.28% 41.14% 43.50% 43.89% 42.45% N 71.00% N

155 LINCOLN PARK RENAISSANCE REHAB & NURSING 315042 8.64% 3.66% 5.19% 15.71% 8.30% N 2.59% 0.00% 0.00% 0.00% 0.65% N 1.72% 1.69% 1.72% 2.70% 1.96% Y 13.89% 9.09% 12.73% 15.24% 12.74% Y 74.00% N

156 LINCOLN SPECIALTY CARE CTR 315233 4.65% 4.82% 3.37% 2.22% 3.77% Y 5.00% 4.35% 3.47% 3.33% 4.04% N 1.43% 2.90% 2.78% 2.67% 2.44% Y 16.35% 17.31% 14.16% 11.97% 14.94% Y 96.00% Y

157 LIONS GATE 315499 4.00% 5.77% 5.17% 0.00% 3.74% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.56% 5.63% 6.85% 5.56% 5.90% N 14.08% 14.29% 13.89% 11.27% 13.38% Y 82.00% Y

158 LITTLE BROOK NURSING & CONVALESCENT HOME 315467 * * * * NA N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 3.57% 0.89% Y 11.54% 7.14% 0.00% 0.00% 4.67% Y NR N

159 LLANFAIR HOUSE CARE & REHABILITATION CTR 315142 2.13% 4.35% 5.49% 6.02% 4.50% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.67% 2.76% 4.73% 5.84% 4.00% N 7.19% 8.27% 9.56% 7.94% 8.24% Y NR N

160 LOPATCONG CTR 315202 8.24% 3.16% 4.30% 7.84% 5.88% N 0.00% 0.86% 0.88% 0.00% 0.44% N 2.75% 4.31% 4.42% 2.54% 3.51% N 4.95% 10.19% 11.32% 10.81% 9.32% Y 59.00% N

161 LUTHERAN CROSSINGS ENHANCED LIVING AT MOORESTOWN 315201 3.17% 1.52% 4.84% 7.69% 4.31% Y 1.19% 1.22% 1.39% 1.56% 1.34% N 1.19% 1.22% 2.78% 1.56% 1.69% Y 4.82% 3.70% 4.23% 3.13% 3.97% Y NS N

162 MADISON CTR 315015 8.22% 14.29% 11.84% 11.69% 11.51% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.65% 1.68% 0.85% 1.72% 1.48% Y 14.15% 13.46% 8.91% 11.00% 11.88% Y 79.00% Y

163 MAJESTIC CTR FOR REHAB & SUB-ACUTE CARE 315205 11.11% 5.71% 9.38% 8.57% 8.69% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.74% 1.37% 0.00% 0.00% 1.03% Y 7.46% 10.61% 12.31% 13.24% 10.90% Y NR N

164 MAJESTIC REHAB & NURSING CTR AT RED BANK 315286 1.72% 1.49% 0.00% 4.69% 1.98% Y 1.03% 0.96% 0.99% 0.96% 0.99% N 3.09% 2.88% 0.99% 0.96% 1.98% Y 13.41% 16.67% 14.63% 16.28% 15.25% Y NR N

165 MANAHAWKIN CONV CTR 315206 5.41% 19.35% 11.54% 3.13% 9.86% N 2.33% 2.33% 5.19% 3.30% 3.29% N 2.33% 3.49% 2.60% 1.10% 2.38% Y 13.24% 16.18% 12.50% 4.48% 11.60% Y NR N

166 MANHATTANVIEW NURSING HOME 315465 2.25% 6.98% 5.68% 1.14% 4.01% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.64% 0.83% 0.85% 1.68% 1.25% Y 8.40% 6.78% 8.62% 9.48% 8.32% Y NR N

167 MANOR CARE MOUNTAINSIDE 315259 8.86% 10.13% 8.75% 6.33% 8.52% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.92% 1.92% 0.93% 0.96% 1.43% Y 9.38% 10.31% 9.90% 8.25% 9.46% Y NR N

168 MANOR, THE 315153 6.98% 9.09% 11.63% 4.55% 8.06% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.89% 1.85% 0.00% 0.00% 0.93% Y 2.08% 2.00% 2.00% 1.92% 2.00% Y NR N

169 MANORCARE HEALTH SERVICES - VOORHEES 315500 4.08% 2.22% 4.55% 6.25% 4.27% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.94% 2.99% 3.03% 6.15% 3.78% N 10.45% 10.77% 9.52% 9.84% 10.14% Y NR N

170 MANORCARE HEALTH SERVICES - WASHINGTON TOWNSHIP 315506 4.44% 4.55% 2.22% 2.50% 3.43% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 10.91% 7.41% 7.41% 5.88% 7.90% N 5.45% 7.41% 7.41% 1.96% 5.56% Y NR N

171 MANORCARE HEALTH SERVICES - WEST DEPTFORD 315246 6.45% 4.35% 6.78% 5.66% 5.81% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.65% 5.38% 3.75% 1.33% 3.78% N 10.84% 10.00% 10.13% 10.96% 10.48% Y NR N

172 MAPLE GLEN CTR 315328 6.90% 5.75% 6.74% 8.16% 6.89% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.83% 1.57% 0.60% Y 1.82% 2.63% 3.45% 0.83% 2.18% Y NS N

173 MARCELLA CTR 315330 0.00% 0.88% 2.75% 1.87% 1.38% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.96% 3.73% 3.01% 3.73% 3.36% Y 25.78% 21.60% 21.14% 21.85% 22.59% N 71.50% N

174 MASONIC VILLAGE AT BURLINGTON 315166 6.72% 5.22% 2.86% 7.22% 5.50% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.30% 1.83% 2.55% 3.55% 2.56% Y 12.79% 11.73% 8.44% 9.35% 10.58% Y NR N

175 MAYWOOD CTR FOR HEALTH & REHABILITATION 315386 9.88% 5.26% 7.79% 6.85% 7.45% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.80% 2.63% 2.56% 3.80% 3.20% Y NS N

176 MCAULEY HALL HEALTH CARE CTR 315337 2.00% 4.26% 2.22% 3.85% 3.08% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 10.00% 5.88% 4.55% 1.43% 5.46% N 7.25% 7.46% 9.23% 8.70% 8.16% Y NR N

177 MEADOW LAKES HEALTHCARE CTR 315022 2.56% 5.71% 0.00% 2.78% 2.76% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.56% 0.00% 0.00% 0.00% 0.64% Y 5.13% 5.56% 8.82% 10.81% 7.58% Y NR N

178 MEADOWVIEW NURSING & REHABILITATION CTR 315358 2.15% 5.38% 8.51% 8.00% 6.01% N 1.48% 0.00% 0.00% 0.00% 0.37% Y 5.19% 3.55% 4.93% 3.45% 4.28% N 22.40% 16.92% 14.29% 14.71% 17.08% N NR N

179 MEDFORD CARE CTR 315176 5.80% 1.64% 9.09% 4.35% 5.22% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.06% 2.20% 5.15% 6.06% 3.62% N 21.11% 22.73% 21.05% 21.65% 21.64% N NR N

180 MERCERVILLE CTR 315094 4.69% 6.45% 6.06% 10.77% 6.99% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.44% 2.44% 4.49% 2.25% 2.90% Y 11.11% 4.94% 3.45% 6.90% 6.60% Y 73.00% N

3.57% 1.69% 7.02% 0.00% 3.07% Y 1.67% 1.54% 1.59% 1.69% 1.62% Y 1.67% 6.15% 7.94% 8.47% 6.06% N 7.14% 4.92% 5.00% 3.64% 5.17% Y NR N

182 MERIDIAN NURSING & REHABILITATION AT BRICK 315342 4.48% 4.41% 2.86% 4.84% 4.15% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.33% 2.67% 2.67% 2.63% 2.32% Y 6.76% 5.48% 0.00% 0.00% 3.06% Y NR N

Approved Appeal

JERSEY SHORE CTR 315364Approved Appeal

141 INGLEMOOR CTR 315349

MERIDIAN NURSING & REHAB AT SHREWSBURY 315136

143

Approved AppealApproved Appeal

181

This is the final report for fiscal year 2020. All data is final and not subject to appeal or change. 5/10

Page 6: Quality Metrics Report for the FY 2020 Appropriations Act · 2019. 7. 11. · Quality Metrics Report for the FY 2020 Appropriations Act • The down arrow (↓) indicates in order

Quality Metrics Report for the FY 2020 Appropriations Act

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

NationalQ2 2018

Meets

Average

QPS #3: Pressure Ulcer 403

(National Avg: 5.57% ↓)

QPS #4: Physically Restrained 409

(National Avg: 0.40% ↓)

QPS #5: Falls with Major Injury 410

(National Avg: 3.37% ↓)

QPS #6: CoreQ

(Avg: 75.00% ↑)

NF Name Provider

Number

QPS #2: Antipsychotic Medication 419

(National Avg: 15.48% ↓)

183 MERIDIAN NURSING & REHABILITATION AT OCEAN GROVE 315365 3.06% 4.35% 7.00% 4.49% 4.73% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.75% 2.78% 2.56% 2.65% 2.69% Y 6.80% 8.08% 6.48% 6.73% 7.02% Y NR N

184 MERRY HEART NURSING HOME 315057 1.64% 2.99% 4.62% 1.54% 2.69% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 1.43% 2.99% 2.94% 1.84% Y 15.38% 11.94% 14.06% 7.69% 12.27% Y NR N

185 MERWICK CARE & REHABILITATION CTR 315001 9.00% 1.94% 3.16% 5.38% 4.87% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.77% 3.13% 3.33% 3.25% 2.62% Y 8.59% 7.94% 6.03% 6.61% 7.29% Y 88.00% Y

186 MILFORD MANOR 315276 7.78% 3.61% 5.95% 2.50% 4.96% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.86% 1.98% 1.02% 1.04% 1.72% Y 10.78% 13.40% 8.51% 7.45% 10.04% Y NR N

187 MILLVILLE CTR 315243 2.13% 6.12% 3.19% 2.30% 3.44% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.54% 3.33% 3.39% 2.65% 2.98% Y 6.78% 5.00% 5.08% 6.19% 5.76% Y 72.00% N

188 MONMOUTH CARE CTR 315284 3.70% 1.82% 6.25% 3.92% 3.92% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.12% 1.16% 2.53% 2.33% 1.78% Y 6.41% 6.76% 7.25% 5.33% 6.44% Y NR N

189 MORRIS HALL/ST JOSEPH'S NURSING CTR 315338 3.64% 6.25% 3.42% 4.42% 4.43% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.84% 3.65% 6.21% 4.93% 4.91% N 4.03% 2.94% 2.80% 2.86% 3.16% Y 84.50% Y

190 MORRIS HILLS CTR 315157 3.61% 4.35% 6.98% 3.26% 4.55% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.64% 2.55% 3.33% 4.64% 2.79% Y 17.27% 20.29% 19.55% 20.59% 19.42% N 43.50% N

191 MORRIS VIEW HEALTHCARE CTR 315303 5.03% 5.03% 5.56% 4.40% 5.00% Y 0.83% 0.83% 0.40% 0.85% 0.73% N 2.90% 4.58% 4.00% 3.39% 3.72% N 12.96% 11.37% 11.31% 12.00% 11.91% Y 76.00% Y

192 MYSTIC MEADOWS REHAB & NURSING CTR 315456 6.56% 10.61% 6.78% 8.82% 8.19% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.49% 3.30% 3.37% 3.23% 3.35% Y 13.41% 17.24% 20.00% 17.05% 16.93% N 86.00% Y

193 N J EASTERN STAR HOME 315419 8.33% 2.63% 5.13% 2.56% 4.66% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.55% 4.41% 2.90% 2.94% 3.70% N 10.61% 10.45% 5.80% 2.94% 7.45% Y 87.50% Y

194 NEPTUNE GARDENS NURSING & REHAB LLC 315056 7.14% 6.00% 4.44% 5.88% 5.87% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.41% 2.63% 1.45% 1.25% 2.44% Y 1.69% 2.94% 0.00% 1.43% 1.52% Y NR N

195 NEW COMMUNITY EXTENDED CARE FACILITY 315393 * 4.44% 6.38% 4.44% 5.09% Y * 0.00% 0.00% 0.00% 0.00% Y * 0.00% 1.11% 1.19% 0.77% Y * 9.59% 13.33% 11.76% 11.56% Y NR N

196 NEW GROVE MANOR 315147 6.56% 11.59% 14.04% 8.77% 10.24% N 0.77% 2.42% 2.44% 1.68% 1.83% N 1.54% 2.42% 2.44% 1.68% 2.02% Y 2.97% 4.26% 2.30% 2.38% 2.98% Y 66.50% N

197 NEW VISTA 315458 6.34% 4.79% 3.42% 5.30% 4.96% Y 0.36% 0.36% 0.00% 0.00% 0.18% Y 2.55% 1.82% 1.45% 0.71% 1.63% Y 11.83% 12.83% 12.44% 10.55% 11.91% Y NR N

198 NORTH CAPE CTR 315350 4.44% 2.27% 6.38% 3.92% 4.26% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.71% 7.04% 4.00% 1.30% 4.51% N 9.09% 8.96% 8.45% 10.96% 9.36% Y 90.00% Y

199 OAK RIDGE REHABILITATION & NC 315234 3.39% 2.99% 4.48% 3.03% 3.47% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.32% 1.22% 0.00% 0.00% 0.63% Y 7.81% 5.56% 8.33% 8.11% 7.45% Y 80.50% Y

200 OAKLAND REHABILITATION & HEALTHCARE CTR 315171 2.24% 5.00% 3.62% 1.46% 3.08% Y 0.00% 0.00% 0.00% 0.57% 0.14% Y 2.84% 1.71% 2.89% 1.71% 2.29% Y 6.67% 9.09% 8.64% 6.17% 7.64% Y NR N

201 OCEANA REHABILITATION & NC 315193 4.76% * * * 4.76% Y 0.94% 1.04% 0.00% 0.00% 0.50% N 4.72% 2.08% 2.08% 2.08% 2.74% Y 11.96% 13.25% 15.85% 15.19% 14.06% Y NR N

202 OUR LADY'S CTR FOR REHABILITATION & HC 315054 8.14% 10.13% 7.69% 6.02% 8.00% N 1.65% 1.67% 0.80% 0.83% 1.24% N 1.65% 2.50% 2.40% 1.65% 2.05% Y 14.42% 14.71% 15.89% 12.62% 14.41% Y 77.00% Y

203 PALACE REHABILITATION & CARE CTR, THE 315263 6.67% 5.33% 2.70% 4.23% 4.73% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.50% 2.74% 3.40% 4.79% 3.61% N 31.07% 37.14% 37.50% 31.37% 34.27% N NR N

204 PARK CRESCENT HEALTHCARE & REHABILITATION CTR 315266 7.48% 8.77% 12.07% 14.04% 10.59% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.71% 0.69% 1.39% 0.70% 0.87% Y 4.00% 3.08% 1.56% 3.20% 2.96% Y 77.00% Y

205 PARK PLACE CTR 315362 6.52% 2.00% 4.44% 2.33% 3.82% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.63% 4.23% 2.94% 3.33% 4.03% N 7.81% 7.69% 16.13% 7.41% 9.76% Y 94.50% Y

206 PARKER AT MCCARRICK 315253 4.17% 4.00% 5.41% 1.32% 3.72% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 1.15% 2.33% 0.87% Y 10.67% 14.63% 17.07% 19.51% 15.47% Y NR N

207 PEACE CARE AT ST ANN'S 315413 5.56% 3.51% 3.70% 1.72% 3.62% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.57% 2.33% 3.66% 4.82% 3.59% N 10.84% 10.71% 8.75% 8.64% 9.74% Y NR N

208 PEACE CARE AT ST JOSEPH'S 315452 5.81% 8.33% 5.88% 4.60% 6.16% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.92% 1.90% 1.94% 1.90% 1.92% Y 2.91% 1.94% 1.98% 3.88% 2.68% Y 95.50% Y

209 PHILLIPSBURG CTR 315311 5.13% 2.38% 2.63% 2.50% 3.16% Y 6.25% 5.66% 6.12% 5.77% 5.95% N 2.08% 1.89% 2.04% 1.92% 1.98% Y 33.33% 41.86% 47.50% 45.24% 41.98% N NS N

210 PINE ACRES CONVALESCENT CTR 315053 3.57% 5.66% 3.51% 7.35% 5.02% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.00% 1.37% 2.70% 2.56% 2.91% Y 16.67% 19.12% 18.84% 16.67% 17.82% N 92.50% Y

211 PINE BROOK CARE CTR 315282 0.00% 1.43% 2.82% 5.71% 2.49% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.72% 2.73% 2.75% 3.60% 3.45% N 9.30% 5.62% 0.00% 1.15% 4.02% Y NR N

212 PLAZA HEALTHCARE & REHABILITATION CTR 315483 10.87% 10.87% 12.24% 11.76% 11.44% N 0.89% 0.88% 0.88% 0.86% 0.88% N 1.79% 0.88% 1.77% 2.59% 1.76% Y 12.50% 12.63% 14.74% 13.73% 13.40% Y 63.00% N

213 PREFERRED CARE AT MERCER 315487 0.00% 0.00% 0.00% 5.26% 1.32% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 3.28% 3.28% 1.59% 2.04% Y 1.92% 1.89% 1.85% 0.00% 1.42% Y 100.00% Y

214 PREFERRED CARE AT OLD BRIDGE, LLC 315321 5.13% 3.90% 6.76% 3.08% 4.71% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 1.02% 1.06% 0.52% Y 10.87% 8.89% 8.33% 9.88% 9.49% Y 86.50% Y

215 PREFERRED CARE AT WALL 315397 3.23% 4.84% 3.39% 1.72% 3.29% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.40% 1.10% 2.20% 2.17% 2.47% Y 3.49% 4.65% 2.35% 2.30% 3.20% Y 100.00% Y

216 PREMIER CADBURY OF CHERRY HILL 315183 10.00% 10.94% 5.00% 5.17% 7.78% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.27% 3.16% 1.02% 5.32% 2.94% Y 16.67% 11.96% 12.50% 14.13% 13.81% Y 77.00% Y

217 PRINCETON CARE CTR 315108 9.38% 5.17% 3.45% 0.00% 4.50% Y 1.18% 0.00% 0.00% 0.00% 0.29% Y 2.35% 0.00% 5.81% 5.06% 3.31% Y 8.43% 6.17% 8.33% 10.53% 8.37% Y NR N

218 PROVIDENCE NURSING & REHABILITATION CTR 315124 11.54% 18.52% 16.00% 8.00% 13.51% N 2.08% 2.15% 2.11% 1.02% 1.84% N 0.00% 1.08% 1.05% 1.02% 0.79% Y 18.46% 16.39% 12.07% 4.84% 12.94% Y NR N

219 REFORMED CHURCH HOME 315417 11.54% 3.64% 5.56% 7.02% 6.94% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.48% 2.82% 1.35% 1.32% 2.74% Y 1.39% 2.90% 2.82% 2.74% 2.46% Y 90.50% Y

220 REGENCY GARDENS NURSING CTR 315103 3.28% 5.17% 7.41% 5.45% 5.33% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 1.06% 1.05% 0.53% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 96.50% Y

221 REGENCY GRANDE NURSING & REHAB CTR 315355 1.16% 2.15% 3.45% 4.40% 2.79% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.31% 1.53% 0.00% 0.00% 0.96% Y 2.38% 0.00% 0.00% 1.60% 1.00% Y 98.50% Y

222 REGENCY HERITAGE NURSING & REHABILITATION CTR 315367 5.80% 5.22% 3.91% 4.13% 4.76% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.05% 2.21% 2.21% 2.20% 1.92% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 100.00% Y

223 REGENT CARE CTR 315295 6.67% 7.50% 11.27% 7.79% 8.31% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.00% 0.92% 0.00% 0.88% 0.95% Y 4.12% 1.90% 3.92% 0.92% 2.72% Y NR N

224 REHAB AT RIVER'S EDGE 315140 4.23% 9.21% 9.21% 8.00% 7.66% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.94% 1.80% 1.74% 1.80% 1.82% Y 10.11% 10.31% 10.00% 13.04% 10.87% Y NS N

225 RIDGEWOOD CTR 315158 12.00% 4.55% 2.22% 12.50% 7.82% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.41% 2.74% 1.54% 1.47% 1.79% Y 21.54% 16.67% 15.25% 12.70% 16.54% N 73.00% N

226 RIVERFRONT REHABILITATION AND HEALTHCARE 315225 5.38% 3.13% 8.05% 6.74% 5.82% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.90% 3.55% 0.71% 3.60% 2.69% Y 19.26% 19.57% 22.63% 19.40% 20.21% N 68.00% N

227 RIVERSIDE NURSING & REHABILITATION CTR 315235 0.00% 4.08% 5.56% 0.00% 2.41% Y 0.96% 0.00% 0.00% 0.00% 0.24% Y 0.00% 0.95% 1.85% 3.60% 1.60% Y 22.62% 21.25% 12.50% 11.94% 17.08% N 75.00% Y

2.78% 3.23% 3.03% 0.00% 2.26% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.55% 5.00% 4.88% 8.11% 5.63% Y NS YROLLING HILLS CARE CTR 315302

Approved Appeal228

This is the final report for fiscal year 2020. All data is final and not subject to appeal or change. 6/10

Page 7: Quality Metrics Report for the FY 2020 Appropriations Act · 2019. 7. 11. · Quality Metrics Report for the FY 2020 Appropriations Act • The down arrow (↓) indicates in order

Quality Metrics Report for the FY 2020 Appropriations Act

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

NationalQ2 2018

Meets

Average

QPS #3: Pressure Ulcer 403

(National Avg: 5.57% ↓)

QPS #4: Physically Restrained 409

(National Avg: 0.40% ↓)

QPS #5: Falls with Major Injury 410

(National Avg: 3.37% ↓)

QPS #6: CoreQ

(Avg: 75.00% ↑)

NF Name Provider

Number

QPS #2: Antipsychotic Medication 419

(National Avg: 15.48% ↓)

229 ROOSEVELT CARE CTR 315039 10.58% 13.73% 7.14% 8.82% 10.07% N 1.35% 1.34% 1.30% 1.30% 1.32% N 0.68% 0.67% 0.00% 0.00% 0.34% Y 10.79% 9.15% 13.10% 13.10% 11.54% Y NR N

230 ROOSEVELT CARE CTR AT OLD BRIDGE 315509 4.72% 5.61% 12.00% 7.77% 7.52% N 0.74% 0.70% 0.70% 0.69% 0.71% N 2.21% 2.11% 2.82% 1.38% 2.13% Y 16.42% 16.55% 12.23% 15.49% 15.17% Y NR N

231 ROSE GARDEN NURSING & REHABILITATION CTR 315421 3.85% 4.05% 2.56% 4.17% 3.66% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.10% 5.56% 4.30% 5.68% 5.16% N 10.31% 8.99% 6.52% 6.90% 8.18% Y NR N

232 ROSE MOUNTAIN CARE CTR 315384 6.52% 6.52% 4.55% 4.35% 5.48% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.22% 1.15% 2.30% 3.37% 2.01% Y 17.95% 13.75% 15.00% 14.12% 15.20% Y 78.50% Y

233 ROYAL HEALTH GATE NRSG REHAB 315455 7.69% 7.69% 6.52% 4.17% 6.52% N 1.94% 0.00% 0.00% 0.00% 0.49% N 0.00% 0.98% 0.00% 0.00% 0.25% Y 4.44% 2.20% 5.81% 1.11% 3.39% Y NR N

234 ROYAL SUITES HEALTH CARE & REHABILITATION 315503 9.09% 6.35% 5.56% 5.33% 6.58% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.93% 1.87% 1.87% 1.85% 1.63% Y 9.68% 10.87% 11.96% 11.96% 11.12% Y 76.50% Y

235 RUNNELLS CTR FOR REHABILITATION & HEALTHCARE 315009 5.56% 6.12% 6.08% 5.93% 5.92% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.99% 2.42% 0.48% 1.02% 1.72% Y 15.70% 15.73% 18.75% 19.88% 17.51% N 70.00% N

236 SEACREST VILLAGE 315218 1.09% 2.15% 1.04% 1.14% 1.35% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.54% 3.15% 2.38% 0.00% 2.02% Y 17.86% 16.10% 13.79% 11.97% 14.93% Y 89.50% Y

237 SEASHORE GARDENS LIVING CTR 315340 10.14% 7.94% 3.08% 5.48% 6.66% N 0.76% 1.60% 3.17% 3.91% 2.36% N 3.05% 4.00% 4.76% 3.91% 3.93% N 12.31% 9.09% 8.13% 4.76% 8.57% Y 95.50% Y

238 SHADY LANE GLOUCESTER CO HOME 315405 2.86% 0.00% 0.00% 11.11% 3.49% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 1.89% 0.00% 0.00% 0.47% Y 9.80% 17.31% 16.33% 14.00% 14.36% Y NR N

239 SHORE MEADOWS REHAB & NURSING CTR 315454 6.52% 6.52% 9.80% 8.51% 7.84% N 6.61% 5.04% 2.44% 1.64% 3.93% N 2.48% 2.52% 3.25% 4.92% 3.29% Y 18.56% 16.13% 12.09% 8.54% 13.83% Y NR N

240 SHORROCK GARDENS CARE CTR 315453 2.68% 1.60% 0.84% 0.00% 1.28% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.59% 2.24% 2.36% 2.46% 2.16% Y 8.74% 9.01% 9.35% 10.68% 9.44% Y NS N

241 SINAI POST ACUTE NURSING & REHAB CTR 315236 2.30% 3.87% 6.36% 8.14% 5.17% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.07% 0.65% 0.00% 0.00% 0.43% Y 4.57% 2.54% 2.18% 1.72% 2.75% Y NR N

242 SOMERSET WOODS REHABILITATION & NURSING CTR 315520 13.73% 3.77% 6.25% 5.17% 7.23% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.29% 4.29% 1.14% 3.37% 3.27% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 86.00% Y

243 SOUTH JERSEY EXTENDED CARE 315061 12.90% 8.93% 5.88% 6.38% 8.52% N 0.00% 0.93% 0.96% 1.01% 0.72% N 1.47% 1.85% 0.96% 1.01% 1.32% Y 15.79% 21.43% 12.50% 9.59% 14.83% Y NR N

244 SOUTH MOUNTAIN HC 315283 8.33% 7.92% 6.80% 9.47% 8.13% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.78% 2.33% 2.33% 3.25% 2.17% Y 8.13% 5.79% 4.17% 4.39% 5.62% Y 74.50% N

245 SOUTHERN OCEAN CTR 315332 1.82% 3.64% 3.57% 3.85% 3.22% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.39% 2.90% 4.29% 2.74% 2.83% Y 9.23% 11.29% 7.81% 7.58% 8.98% Y 89.00% Y

246 SOUTHGATE HEALTH CARE CTR 315237 4.69% 1.59% 1.45% 0.00% 1.93% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.00% 0.00% 2.08% 1.96% 1.76% Y 11.83% 18.89% 12.50% 10.75% 13.49% Y 97.50% Y

247 SPRING GROVE REHABILITATION & HEALTHCARE CTR 315005 4.17% 7.69% 10.20% 15.22% 9.32% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 1.49% 0.00% 1.61% 0.78% Y 13.11% 9.23% 9.84% 8.33% 10.13% Y NR N

248 ST CATHERINE OF SIENA 315471 * * * * NA N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 4.00% 1.00% Y 13.64% 13.64% 11.54% 12.50% 12.83% Y NR N

249 ST JOSEPH'S HEALTHCARE & REHAB CTR 315194 7.32% 6.02% 3.57% 4.60% 5.38% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.65% 1.82% 2.50% 3.36% 2.33% Y 6.78% 4.67% 9.40% 11.21% 8.02% Y NR N

250 ST JOSEPH'S SENIOR HOME 315318 2.08% 8.16% 2.33% 4.26% 4.21% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 6.12% 4.00% 2.17% 0.00% 3.07% Y 14.29% 22.00% 21.74% 18.75% 19.19% N NR N

251 ST JOSEPH'S HOME FOR ELDERLY 315388 16.67% 6.06% 3.23% 3.23% 7.29% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.13% 2.56% 4.88% 5.00% 4.39% N 7.69% 10.26% 12.20% 12.50% 10.66% Y NR N

252 ST MARY'S CTR FOR REHABILITATION & HEALTHCARE 315060 3.70% 3.57% 2.26% 3.10% 3.16% Y 0.00% 0.54% 0.56% 0.58% 0.42% N 1.70% 1.63% 2.25% 2.31% 1.97% Y 11.56% 13.33% 11.93% 8.19% 11.25% Y 82.00% Y

253 STERLING MANOR 315149 7.69% 4.00% 9.09% 0.00% 5.20% Y 1.18% 1.12% 1.19% 1.19% 1.17% N 1.18% 1.12% 2.38% 2.38% 1.77% Y 26.98% 28.79% 32.26% 33.33% 30.34% N NR N

254 STONEBRIDGE AT MONTGOMERY HEALTH CARE CTR 315486 3.85% 3.70% 3.70% 4.17% 3.86% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.57% 6.90% 3.45% 0.00% 3.48% N 3.57% 6.90% 3.45% 3.70% 4.40% Y NR N

255 STRATFORD MANOR REHABILITATION & CARE CTR 315066 7.14% 4.92% 2.99% 6.94% 5.50% Y 0.00% 1.33% 1.25% 0.00% 0.65% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 15.19% 8.70% 5.63% 1.35% 7.72% Y 65.50% N

256 SUMMER HILL NURSING HOME 315381 2.99% 3.95% 4.17% 4.17% 3.82% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.95% 0.94% 1.96% 0.96% Y 2.25% 2.06% 2.04% 1.06% 1.85% Y 94.50% Y

257 SUMMIT RIDGE CTR 315038 4.35% 5.62% 3.66% 2.60% 4.06% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.55% 3.94% 2.42% 3.42% 2.83% Y 8.94% 8.26% 8.55% 8.93% 8.67% Y 72.00% N

258 SUNNYSIDE MANOR 315354 5.00% 5.13% 10.00% 2.17% 5.58% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.22% 2.33% 2.17% 1.89% 2.15% Y 18.18% 14.29% 13.33% 13.46% 14.82% Y NR N

259 TALLWOODS CARE CTR 315462 1.00% 0.00% 0.00% 0.00% 0.25% Y 0.69% 0.00% 0.00% 0.00% 0.17% Y 2.78% 2.16% 2.21% 1.45% 2.15% Y 0.76% 0.79% 0.00% 0.00% 0.39% Y 70.00% N

260 TEANECK NURSING CTR 315037 6.78% 6.45% 9.52% 13.56% 9.08% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.02% 2.06% 3.06% 3.19% 2.33% Y 8.60% 7.61% 5.43% 5.68% 6.83% Y NR N

261 TOWER LODGE CARE CTR 315069 3.13% 2.56% 0.00% 0.00% 1.42% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.26% 7.02% 11.32% 5.77% 7.09% N 11.90% 18.00% 8.89% 6.82% 11.40% Y 70.00% N

262 TRINITAS HOSPITAL 315442 5.97% 7.25% 16.39% 10.91% 10.13% N 1.08% 0.00% 0.00% 0.00% 0.27% Y 3.23% 4.04% 4.26% 3.23% 3.69% N 13.79% 14.89% 10.84% 10.59% 12.53% Y NR N

263 TROY HILLS CTR 315138 4.17% 4.76% 4.62% 0.00% 3.39% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.97% 4.21% 3.30% 2.17% 3.16% Y 15.15% 15.22% 19.32% 17.98% 16.92% N 75.50% Y

264 UNITED METHODIST COMMUNITIES AT BRISTOL GLEN 315439 3.13% 5.88% 2.94% 0.00% 2.99% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.78% 0.00% 2.56% 2.86% 2.05% Y 9.09% 6.45% 0.00% 0.00% 3.89% Y NR N

265 UNITED METHODIST COMMUNITIES AT COLLINGSWOOD 315404 0.00% 0.00% 6.45% 11.76% 4.55% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.13% 5.13% 2.50% 2.38% 3.78% N 2.56% 2.56% 2.50% 2.38% 2.50% Y NR N

266 UNITED METHODIST COMMUNITIES AT PITMAN 315427 4.55% 2.38% 2.08% 3.70% 3.18% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.89% 2.00% 1.72% 1.64% 1.81% Y 13.21% 8.00% 6.90% 6.56% 8.67% Y 86.00% Y

267 UNITED METHODIST COMMUNITIES AT THE SHORES 315394 14.29% 0.00% 7.14% 3.03% 6.11% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.94% 5.88% 2.70% 5.00% 4.13% N 18.75% 15.63% 11.43% 10.53% 14.08% Y NR N

268 VENETIAN CARE & REHABILITATION CTR, THE 315518 2.94% 3.74% 3.96% 3.88% 3.63% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.91% 3.79% 1.56% 1.53% 2.70% Y 13.01% 10.94% 13.11% 12.70% 12.44% Y NR N

269 VICTORIA MANOR 315508 7.04% 5.08% 3.64% 1.69% 4.36% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.33% 2.38% 1.22% 2.35% 2.32% Y 13.79% 12.50% 10.39% 10.13% 11.70% Y 73.00% N

270 VILLA AT FLORHAM PARK INC, THE 315480 0.00% 4.35% 10.71% 9.09% 6.04% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 8.70% 9.09% 2.22% 6.00% 6.50% N 8.70% 6.82% 6.67% 8.00% 7.55% Y 77.00% Y

271 VILLAGE POINT 315269 9.76% 0.00% 7.69% 9.76% 6.80% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.17% 4.65% 4.65% 2.22% 3.42% N 15.22% 11.63% 9.30% 6.67% 10.70% Y NR N

272 VIRTUA H & R C AT BERLIN 315461 3.51% 6.67% 3.33% 1.72% 3.81% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.33% 2.60% 3.90% 4.05% 2.97% Y 12.33% 10.53% 11.84% 12.33% 11.76% Y 95.00% Y

273 VIRTUA HEALTH & REHAB MT HOLLY 315128 4.08% 7.06% 3.53% 0.00% 3.67% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.93% 0.23% Y 13.33% 14.29% 12.38% 14.42% 13.61% Y NS N

274 VOORHEES CARE & REHABILITATION CTR, THE 315187 3.88% 4.80% 4.07% 6.45% 4.80% Y 0.00% 0.00% 0.00% 1.61% 0.40% N 2.14% 1.08% 1.64% 2.69% 1.89% Y 6.98% 7.02% 7.10% 7.60% 7.17% Y 66.00% N

275 VOORHEES CTR 315219 7.89% 11.50% 10.26% 8.33% 9.50% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 1.33% 4.35% 4.61% 2.57% Y 12.41% 12.68% 12.50% 13.99% 12.89% Y 65.00% N

This is the final report for fiscal year 2020. All data is final and not subject to appeal or change. 7/10

Page 8: Quality Metrics Report for the FY 2020 Appropriations Act · 2019. 7. 11. · Quality Metrics Report for the FY 2020 Appropriations Act • The down arrow (↓) indicates in order

Quality Metrics Report for the FY 2020 Appropriations Act

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

National

2017

Q2

2017

Q3

2017

Q4

2018

Q1Average

Meets

NationalQ2 2018

Meets

Average

QPS #3: Pressure Ulcer 403

(National Avg: 5.57% ↓)

QPS #4: Physically Restrained 409

(National Avg: 0.40% ↓)

QPS #5: Falls with Major Injury 410

(National Avg: 3.37% ↓)

QPS #6: CoreQ

(Avg: 75.00% ↑)

NF Name Provider

Number

QPS #2: Antipsychotic Medication 419

(National Avg: 15.48% ↓)

276 WARDELL GARDENS AT TINTON FALLS 315414 0.00% 3.70% 3.85% 0.00% 1.89% Y 1.64% 0.00% 0.00% 0.00% 0.41% N 3.28% 1.54% 4.69% 2.94% 3.11% Y 16.33% 14.81% 4.26% 6.38% 10.44% Y NR N

277 WARREN HAVEN REHAB & NURSING CTR 315304 7.04% 12.86% 9.52% 12.90% 10.58% N 1.69% 0.00% 0.00% 0.00% 0.42% N 0.85% 0.86% 0.95% 1.96% 1.16% Y 9.91% 9.26% 10.20% 8.42% 9.45% Y NS N

278 WATERS EDGE HEALTHCARE & REHAB 315324 8.45% 7.04% 4.05% 10.67% 7.55% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.52% 4.35% 3.65% 2.16% 3.42% N 19.17% 16.52% 15.79% 17.24% 17.18% N NS N

279 WATERVIEW CTR 315216 8.74% 9.78% 5.49% 5.15% 7.29% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 1.40% 2.05% 2.67% 1.53% Y 7.75% 7.58% 7.30% 7.04% 7.42% Y 88.50% Y

280 WEDGWOOD GARDENS CARE CTR 315504 3.03% 4.35% 3.13% 3.45% 3.49% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.50% 1.71% 0.84% 0.88% 1.48% Y 8.11% 8.41% 3.88% 2.06% 5.62% Y NR N

281 WEST CALDWELL CC 315247 0.00% 3.37% 4.35% 6.74% 3.62% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 5.00% 4.27% 3.39% 3.64% 4.07% N 7.08% 6.48% 7.34% 6.93% 6.96% Y NR N

282 WHITE HOUSE HLTHCR & REHAB CTR 315372 17.27% 12.61% 12.73% 10.89% 13.38% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.78% 0.20% Y 6.87% 5.38% 4.55% 1.65% 4.61% Y NR N

283 WHITING HEALTH CARE 315293 7.25% 8.82% 9.72% 11.11% 9.23% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 1.20% 4.30% 4.26% 2.44% Y 14.63% 17.95% 13.95% 15.73% 15.57% N 70.50% N

284 WILEY MISSION 315418 6.82% 6.52% 4.55% 4.26% 5.54% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 6.45% 5.00% 5.08% 1.64% 4.54% N 6.56% 8.47% 5.17% 8.33% 7.13% Y 95.50% Y

285 WILLOW SPRINGS REHABILITATION & HEALTHCARE CTR 315213 1.23% 2.53% 4.00% 1.30% 2.27% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.16% 0.00% 1.00% 1.98% 1.53% Y 4.35% 1.09% 2.22% 1.10% 2.19% Y NR N

286 WOODCLIFF LAKE HEALTH & REHABILITATION CTR 315133 12.50% 9.52% 6.98% 13.51% 10.63% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.63% 2.00% 0.00% 2.13% 1.69% Y 5.26% 8.00% 3.70% 6.38% 5.84% Y NR N

287 WOODLANDS, THE 315273 7.41% 7.02% 7.02% 4.92% 6.59% N 2.13% 3.13% 2.08% 2.06% 2.35% N 0.00% 1.04% 1.04% 2.06% 1.04% Y 11.49% 12.36% 12.22% 13.19% 12.32% Y 89.00% Y

This is the final report for fiscal year 2020. All data is final and not subject to appeal or change. 8/10

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Quality Metrics Report for the FY 2020 Appropriations Act

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2018

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NationalQ2 2018

Meets

Average

QPS #3: Pressure Ulcer 403

(National Avg: 5.57% ↓)

QPS #4: Physically Restrained 409

(National Avg: 0.40% ↓)

QPS #5: Falls with Major Injury 410

(National Avg: 3.37% ↓)

QPS #6: CoreQ

(Avg: 75.00% ↑)

NF Name Provider

Number

QPS #2: Antipsychotic Medication 419

(National Avg: 15.48% ↓)

288 WYNWOOD REHABILITATION AND HEALTHCARE CENTER 315047 2.53% 6.10% 2.47% 2.47% 3.39% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.86% 0.94% 1.92% 1.96% 1.92% Y 2.97% 2.94% 3.96% 4.08% 3.49% Y 77.00% Y

This is the final report for fiscal year 2020. All data is final and not subject to appeal or change. 9/10

Page 10: Quality Metrics Report for the FY 2020 Appropriations Act · 2019. 7. 11. · Quality Metrics Report for the FY 2020 Appropriations Act • The down arrow (↓) indicates in order

Quality Metrics Report for the FY 2020 Appropriations Act

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2017

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QPS #3: Pressure Ulcer 403

(National Avg: 5.57% ↓)

QPS #4: Physically Restrained 409

(National Avg: 0.40% ↓)

QPS #5: Falls with Major Injury 410

(National Avg: 3.37% ↓)

QPS #6: CoreQ

(Avg: 75.00% ↑)

NF Name Provider

Number

QPS #2: Antipsychotic Medication 419

(National Avg: 15.48% ↓)

1 ALLAIRE REHAB & NURSING 315387 8.82% 5.80% 9.86% 8.45% 8.23% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.93% 1.77% 5.08% 4.03% 2.95% Y 8.99% 11.83% 6.38% 0.00% 6.80% Y

2 ABSECON MANOR NURSING & REHABILITATION CTR 315244 3.95% 10.67% 7.35% 5.63% 6.90% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.24% 5.04% 4.42% 1.79% 3.87% N 30.85% 31.91% 35.23% 31.82% 32.45% N

3 ALARIS HEALTH AT ESSEX 315359 5.38% 6.74% 10.00% 7.78% 7.47% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.43% 0.00% 0.75% 0.75% 0.73% Y 16.28% 15.57% 14.05% 14.29% 15.05% Y 75.00% Y

4 ALARIS HEALTH AT ST MARY'S 315352 14.29% 13.16% 15.32% 14.91% 14.42% N 0.71% 1.43% 1.45% 1.37% 1.24% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.97% 0.00% 0.00% 0.00% 0.99% Y

5 ALARIS HEALTH AT THE CHATEAU 315494 * * * * NA N * * * * NA N 0.00% * * * 0.00% Y * * * * NA N

6 ATRIUM POST ACUTE CARE OF MATAWAN 315463 6.85% 6.10% 7.79% 11.84% 8.15% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 1.06% 2.11% 0.79% Y 1.14% 2.17% 3.45% 0.00% 1.69% Y

7 BAYSHORE HEALTH CARE CTR 315252 1.74% 5.88% 2.56% 5.31% 3.87% Y 0.65% 0.63% 0.00% 0.00% 0.32% Y 1.94% 3.14% 3.09% 4.35% 3.13% Y 12.31% 8.96% 6.52% 10.22% 9.50% Y

8 BERGEN REGIONAL MEDICAL CTR 315017 6.33% 4.94% 4.23% 4.73% 5.06% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 3.55% 2.82% 2.51% 1.75% 2.66% Y 14.68% 16.28% 20.00% 16.80% 16.94% N

9 BROADWAY HOUSE FOR CONTINUING 315343 * * * * NA N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.82% 0.00% 0.00% 0.00% 0.45% Y 8.33% 13.89% 21.43% 19.05% 15.67% N

10 CHESHIRE HOME 315383 34.48% 37.93% 48.39% 37.93% 39.68% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 6.25% 6.67% 6.25% 3.33% 5.63% Y

11 CHILDRENS SPECIALIZED HOSPITAL MOUNTAINSIDE 315239 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.17% 2.22% 2.56% 2.50% 2.37% Y

12 CHILDRENS SPECIALIZED HOSPITAL TOMS RIVER 315443 0.00% 0.00% 0.00% * 0.00% Y 4.55% 4.17% 0.00% 0.00% 2.18% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 9.09% 8.33% 4.55% 0.00% 5.49% Y

13 CHRISTIAN HEALTH CARE CTR 315376 5.65% 3.76% 3.39% 4.47% 4.32% Y 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.71% 2.21% 3.52% 3.64% 3.02% Y 19.43% 17.67% 16.67% 16.75% 17.63% N

14 CLARK NURSING & REHAB CTR 315341 7.23% 5.88% 8.97% 13.33% 8.85% N 1.15% 1.11% 1.18% 2.47% 1.48% N 0.00% 3.33% 3.53% 3.70% 2.64% Y 16.47% 17.05% 16.87% 15.19% 16.39% N

15 COMPLETE CARE AT LINWOOD 315185 10.61% 9.59% 8.45% 10.81% 9.86% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 4.40% 3.06% 4.00% 5.77% 4.31% N 9.30% 11.96% 15.05% 17.35% 13.41% Y

16 DWELLING PLACE AT ST CLARE'S 315019 20.00% 0.00% 0.00% 30.00% 12.50% N 0.00% 0.00% 0.00% 4.55% 1.14% N 0.00% 0.00% 0.00% 0.00% 0.00% Y * * * * NA N

17 EASTERN PINES CONVALESCENT CTR 315317 6.12% 8.70% 7.32% 7.14% 7.32% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.11% 2.15% 1.05% 1.06% 1.59% Y 16.92% 8.20% 3.28% 0.00% 7.10% Y

18 HARBORAGE, THE 315307 3.30% 2.27% 5.08% 4.60% 3.81% Y 0.49% 0.49% 0.47% 0.00% 0.36% Y 3.88% 2.45% 1.88% 2.43% 2.66% Y 4.43% 5.50% 4.78% 4.95% 4.92% Y

19 HARTWYCK AT OAK TREE 315251 6.35% 11.67% 9.62% 17.46% 11.27% N 6.85% 8.82% 6.45% 8.33% 7.61% N 1.37% 2.94% 3.23% 1.39% 2.23% Y 11.43% 15.15% 15.00% 15.49% 14.27% Y

20 JFK HARTWYCK AT CEDAR BROOK 315101 5.88% 6.25% 7.27% 11.54% 7.74% N 4.95% 4.95% 4.95% 6.25% 5.28% N 0.00% 0.00% 0.00% 1.04% 0.26% Y 18.33% 17.46% 16.39% 18.64% 17.71% N

21 LAKEVIEW REHABILITATION & CARE CTR 315110 7.58% 7.69% 5.71% 13.11% 8.52% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.41% 3.41% 1.14% 1.19% 2.04% Y 11.39% 9.64% 10.98% 12.82% 11.21% Y

22 LEISURE CHATEAU REHABILITATION 315190 8.74% 7.41% 4.50% 6.67% 6.83% N 12.21% 12.87% 14.37% 13.53% 13.24% N 1.74% 2.34% 2.30% 2.35% 2.18% Y 12.35% 13.10% 14.63% 8.97% 12.26% Y

23 MEADOWVIEW NURSING & RESPIRATORY CARE 315257 7.00% 7.00% 10.19% 8.60% 8.20% N 0.76% 0.75% 0.72% 0.82% 0.76% N 3.03% 1.49% 0.00% 0.81% 1.33% Y 5.74% 8.00% 7.75% 11.40% 8.22% Y

24 PREAKNESS HEALTHCARE CTR 315361 7.44% 7.62% 5.24% 8.73% 7.26% N 0.30% 0.00% 0.00% 0.29% 0.15% Y 1.20% 1.83% 3.22% 3.17% 2.36% Y 11.76% 11.24% 11.35% 11.46% 11.45% Y

25 SILVER HEALTHCARE CTR 315280 12.35% 11.70% 13.04% 8.70% 11.45% N 5.66% 5.00% 2.72% 3.23% 4.15% N 5.03% 3.89% 2.72% 2.15% 3.45% N 13.22% 16.79% 14.39% 13.38% 14.45% Y

26 VOORHEES PEDIATRIC FACILITY 315289 1.90% 0.00% 0.00% 3.00% 1.23% Y 0.89% 0.95% 0.95% 0.93% 0.93% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 7.14% 5.71% 6.67% 5.56% 6.27% Y

27 WANAQUE CTR FOR NURSING & REHABILITATION, THE 315229 2.87% 1.70% 1.80% 1.84% 2.05% Y 2.42% 3.33% 2.96% 3.03% 2.93% N 0.97% 0.95% 0.99% 0.00% 0.73% Y 6.15% 8.63% 8.99% 7.57% 7.84% Y

28 WESTFIELD CTR 315122 5.71% 9.09% 6.19% 11.46% 8.11% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 2.11% 2.84% 2.76% 2.11% 2.46% Y 13.14% 14.71% 12.14% 11.85% 12.96% Y

29 WILLOW CREEK REHAB & CARE CTR 315131 7.32% 10.00% 8.00% 11.84% 9.29% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 0.00% 0.92% 2.88% 3.81% 1.90% Y 11.54% 8.82% 7.22% 8.25% 8.96% Y

30 WINDSOR GARDENS CARE CTR 315178 11.69% 8.33% 10.81% 12.33% 10.79% N 0.00% 0.00% 0.00% 0.00% 0.00% Y 1.21% 1.79% 1.16% 1.20% 1.34% Y 3.45% 1.61% 2.34% 3.85% 2.81% Y

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This is the final report for fiscal year 2020. All data is final and not subject to appeal or change. 10/10