Resident Health Quality » Civic Center Health and Rehabilitation, 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 3.5 8.7 20.7 12.1
Percentage of high risk long-stay residents with pressure ulcers 13.0 12.2 12.3 12.1
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 1.4 1.2 1.0
Percentage of long-stay residents whose need for help with daily activities has increased 11.6 6.2 14.3 12.4
Percentage of long-stay residents who self-report moderate to severe pain 8.4 12.1 5.7 7.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.3 5.0 8.5 7.1
Percentage of long-stay residents with a urinary tract infection 1.3 1.4 0.0 1.0
Percentage of long-stay residents who received an antipsychotic medication 7.1 8.3 7.3 7.5

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 * * * 25.1
Percentage of short-stay residents who newly received an antipsychotic medication * * 15.0 10.1
Percentage of short-stay residents who self-report moderate to severe pain * 4.8 * 7.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 35.1 33.3 38.8 35.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2 95.2 95.2 95.2
Percentage of long-stay residents who lose too much weight 1.3 5.7 3.8 3.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.6 93.1 97.5 95.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 38.9 48.6 48.6 38.2
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 88.5 88.5 88.5 88.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.0 92.3 94.7 87.0
  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