Resident Health Quality » South Haven 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 6.3 2.1 4.0 4.7
Percentage of high risk long-stay residents with pressure ulcers 3.7 3.8 5.1 4.4
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 2.3 2.2 1.7
Percentage of long-stay residents whose need for help with daily activities has increased 7.6 6.7 5.0 6.2
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9 0.0 0.0 0.5
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 3.4 1.7
Percentage of long-stay residents who received an antipsychotic medication 26.3 27.8 28.4 27.9

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 * * * 33.4
Percentage of short-stay residents who newly received an antipsychotic medication * * * 5.1
Percentage of short-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 0.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.9 32.3 29.7 31.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.7 94.7 94.7 94.7
Percentage of long-stay residents who lose too much weight 2.9 3.2 0.0 3.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 69.2 71.3 74.2 74.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 46.7 53.1 30.4 47.3
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 88.6 88.6 88.6 88.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.8 91.7 83.3 87.4
  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