Resident Health Quality » Mission Palms of Mesa Health and Rehabilitation Continuing Education

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 11.5 21.7 25.0 21.0
Percentage of high risk long-stay residents with pressure ulcers 7.9 15.2 20.7 14.0
Percentage of long-stay residents experiencing one or more falls with major injury 2.1 2.2 4.4 2.6
Percentage of long-stay residents whose need for help with daily activities has increased 14.6 9.8 21.4 15.2
Percentage of long-stay residents who self-report moderate to severe pain 2.0 2.1 4.5 3.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 2.1 2.4 2.3
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 4.4 1.6
Percentage of long-stay residents who received an antipsychotic medication 10.4 4.4 9.1 8.6

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 57.8 55.5 51.4 55.6
Percentage of short-stay residents who newly received an antipsychotic medication 3.5 3.9 3.9 4.0
Percentage of short-stay residents who self-report moderate to severe pain 2.9 1.2 0.7 1.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.3 9.8 9.3 8.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.4 94.4 94.4 94.4
Percentage of long-stay residents who lose too much weight 11.9 0.0 4.7 4.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 97.8 98.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 47.6 60.0 * 50.7
Percentage of long-stay residents who have depressive symptoms 2.1 4.5 2.3 2.2
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 79.6 79.6 79.6 79.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.1 98.3 98.6 97.8
  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