Resident Health Quality » Pueblo Springs Rehabilitation Center

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 19.6 16.9 19.3 17.8
Percentage of high risk long-stay residents with pressure ulcers 9.1 13.3 18.8 11.7
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 0.0 0.0
Percentage of long-stay residents whose need for help with daily activities has increased 15.0 2.6 2.4 6.4
Percentage of long-stay residents who self-report moderate to severe pain * * * 15.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 8.3 2.1 0.0 2.8
Percentage of long-stay residents with a urinary tract infection 2.1 0.0 2.2 1.1
Percentage of long-stay residents who received an antipsychotic medication 5.4 2.8 2.6 2.8

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 51.3 54.2 54.5 56.1
Percentage of short-stay residents who newly received an antipsychotic medication 0.6 1.3 1.2 0.9
Percentage of short-stay residents who self-report moderate to severe pain 17.6 25.8 17.4 13.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.0 15.8 14.6 15.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1 98.1 98.1 98.1
Percentage of long-stay residents who lose too much weight 0.0 0.0 0.0 0.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.8 100.0 100.0 98.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder 50.0 58.1 59.3 55.5
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 86.9 86.9 86.9 86.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.8 97.5 98.2 95.5
  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