Resident Health Quality » Southern Trace Rehabilitation and Care 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 8.8 11.5 9.3 13.4
Percentage of long-stay residents experiencing one or more falls with major injury 6.4 3.2 4.3 4.3
Percentage of long-stay residents whose need for help with daily activities has increased 5.9 7.3 12.3 11.8
Percentage of long-stay residents who self-report moderate to severe pain 7.5 7.6 4.8 5.9
Percentage of high risk long-stay residents with pressure ulcers 2.1 4.9 10.0 6.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.0 2.2 3.8 3.6
Percentage of long-stay residents with a urinary tract infection 10.6 10.9 4.4 7.7
Percentage of long-stay residents who received an antipsychotic medication 21.5 23.7 19.1 21.5
Percentage of long-stay residents who were physically restrained 2.1 3.2 2.2 2.4

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 70.7 75.8 * 74.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 18.6 22.4 18.4 19.5
Percentage of short-stay residents with pressure ulcers that are new or worsened 3.8 1.6 1.8 2.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.1 17.4 18.6 17.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 99.0 99.5
Percentage of long-stay residents who lose too much weight 6.4 14.1 8.8 10.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 34.3 32.3 26.7 30.8
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.3

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.0 95.7 97.3 93.7
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92.7 92.7 94.6 93.6
  1. * 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