Resident Health Quality » Spring Creek Health & Rehab

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 15.2 26.2 22.3 18.1
Percentage of high risk long-stay residents with pressure ulcers 14.9 4.5 8.0 8.3
Percentage of long-stay residents experiencing one or more falls with major injury 5.1 4.1 5.1 4.5
Percentage of long-stay residents whose need for help with daily activities has increased 14.5 18.0 21.7 17.3
Percentage of long-stay residents who self-report moderate to severe pain 0.0 1.7 5.8 1.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 1.4 0.4
Percentage of long-stay residents with a urinary tract infection 1.3 1.4 1.3 1.6
Percentage of long-stay residents who received an antipsychotic medication 16.0 17.1 20.3 18.5

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 * * * 86.9
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 3.4 12.5 3.8
Percentage of short-stay residents who self-report moderate to severe pain 0.0 0.0 5.1 2.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.8 7.7 12.1 14.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5 97.5 97.5 97.5
Percentage of long-stay residents who lose too much weight 4.5 0.0 0.0 1.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.3 100.0 98.7 96.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 35.5 37.0 38.5 34.5
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 60.5 60.5 60.5 60.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 42.9 50.0 67.3 62.1
  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