Resident Health Quality » The Waters of Cumberland, 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 11.0 6.8 6.6 6.5
Percentage of high risk long-stay residents with pressure ulcers 8.1 8.3 9.1 10.0
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 19.7 4.3 7.9 10.2
Percentage of long-stay residents who self-report moderate to severe pain 26.1 18.3 23.1 23.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.4 4.0 3.0 3.1
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 2.9 0.7
Percentage of long-stay residents who received an antipsychotic medication 18.9 15.3 17.3 18.3

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 * * * 63.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 4.3 2.1
Percentage of short-stay residents who self-report moderate to severe pain 38.1 29.4 44.1 38.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.8 20.3 14.7 17.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.5 89.5 89.5 89.5
Percentage of long-stay residents who lose too much weight 4.3 1.4 0.0 1.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.7 87.0 80.0 84.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder 21.2 28.2 27.5 24.7
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 22.9 22.9 22.9 22.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 36.9 35.0 34.6 34.4
  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