Resident Health Quality » St Johns Pleasant Valley Hospital Distinct Part Skilled Nursing Facility

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 * * * 17.3
Percentage of high risk long-stay residents with pressure ulcers 8.6 8.8 9.7 9.8
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 1.6 0.8
Percentage of long-stay residents whose need for help with daily activities has increased * * * 17.4
Percentage of long-stay residents who self-report moderate to severe pain 29.0 32.9 * 26.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 23.5 15.0 19.3 16.5
Percentage of long-stay residents with a urinary tract infection 8.3 6.8 7.9 8.3
Percentage of long-stay residents who received an antipsychotic medication 6.8 8.5 4.8 6.7

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 69.5 76.3 83.7 79.6
Percentage of short-stay residents who newly received an antipsychotic medication 1.7 1.4 1.5 1.6
Percentage of short-stay residents who self-report moderate to severe pain 28.8 27.0 30.8 26.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.4 32.8 28.6 31.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.0 97.0 97.0 97.0
Percentage of long-stay residents who lose too much weight 10.0 8.6 6.3 6.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.7 94.9 95.2 96.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * *
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 1.6 3.4 6.3 3.3

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 96.2 96.2 96.2 96.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.7 97.7 95.6 97.6
  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