Resident Health Quality » Santa Fe Heights Healthcare Center, 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 11.4 20.6 20.6 15.1
Percentage of high risk long-stay residents with pressure ulcers 11.1 6.4 8.9 8.6
Percentage of long-stay residents experiencing one or more falls with major injury 2.4 1.3 0.0 1.0
Percentage of long-stay residents whose need for help with daily activities has increased 12.7 16.4 13.0 11.7
Percentage of long-stay residents who self-report moderate to severe pain 9.7 14.0 9.7 9.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.9 2.7 1.4 2.5
Percentage of long-stay residents with a urinary tract infection 3.8 2.7 3.9 4.2
Percentage of long-stay residents who received an antipsychotic medication 5.3 9.4 6.9 7.8

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 43.8 68.5 73.2 63.8
Percentage of short-stay residents who newly received an antipsychotic medication * * * 0.0
Percentage of short-stay residents who self-report moderate to severe pain 14.8 14.9 13.5 13.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 32.0 33.8 26.0 28.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7 97.7 97.7 97.7
Percentage of long-stay residents who lose too much weight 2.8 1.5 7.0 3.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 99.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 28.9 48.6 48.8 44.7
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.4
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 84.8 84.8 84.8 84.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.8 94.5 94.2 87.1
  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