Resident Health Quality » St. Francis Heights Convalescent Hospital

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 * * 22.1 11.0
Percentage of high risk long-stay residents with pressure ulcers 7.3 6.8 11.9 7.1
Percentage of long-stay residents experiencing one or more falls with major injury 2.0 1.9 0.0 1.0
Percentage of long-stay residents whose need for help with daily activities has increased 10.0 5.7 12.5 7.4
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 12.9 1.9 1.9 4.2
Percentage of long-stay residents with a urinary tract infection 4.1 0.0 0.0 1.0
Percentage of long-stay residents who received an antipsychotic medication 0.0 0.0 0.0 1.0

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 72.9 69.2 72.7 71.1
Percentage of short-stay residents who newly received an antipsychotic medication 0.4 0.0 0.0 0.1
Percentage of short-stay residents who self-report moderate to severe pain 4.4 4.0 1.2 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 6.1 8.0 3.8 6.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.2 98.2 98.2 98.2
Percentage of long-stay residents who lose too much weight 4.2 10.2 2.0 4.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 98.1 100.0 99.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 42.6
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 91.1 91.1 91.1 91.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.8 97.6 97.3 96.5
  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