Resident Health Quality » Seton Medical Center 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 12.8 12.2 5.5 11.8
Percentage of high risk long-stay residents with pressure ulcers 7.8 4.7 4.6 5.4
Percentage of long-stay residents experiencing one or more falls with major injury 2.0 0.7 0.7 0.8
Percentage of long-stay residents whose need for help with daily activities has increased 7.7 14.9 9.0 10.2
Percentage of long-stay residents who self-report moderate to severe pain 4.4 3.6 9.2 5.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.1 6.0 4.1 4.3
Percentage of long-stay residents with a urinary tract infection 2.0 1.3 1.3 1.3
Percentage of long-stay residents who received an antipsychotic medication 11.5 10.1 10.1 10.2

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 * * * 43.0
Percentage of short-stay residents who newly received an antipsychotic medication * * 2.4 2.4
Percentage of short-stay residents who self-report moderate to severe pain * * 19.2 10.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.1 9.5 10.3 10.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.4 99.4 99.4 99.4
Percentage of long-stay residents who lose too much weight 6.0 7.5 4.1 5.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.7 93.4 95.3 95.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder 33.3 32.0 32.0 30.9
Percentage of long-stay residents who have depressive symptoms 3.0 2.9 2.9 2.9
Percentage of long-stay residents who were physically restrained 2.6 2.6 2.7 3.0

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 75.0 75.0 75.0 75.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 54.5 51.4 73.6 75.5
  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