Resident Health Quality » Mayers Memorial 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 21.9 18.9 27.7 23.8
Percentage of high risk long-stay residents with pressure ulcers 0.0 10.3 2.3 4.2
Percentage of long-stay residents experiencing one or more falls with major injury 1.4 1.4 2.9 1.4
Percentage of long-stay residents whose need for help with daily activities has increased 25.0 14.5 11.6 15.3
Percentage of long-stay residents who self-report moderate to severe pain 25.4 17.8 11.4 14.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.6 8.5 4.3 7.2
Percentage of long-stay residents with a urinary tract infection 1.4 0.0 2.9 2.9
Percentage of long-stay residents who received an antipsychotic medication 17.4 17.4 17.6 17.9

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 * * * 58.0
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 * * * 11.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.7 15.7 13.0 14.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.8 94.8 94.8 94.8
Percentage of long-stay residents who lose too much weight 11.6 6.0 8.8 7.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.9 95.8 97.1 94.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 30.3 44.1 37.0 39.5
Percentage of long-stay residents who have depressive symptoms 1.7 1.4 0.0 0.7
Percentage of long-stay residents who were physically restrained 1.4 2.8 2.9 1.8

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 64.0 64.0 64.0 64.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 69.0 69.6 60.0 67.0
  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