Resident Health Quality » Twilight Haven

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 * * * 25.5
Percentage of high risk long-stay residents with pressure ulcers 9.4 13.5 10.5 11.3
Percentage of long-stay residents experiencing one or more falls with major injury 2.9 0.0 0.0 0.6
Percentage of long-stay residents whose need for help with daily activities has increased 4.0 37.9 14.3 15.7
Percentage of long-stay residents who self-report moderate to severe pain * * 11.1 10.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6 3.2 0.0 1.2
Percentage of long-stay residents with a urinary tract infection 5.9 7.3 2.4 3.9
Percentage of long-stay residents who received an antipsychotic medication 14.7 15.0 12.5 12.2

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 * * * 55.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 * 2.1
Percentage of short-stay residents who self-report moderate to severe pain * * * 29.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.0 34.3 33.3 32.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 56.8 56.8 56.8 56.8
Percentage of long-stay residents who lose too much weight 6.9 5.7 2.8 3.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 42.9 19.5 19.5 27.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 60.0
Percentage of long-stay residents who have depressive symptoms * 14.8 5.4 5.6
Percentage of long-stay residents who were physically restrained 2.9 0.0 0.0 0.6

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 54.3 54.3 54.3 54.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 52.6 39.0 44.8 46.5
  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