Resident Health Quality » Pacific Gardens Nursing and Rehabilitation Center

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 4.8 9.2 16.5 12.2
Percentage of high risk long-stay residents with pressure ulcers 3.0 2.1 5.2 3.5
Percentage of long-stay residents experiencing one or more falls with major injury 1.7 2.7 1.9 2.0
Percentage of long-stay residents whose need for help with daily activities has increased 0.9 2.8 3.9 3.1
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 0.0 0.0 1.1 0.2
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.9 0.2
Percentage of long-stay residents who received an antipsychotic medication 4.5 5.7 8.0 6.4

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 74.3 83.0 85.8 82.1
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.4 0.4
Percentage of short-stay residents who self-report moderate to severe pain 0.0 0.0 0.6 0.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.9 10.3 13.5 11.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 7.3 7.5 3.8 5.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 41.4 38.5 58.3 45.3
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 99.8 99.8 99.8 99.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 99.9

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