Resident Health Quality » Hacienda Rehabilitation & Health Care 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 26.4 32.2 21.0 23.4
Percentage of high risk long-stay residents with pressure ulcers 10.9 12.7 12.3 10.3
Percentage of long-stay residents experiencing one or more falls with major injury 0.9 0.9 0.9 0.9
Percentage of long-stay residents whose need for help with daily activities has increased 30.0 21.0 15.6 21.2
Percentage of long-stay residents who self-report moderate to severe pain 0.0 8.2 1.6 2.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.1 1.6 2.0 1.4
Percentage of long-stay residents with a urinary tract infection 2.3 3.1 1.0 1.6
Percentage of long-stay residents who received an antipsychotic medication 5.8 5.7 6.4 6.6

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 * * * 66.8
Percentage of short-stay residents who newly received an antipsychotic medication 2.4 7.7 3.0 3.4
Percentage of short-stay residents who self-report moderate to severe pain 7.7 * * 5.3

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 9.3 9.5 8.1
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 7.5 13.5 5.8 8.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 98.2 99.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 33.3 33.3 30.3 33.1
Percentage of long-stay residents who have depressive symptoms 6.0 2.0 4.7 3.7
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 100.0 100.0 100.0 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.5 100.0 95.9 97.4
  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