Resident Health Quality » All Saints Healthcare Subacute

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 * * * *
Percentage of high risk long-stay residents with pressure ulcers 10.4 9.3 9.3 9.5
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 0.0 0.0
Percentage of long-stay residents whose need for help with daily activities has increased 0.0 5.0 * 1.3
Percentage of long-stay residents who self-report moderate to severe pain * * * 12.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.7 5.6 8.5 7.9
Percentage of long-stay residents with a urinary tract infection 2.5 0.9 0.9 1.3
Percentage of long-stay residents who received an antipsychotic medication 3.4 2.7 2.7 3.1

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 9.4
Percentage of short-stay residents who self-report moderate to severe pain * * * 8.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 33.6 34.8 32.1 33.0
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 2.5 1.8 1.8 2.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2 100.0 99.1 99.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * *
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 1.7 1.8 1.8 2.0

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 * * * 92.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * 78.3 92.0 82.7
  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