Resident Health Quality » Shadowbrook Post Acute

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 27.8 25.9 * 23.2
Percentage of high risk long-stay residents with pressure ulcers 8.7 9.1 0.0 6.6
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 3.3 1.5
Percentage of long-stay residents whose need for help with daily activities has increased 25.8 16.7 7.4 14.4
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 3.3 2.5 0.0 1.4
Percentage of long-stay residents with a urinary tract infection 6.5 15.6 6.9 8.6
Percentage of long-stay residents who received an antipsychotic medication 3.8 7.4 7.7 6.3

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 * * * 81.6
Percentage of short-stay residents who newly received an antipsychotic medication * 5.0 3.7 4.7
Percentage of short-stay residents who self-report moderate to severe pain 9.1 6.1 6.7 5.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.6 18.8 17.2 19.0
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 10.0 6.5 7.1 5.7
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 * * * 58.1
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 100.0 100.0 100.0 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
  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