Resident Health Quality » Mission Hills Post Acute Care

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 * * 12.8 17.1
Percentage of high risk long-stay residents with pressure ulcers * * * 4.1
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 6.5 2.6
Percentage of long-stay residents whose need for help with daily activities has increased 4.8 4.3 3.4 4.8
Percentage of long-stay residents who self-report moderate to severe pain * * 0.0 0.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 17.2 4.9 5.1 6.0
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.0
Percentage of long-stay residents who received an antipsychotic medication 12.5 14.8 9.7 13.0

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 65.8 64.2 58.6 61.4
Percentage of short-stay residents who newly received an antipsychotic medication 1.5 2.4 2.5 1.8
Percentage of short-stay residents who self-report moderate to severe pain 5.2 6.2 1.6 2.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.1 4.3 6.9 8.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 78.1 78.1 78.1 78.1
Percentage of long-stay residents who lose too much weight 13.6 34.8 6.9 13.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 96.3 100.0 99.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 36.4
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 64.3 64.3 64.3 64.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.9 85.6 93.7 88.7
  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