Resident Health Quality » Marian Medical Center Distinct Part Skilled Nursing Facility

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 28.5 16.9 14.9 19.0
Percentage of high risk long-stay residents with pressure ulcers 5.0 5.1 7.9 5.2
Percentage of long-stay residents experiencing one or more falls with major injury 3.6 3.6 1.9 2.7
Percentage of long-stay residents whose need for help with daily activities has increased 25.5 9.3 20.0 15.9
Percentage of long-stay residents who self-report moderate to severe pain 6.2 6.1 4.2 5.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.5 3.6 3.7 4.4
Percentage of long-stay residents with a urinary tract infection 1.8 1.8 11.1 4.1
Percentage of long-stay residents who received an antipsychotic medication 11.3 9.6 7.8 10.1

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 74.6 74.3 78.1 76.9
Percentage of short-stay residents who newly received an antipsychotic medication 2.7 1.2 0.5 1.3
Percentage of short-stay residents who self-report moderate to severe pain 19.7 20.7 18.7 19.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.0 17.6 23.1 21.7
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 9.1 15.7 7.7 10.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.9 94.5 100.0 95.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 32.9
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 93.6 93.6 93.6 93.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.5 94.8 94.8 96.0
  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