Resident Health Quality » Mount St Francis Nursing 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 8.9 10.0 18.3 13.3
Percentage of high risk long-stay residents with pressure ulcers 3.2 1.6 0.0 1.2
Percentage of long-stay residents experiencing one or more falls with major injury 6.8 7.1 6.9 6.4
Percentage of long-stay residents whose need for help with daily activities has increased 11.6 8.4 18.4 12.7
Percentage of long-stay residents who self-report moderate to severe pain 2.5 3.7 3.5 2.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.4 2.7 1.4 1.9
Percentage of long-stay residents with a urinary tract infection 3.9 4.0 4.0 4.2
Percentage of long-stay residents who received an antipsychotic medication 7.9 9.2 10.9 9.5

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 * * * 0.0
Percentage of short-stay residents who self-report moderate to severe pain * * * 6.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 5.2 5.2 5.1 5.1
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 13.4 5.2 6.1 7.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0 100.0 99.0 99.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 37.5 42.9 43.4 41.6
Percentage of long-stay residents who have depressive symptoms 11.7 7.2 3.0 5.8
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 * * * 90.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * 69.6 90.0 79.7
  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