Resident Health Quality » Mission San Miguel Nursing and Rehab 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 13.4 8.9 8.4 12.0
Percentage of high risk long-stay residents with pressure ulcers 2.6 3.0 2.7 3.5
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 1.3 0.6
Percentage of long-stay residents whose need for help with daily activities has increased 14.9 11.0 8.3 10.6
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 2.1 1.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5 3.4 5.9 3.9
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 1.3
Percentage of long-stay residents who received an antipsychotic medication 30.5 31.5 32.1 32.3

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 * * * 66.8
Percentage of short-stay residents who newly received an antipsychotic medication * * * 4.1
Percentage of short-stay residents who self-report moderate to severe pain * * 4.8 7.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.0 13.7 11.1 11.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.3 95.3 95.3 95.3
Percentage of long-stay residents who lose too much weight 2.6 1.4 5.6 3.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8 100.0 100.0 99.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 32.3 42.6 53.7 43.4
Percentage of long-stay residents who have depressive symptoms 1.3 0.0 1.6 1.4
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 60.9 60.9 60.9 60.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 84.6 90.0 88.6 88.2
  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