Resident Health Quality » Columbine West Health and Rehab 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 11.8 16.4 11.7 14.1
Percentage of high risk long-stay residents with pressure ulcers 2.5 2.4 5.0 3.7
Percentage of long-stay residents experiencing one or more falls with major injury 2.2 0.0 1.1 1.4
Percentage of long-stay residents whose need for help with daily activities has increased 8.1 7.2 7.9 7.0
Percentage of long-stay residents who self-report moderate to severe pain 14.5 12.1 16.1 14.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.9 2.6 2.5 2.8
Percentage of long-stay residents with a urinary tract infection 2.3 4.4 6.8 4.0
Percentage of long-stay residents who received an antipsychotic medication 14.0 19.5 16.5 16.7

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 * * 58.9 56.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 2.6 0.7
Percentage of short-stay residents who self-report moderate to severe pain 9.8 14.0 22.6 18.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.2 13.0 11.1 14.2
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 0.0 0.0 3.2 2.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.8 95.6 90.9 85.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 56.8 70.8 72.1 67.8
Percentage of long-stay residents who have depressive symptoms 3.4 4.5 6.8 4.6
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 88.9 88.9 88.9 88.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.9 89.5 92.6 83.1
  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