Resident Health Quality » Notre Dame Convalescent Home I

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 23.0 19.7 42.5 27.2
Percentage of high risk long-stay residents with pressure ulcers 4.9 10.5 7.9 8.9
Percentage of long-stay residents experiencing one or more falls with major injury 4.0 4.3 2.0 3.1
Percentage of long-stay residents whose need for help with daily activities has increased 2.7 12.1 28.2 15.2
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 3.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 1.7 1.4
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 2.1 0.5
Percentage of long-stay residents who received an antipsychotic medication 16.3 15.6 14.6 14.7

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 84.8 91.6 89.5 87.8
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 2.4 6.8 6.8 5.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.1 14.6 13.0 13.9
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.4 94.4 94.4 94.4
Percentage of long-stay residents who lose too much weight 10.9 0.0 11.1 7.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.0 91.3 89.8 84.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 57.4
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.5
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 91.7 91.7 91.7 91.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.7 86.2 94.1 82.8
  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