Resident Health Quality » Bishops Glen Retirement 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 * * 30.2 17.6
Percentage of high risk long-stay residents with pressure ulcers 16.1 7.1 3.0 7.1
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 0.0 0.0
Percentage of long-stay residents whose need for help with daily activities has increased 25.9 4.0 21.4 20.0
Percentage of long-stay residents who self-report moderate to severe pain 2.7 3.1 0.0 1.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.7 3.5 0.0 2.6
Percentage of long-stay residents with a urinary tract infection 20.5 11.4 11.1 12.8
Percentage of long-stay residents who received an antipsychotic medication 14.6 11.4 13.9 12.6

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 55.2 66.4 54.1 55.0
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 4.0 7.7 5.4 4.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.5 32.1 35.7 32.2
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 17.2 10.7 10.7 9.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.6 97.1 94.4 97.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 45.5
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 2.4 2.9 0.0 1.3

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 76.9 76.9 76.9 76.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 77.0 73.2 83.8 80.8
  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