Resident Health Quality » Susanna Wesley Health 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 * * * 2.6
Percentage of high risk long-stay residents with pressure ulcers 8.0 7.4 6.1 6.4
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 8.0 11.6 4.5 5.9
Percentage of long-stay residents who self-report moderate to severe pain 1.6 0.0 3.0 2.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.6 2.6 1.0 1.8
Percentage of long-stay residents with a urinary tract infection 5.8 11.4 8.9 8.6
Percentage of long-stay residents who received an antipsychotic medication 8.4 11.6 15.9 12.9

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 57.3 61.8 61.5 61.3
Percentage of short-stay residents who newly received an antipsychotic medication 3.1 4.4 5.0 4.8
Percentage of short-stay residents who self-report moderate to severe pain 1.1 1.2 1.4 1.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.4 19.2 20.0 20.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9 98.9 98.9 98.9
Percentage of long-stay residents who lose too much weight 10.3 7.6 16.0 10.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 31.5
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 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 90.4 90.4 90.4 90.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 97.4 97.0 97.5
  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