Resident Health Quality » Surrey Place Care 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 23.9 27.5 6.6 15.5
Percentage of high risk long-stay residents with pressure ulcers 7.7 3.1 3.1 4.8
Percentage of long-stay residents experiencing one or more falls with major injury 11.8 12.8 10.9 11.5
Percentage of long-stay residents whose need for help with daily activities has increased 29.2 32.3 13.6 22.1
Percentage of long-stay residents who self-report moderate to severe pain 3.4 7.9 11.9 8.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a urinary tract infection 3.1 5.1 2.2 3.1
Percentage of long-stay residents who received an antipsychotic medication 8.8 10.3 11.1 8.5

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 71.8 62.7 57.7 62.7
Percentage of short-stay residents who newly received an antipsychotic medication 1.2 2.4 1.7 1.8
Percentage of short-stay residents who self-report moderate to severe pain 4.0 5.1 6.4 6.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 32.0 36.4 36.4 36.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6 97.6 97.6 97.6
Percentage of long-stay residents who lose too much weight 8.3 12.1 14.0 12.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.1 100.0 93.5 97.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 41.7 63.3 49.1
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 5.0 2.1
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 97.6 97.6 97.6 97.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.8 95.4 93.3 95.5
  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