Resident Health Quality » Nursing Center at Mercy, The

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 * * * 8.6
Percentage of high risk long-stay residents with pressure ulcers 22.5 13.5 6.5 13.8
Percentage of long-stay residents experiencing one or more falls with major injury 2.6 2.5 2.4 2.1
Percentage of long-stay residents whose need for help with daily activities has increased 3.5 1.9 6.9 3.0
Percentage of long-stay residents who self-report moderate to severe pain 1.5 3.3 7.7 5.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.9 6.6 4.7 4.2
Percentage of long-stay residents with a urinary tract infection 7.9 12.8 15.0 9.9
Percentage of long-stay residents who received an antipsychotic medication 39.1 35.2 40.0 37.4

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 2.2 6.6 7.8 6.5
Percentage of short-stay residents who newly received an antipsychotic medication 5.7 5.6 1.7 3.9
Percentage of short-stay residents who self-report moderate to severe pain 7.0 9.0 8.8 9.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.8 29.5 31.3 31.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 86.3 86.3 86.3 86.3
Percentage of long-stay residents who lose too much weight 1.5 0.0 1.6 1.2
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 * * * 15.1
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 97.4 97.4 97.4 97.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.6 100.0 100.0 99.9
  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