Resident Health Quality » Pavilion for Health Care, 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 * * * 18.9
Percentage of high risk long-stay residents with pressure ulcers 4.3 0.0 9.1 5.4
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 3.4 1.7
Percentage of long-stay residents whose need for help with daily activities has increased * 0.0 * 5.5
Percentage of long-stay residents who self-report moderate to severe pain * * * 0.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.1 0.0 0.0 0.8
Percentage of long-stay residents with a urinary tract infection 6.9 6.5 10.3 7.6
Percentage of long-stay residents who received an antipsychotic medication 10.3 16.1 17.2 14.4

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 * * 95.3 93.0
Percentage of short-stay residents who newly received an antipsychotic medication * * 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 8.0 4.0 3.0 6.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication * 13.6 * 19.0
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 * 4.5 * 2.5
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 * * * 40.0
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 3.8 0.9
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 100.0 100.0 100.0 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
  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