Resident Health Quality » Tiffany Hall Nursing and Rehab 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 22.5 18.2 10.6 18.2
Percentage of high risk long-stay residents with pressure ulcers 6.4 5.3 11.1 7.3
Percentage of long-stay residents experiencing one or more falls with major injury 3.6 1.2 1.2 2.0
Percentage of long-stay residents whose need for help with daily activities has increased 19.0 10.4 10.5 12.1
Percentage of long-stay residents who self-report moderate to severe pain 4.2 2.2 3.2 3.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.2 1.1 1.1 1.7
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 1.2 0.3
Percentage of long-stay residents who received an antipsychotic medication 23.5 27.0 19.4 23.3

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 57.9 68.5 78.4 70.0
Percentage of short-stay residents who newly received an antipsychotic medication 2.3 4.1 4.8 4.2
Percentage of short-stay residents who self-report moderate to severe pain 12.5 7.8 15.4 12.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.0 16.5 12.5 14.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 69.8 69.8 69.8 69.8
Percentage of long-stay residents who lose too much weight 1.3 1.3 0.0 0.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.4 89.2 91.9 92.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 97.4 88.6 75.0 84.9
Percentage of long-stay residents who have depressive symptoms 1.3 1.4 1.3 2.0
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 71.6 71.6 71.6 71.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.2 92.0 87.7 89.3

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