Resident Health Quality » Miracle Hill Nursing & Rehabilitation Center, Inc

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 29.9 14.5 19.5
Percentage of high risk long-stay residents with pressure ulcers 3.5 10.8 14.7 9.2
Percentage of long-stay residents experiencing one or more falls with major injury 2.2 2.0 1.9 1.8
Percentage of long-stay residents whose need for help with daily activities has increased 15.3 20.0 16.3 15.7
Percentage of long-stay residents who self-report moderate to severe pain 1.6 8.2 4.9 5.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.2 5.6 6.3 5.1
Percentage of long-stay residents with a urinary tract infection 4.7 7.2 1.0 4.0
Percentage of long-stay residents who received an antipsychotic medication 11.6 8.8 10.6 10.5

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 83.5 88.1 79.0 83.2
Percentage of short-stay residents who newly received an antipsychotic medication 4.5 8.6 5.6 5.5
Percentage of short-stay residents who self-report moderate to severe pain 20.4 17.6 11.4 15.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.6 11.1 7.8 9.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 52.9 52.9 52.9 52.9
Percentage of long-stay residents who lose too much weight 12.2 13.7 13.0 12.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 37.6 35.6 37.5 34.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder 14.8 20.7 13.3 17.1
Percentage of long-stay residents who have depressive symptoms 6.0 2.1 6.1 4.8
Percentage of long-stay residents who were physically restrained 1.1 1.0 0.0 0.5

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 58.0 58.0 58.0 58.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 52.8 50.0 55.4 55.6

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