Resident Health Quality » Gracemore Nursing and Rehab

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 * * * 9.7
Percentage of high risk long-stay residents with pressure ulcers 3.4 11.1 0.0 5.2
Percentage of long-stay residents experiencing one or more falls with major injury 2.6 2.8 5.3 4.5
Percentage of long-stay residents whose need for help with daily activities has increased 25.8 20.0 9.7 19.0
Percentage of long-stay residents who self-report moderate to severe pain 14.9 27.8 10.5 15.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.7
Percentage of long-stay residents with a urinary tract infection 2.6 0.0 0.0 0.7
Percentage of long-stay residents who received an antipsychotic medication 8.6 6.3 3.0 6.6

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 * * * 69.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain * * * 44.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.7 14.3 14.3 17.2
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 5.3 0.0 0.0 2.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.4 100.0 97.4 98.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 14.3
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 97.8 97.8 97.8 97.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.7 100.0 91.3 91.7
  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