Resident Health Quality » Cedar Springs Health 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 31.3 30.9 21.3 29.0
Percentage of high risk long-stay residents with pressure ulcers 13.5 25.7 15.2 17.5
Percentage of long-stay residents experiencing one or more falls with major injury 4.7 6.1 4.9 4.4
Percentage of long-stay residents whose need for help with daily activities has increased 14.3 7.0 20.8 15.6
Percentage of long-stay residents who self-report moderate to severe pain 25.7 29.2 25.9 25.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.6 1.3 2.1 3.4
Percentage of long-stay residents with a urinary tract infection 3.2 1.6 3.4 2.5
Percentage of long-stay residents who received an antipsychotic medication 17.0 16.7 17.8 18.2

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 * * * 52.2
Percentage of short-stay residents who newly received an antipsychotic medication * * * 4.0
Percentage of short-stay residents who self-report moderate to severe pain * * * 25.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 44.6 49.1 47.2 46.3
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 7.1 9.1 4.0 7.1
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 42.1 36.4 42.1 37.8
Percentage of long-stay residents who have depressive symptoms 29.3 25.0 23.4 23.9
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 * * 97.4
  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