Resident Health Quality » Retreat, 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 17.4 6.7 10.7 11.3
Percentage of high risk long-stay residents with pressure ulcers 15.8 11.1 2.9 9.9
Percentage of long-stay residents experiencing one or more falls with major injury 5.7 5.9 2.0 3.4
Percentage of long-stay residents whose need for help with daily activities has increased 12.2 7.5 4.9 8.0
Percentage of long-stay residents who self-report moderate to severe pain 7.2 7.9 7.4 10.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 2.2 1.0
Percentage of long-stay residents with a urinary tract infection 3.9 2.0 4.0 3.5
Percentage of long-stay residents who received an antipsychotic medication 17.3 24.0 20.0 19.9

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 9.1
Percentage of short-stay residents who self-report moderate to severe pain * * * 34.5

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 13.6 12.8 12.2
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 2.4 0.0 4.3 2.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.5 94.1 94.0 94.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 51.9
Percentage of long-stay residents who have depressive symptoms 3.9 2.0 0.0 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 * * * 71.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 85.0
  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