Resident Health Quality » Pebblebrook Health Center at Park Springs

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 * * * 22.8
Percentage of high risk long-stay residents with pressure ulcers 7.4 3.6 13.8 11.4
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 3.4 6.1 4.0
Percentage of long-stay residents whose need for help with daily activities has increased * 37.5 40.7 33.3
Percentage of long-stay residents who self-report moderate to severe pain 0.0 5.5 4.6 4.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.2 5.3 8.5 8.2
Percentage of long-stay residents with a urinary tract infection 10.7 17.2 15.2 16.3
Percentage of long-stay residents who received an antipsychotic medication 17.9 24.1 21.2 21.0

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 81.8 80.5 78.9 79.4
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 9.0 7.1 11.9 11.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.7 11.1 24.1 18.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 84.4 84.4 84.4 84.4
Percentage of long-stay residents who lose too much weight 11.1 0.0 6.9 6.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.4 96.6 100.0 98.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 66.7
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 83.0 83.0 83.0 83.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.7 96.3 96.0 95.8
  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