Resident Health Quality » Grove of Berwyn, 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 35.5 14.0 27.8 28.4
Percentage of high risk long-stay residents with pressure ulcers 10.7 14.5 9.5 11.1
Percentage of long-stay residents experiencing one or more falls with major injury 1.8 1.9 0.9 1.4
Percentage of long-stay residents whose need for help with daily activities has increased 22.5 14.0 12.6 14.9
Percentage of long-stay residents who self-report moderate to severe pain 9.5 9.5 8.6 9.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.9 5.2 5.2 5.2
Percentage of long-stay residents with a urinary tract infection 9.2 5.7 7.5 7.7
Percentage of long-stay residents who received an antipsychotic medication 14.1 18.1 16.3 15.8

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 * 48.1 * 44.9
Percentage of short-stay residents who newly received an antipsychotic medication 5.6 4.7 5.3 4.8
Percentage of short-stay residents who self-report moderate to severe pain 18.0 16.3 2.6 13.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.0 18.4 10.6 14.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.5 93.5 93.5 93.5
Percentage of long-stay residents who lose too much weight 8.5 7.8 5.9 7.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 75.5 65.1 58.7 61.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder 42.6 50.0 33.3 40.3
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 10.0 16.5
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 43.7 43.7 43.7 43.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 27.6 12.3 11.3 14.7
  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