Resident Health Quality » St Clara's Rehab & Senior Care

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 30.4 36.5 29.4 27.2
Percentage of high risk long-stay residents with pressure ulcers 3.9 20.0 8.0 10.2
Percentage of long-stay residents experiencing one or more falls with major injury 3.1 1.6 3.0 3.0
Percentage of long-stay residents whose need for help with daily activities has increased 16.7 14.1 20.3 15.2
Percentage of long-stay residents who self-report moderate to severe pain 2.2 11.8 20.5 14.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.0 1.5 1.1 1.5
Percentage of long-stay residents with a urinary tract infection 17.5 14.1 1.5 8.6
Percentage of long-stay residents who received an antipsychotic medication 12.5 12.7 15.4 14.4

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 * 79.9 85.3 82.1
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 2.9 0.0 1.4
Percentage of short-stay residents who self-report moderate to severe pain 3.6 20.5 26.5 17.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.1 18.8 20.0 16.7
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 18.0 18.8 6.2 11.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 93.9 98.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder 69.0 56.5 48.4 55.6
Percentage of long-stay residents who have depressive symptoms 24.1 14.5 19.0 18.1
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 80.5 80.5 80.5 80.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.7 66.7 67.2 72.9
  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