Resident Health Quality » Bethlehem Woods Nursing and Rehabilitation

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 7.5 1.3 4.1 4.6
Percentage of high risk long-stay residents with pressure ulcers 2.6 2.6 1.4 3.1
Percentage of long-stay residents experiencing one or more falls with major injury 5.1 4.8 4.8 4.9
Percentage of long-stay residents whose need for help with daily activities has increased 29.0 9.5 5.6 13.7
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 0.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6 0.0 0.0 0.4
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.0
Percentage of long-stay residents who received an antipsychotic medication 9.9 7.8 9.1 8.6

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 * * * 49.4
Percentage of short-stay residents who newly received an antipsychotic medication 4.0 4.5 * 2.9
Percentage of short-stay residents who self-report moderate to severe pain 0.0 0.0 * 0.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.3 7.8 16.9 14.9
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 11.1 7.8 9.6 8.1
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 87.5 71.0 85.7 79.6
Percentage of long-stay residents who have depressive symptoms 28.8 19.2 15.5 16.8
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 93.9 93.9 93.9 93.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.4 89.1 79.4 87.5
  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