Resident Health Quality » Cypress Grove Rehabilitation Center

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 20.9 16.8 10.2 15.4
Percentage of high risk long-stay residents with pressure ulcers 8.1 4.4 2.5 4.5
Percentage of long-stay residents experiencing one or more falls with major injury 10.0 7.5 7.6 7.7
Percentage of long-stay residents whose need for help with daily activities has increased 19.2 19.4 7.0 13.0
Percentage of long-stay residents who self-report moderate to severe pain 0.0 5.8 0.0 1.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a urinary tract infection 1.7 1.5 0.0 1.2
Percentage of long-stay residents who received an antipsychotic medication 13.0 14.5 13.8 12.6

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 * * * 53.3
Percentage of short-stay residents who newly received an antipsychotic medication 3.6 * 3.6 3.0
Percentage of short-stay residents who self-report moderate to severe pain * * 4.8 4.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.7 30.2 39.7 31.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 79.7 79.7 79.7 79.7
Percentage of long-stay residents who lose too much weight 9.1 3.2 4.9 5.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 80.0 61.2 65.2 68.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 45.5 36.4 37.5 40.9
Percentage of long-stay residents who have depressive symptoms 5.9 17.0 13.8 11.7
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 57.7 57.7 57.7 57.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 54.2 48.1 57.6 56.3
  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