Resident Health Quality » Manderley Health Care 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 3.6 11.6 14.3 11.2
Percentage of high risk long-stay residents with pressure ulcers 2.6 11.1 7.9 7.9
Percentage of long-stay residents experiencing one or more falls with major injury 2.4 7.3 8.9 6.9
Percentage of long-stay residents whose need for help with daily activities has increased 2.9 0.0 2.8 6.3
Percentage of long-stay residents who self-report moderate to severe pain 9.5 4.2 9.8 8.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.8 10.3 0.0 4.3
Percentage of long-stay residents with a urinary tract infection 7.5 4.9 8.9 8.1
Percentage of long-stay residents who received an antipsychotic medication 12.5 15.0 20.5 18.2

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 * * * 77.9
Percentage of short-stay residents who newly received an antipsychotic medication 4.0 3.7 3.6 4.1
Percentage of short-stay residents who self-report moderate to severe pain 29.2 20.0 16.7 23.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.1 22.9 27.5 25.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7 97.7 97.7 97.7
Percentage of long-stay residents who lose too much weight 5.3 2.9 2.5 2.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 97.8 97.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 67.2
Percentage of long-stay residents who have depressive symptoms 5.3 0.0 0.0 1.3
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 100.0 100.0 100.0 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 91.7 87.2 93.2
  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