Resident Health Quality » Signature Healthcare of South Bend

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 33.9 18.4 32.3 26.3
Percentage of high risk long-stay residents with pressure ulcers 2.6 3.0 3.0 3.1
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 0.0 0.0
Percentage of long-stay residents whose need for help with daily activities has increased 34.1 18.6 25.0 22.2
Percentage of long-stay residents who self-report moderate to severe pain 0.0 4.4 10.9 3.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 2.5 0.6
Percentage of long-stay residents with a urinary tract infection 2.1 0.0 0.0 0.6
Percentage of long-stay residents who received an antipsychotic medication 6.8 8.7 8.3 8.7

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 * * * 53.7
Percentage of short-stay residents who newly received an antipsychotic medication 2.5 2.9 0.0 1.6
Percentage of short-stay residents who self-report moderate to severe pain * * 12.5 6.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.5 26.1 27.8 24.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 87.5 87.5 87.5 87.5
Percentage of long-stay residents who lose too much weight 4.5 6.5 8.3 5.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.6 71.4 74.4 81.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 36.4 40.0 66.7 48.1
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 5.6 6.0
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 49.2 49.2 49.2 49.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 51.5 45.3 14.3 38.4
  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