Resident Health Quality » Bishop Drumm Retirement 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 17.0 22.2 19.8 19.6
Percentage of high risk long-stay residents with pressure ulcers 10.8 8.0 2.2 6.6
Percentage of long-stay residents experiencing one or more falls with major injury 2.9 1.9 0.9 1.6
Percentage of long-stay residents whose need for help with daily activities has increased 9.3 20.2 8.2 12.0
Percentage of long-stay residents who self-report moderate to severe pain 6.0 2.2 4.2 3.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.2 0.0 0.8 1.5
Percentage of long-stay residents with a urinary tract infection 2.9 3.7 2.7 2.8
Percentage of long-stay residents who received an antipsychotic medication 2.9 5.6 4.5 4.7

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 49.4 57.8 61.6 56.9
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 12.0 12.0 10.0 9.5

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 12.1 9.2 9.6
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 4.0 5.1 3.1 3.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0 99.1 98.2 98.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 69.1 65.2 46.8 59.4
Percentage of long-stay residents who have depressive symptoms 0.0 1.0 0.0 0.2
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 79.6 79.6 79.6 79.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.5 95.8 98.0 94.1

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