Resident Health Quality » Trinity Manor

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 23.8 20.9 28.8 20.3
Percentage of high risk long-stay residents with pressure ulcers 11.1 8.6 14.3 12.8
Percentage of long-stay residents experiencing one or more falls with major injury 4.3 4.0 2.1 3.1
Percentage of long-stay residents whose need for help with daily activities has increased 35.1 13.3 10.9 19.1
Percentage of long-stay residents who self-report moderate to severe pain 0.0 16.9 23.0 11.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.8 3.0 2.9 2.4
Percentage of long-stay residents with a urinary tract infection 6.5 8.2 2.1 4.7
Percentage of long-stay residents who received an antipsychotic medication 29.5 29.2 33.3 31.3

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 * * * 70.6
Percentage of short-stay residents who newly received an antipsychotic medication 3.2 3.8 0.0 2.0
Percentage of short-stay residents who self-report moderate to severe pain * * 45.0 35.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.2 16.3 13.0 15.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.8 95.8 95.8 95.8
Percentage of long-stay residents who lose too much weight 2.3 2.1 6.5 3.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 80.4 66.0 64.6 76.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 52.2 60.0 63.0 56.4
Percentage of long-stay residents who have depressive symptoms 2.3 0.0 0.0 0.5
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 13.6 13.6 13.6 13.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 47.7 35.3 41.7 45.8
  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