Resident Health Quality » Serenity Care and Rehab

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 3.8 8.7 25.8 20.4
Percentage of high risk long-stay residents with pressure ulcers 4.3 5.9 11.5 9.5
Percentage of long-stay residents experiencing one or more falls with major injury 5.2 3.4 3.6 3.6
Percentage of long-stay residents whose need for help with daily activities has increased 8.8 8.7 30.1 22.6
Percentage of long-stay residents who self-report moderate to severe pain 0.0 2.4 4.3 2.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 1.7 4.3 2.8
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.0
Percentage of long-stay residents who received an antipsychotic medication 21.4 22.9 26.0 24.3

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 * * 21.0 26.3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 2.1 2.0 1.7
Percentage of short-stay residents who self-report moderate to severe pain 5.3 4.1 5.0 4.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.8 25.0 27.4 26.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.5 91.5 91.5 91.5
Percentage of long-stay residents who lose too much weight 1.7 2.8 4.3 3.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.1 93.3 94.5 93.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 33.3 27.0 34.9 32.7
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 1.0 0.6
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.9 0.5

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 28.6 28.6 28.6 28.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.3 91.3 93.1 86.6
  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