Resident Health Quality » Madonna 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 11.2 4.7 11.9 10.4
Percentage of high risk long-stay residents with pressure ulcers 8.8 13.5 11.4 11.3
Percentage of long-stay residents experiencing one or more falls with major injury 2.5 2.5 2.6 2.5
Percentage of long-stay residents whose need for help with daily activities has increased 5.4 5.6 5.7 5.5
Percentage of long-stay residents who self-report moderate to severe pain 0.0 3.2 0.0 0.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.7 3.3 1.9 3.1
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 18.9 18.9 22.2 20.8

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 71.2 76.6 76.3 70.6
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 3.2 1.8
Percentage of short-stay residents who self-report moderate to severe pain 11.1 4.5 2.4 4.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.6 19.4 17.1 18.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.6 95.6 95.6 95.6
Percentage of long-stay residents who lose too much weight 5.6 2.8 0.0 4.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.5 100.0 100.0 99.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 78.5
Percentage of long-stay residents who have depressive symptoms 2.7 2.8 0.0 1.4
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 89.0 89.0 89.0 89.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.1 96.9 100.0 95.0
  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