Resident Health Quality » Concordia Healthcare Center-Heritage 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 16.4 7.6 28.5 15.3
Percentage of high risk long-stay residents with pressure ulcers 12.2 11.6 8.3 12.4
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 1.7 1.6
Percentage of long-stay residents whose need for help with daily activities has increased 11.5 14.5 18.5 13.4
Percentage of long-stay residents who self-report moderate to severe pain 9.2 1.9 0.0 3.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.4
Percentage of long-stay residents with a urinary tract infection 0.0 3.4 7.5 5.2
Percentage of long-stay residents who received an antipsychotic medication 19.1 14.0 14.9 15.3

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 * * * 79.3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 3.3 1.6
Percentage of short-stay residents who self-report moderate to severe pain 9.7 23.3 21.6 19.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.6 25.0 25.9 27.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.7 91.7 91.7 91.7
Percentage of long-stay residents who lose too much weight 1.8 0.0 0.0 2.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 99.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 30.8 55.2 53.8 48.2
Percentage of long-stay residents who have depressive symptoms 1.8 11.9 3.8 5.4
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 82.9 82.9 82.9 82.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 86.1 64.6 81.9
  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