Resident Health Quality » Pilgrim Manor Skilled Nursing and Rehabilitation

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 12.1 11.0 8.4 15.0
Percentage of high risk long-stay residents with pressure ulcers 5.8 5.4 4.4 7.3
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 2.4 3.1 2.4
Percentage of long-stay residents whose need for help with daily activities has increased 22.2 13.0 17.4 18.3
Percentage of long-stay residents who self-report moderate to severe pain 3.7 4.9 0.0 2.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.3 0.8 1.4 1.3
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.2
Percentage of long-stay residents who received an antipsychotic medication 19.7 7.1 12.7 13.0

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 73.4 69.4 53.0 63.2
Percentage of short-stay residents who newly received an antipsychotic medication 4.8 6.5 3.0 4.1
Percentage of short-stay residents who self-report moderate to severe pain 3.0 7.7 4.2 3.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.8 16.7 15.6 16.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.5 88.5 88.5 88.5
Percentage of long-stay residents who lose too much weight 19.1 9.4 8.3 11.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.8 100.0 99.2 97.8
Percentage of low risk long-stay residents who lose control of their bowels or bladder 62.9 52.1 50.6 53.3
Percentage of long-stay residents who have depressive symptoms 5.2 9.2 6.5 7.1
Percentage of long-stay residents who were physically restrained 0.8 0.8 0.0 0.4

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 65.9 65.9 65.9 65.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.5 87.1 93.2 88.2

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