Resident Health Quality » St Mary's D'Youville Pavilion

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 30.8 16.4 22.8 26.4
Percentage of high risk long-stay residents with pressure ulcers 3.6 3.9 6.3 4.1
Percentage of long-stay residents experiencing one or more falls with major injury 2.6 2.8 2.8 2.6
Percentage of long-stay residents whose need for help with daily activities has increased 19.4 6.1 12.5 12.0
Percentage of long-stay residents who self-report moderate to severe pain 4.5 7.8 12.9 9.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8 2.4 2.8 1.9
Percentage of long-stay residents with a urinary tract infection 0.7 3.5 3.4 2.4
Percentage of long-stay residents who received an antipsychotic medication 12.8 14.2 15.4 14.3

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 69.4 71.5 70.6 70.5
Percentage of short-stay residents who newly received an antipsychotic medication 2.2 1.8 0.4 1.4
Percentage of short-stay residents who self-report moderate to severe pain 20.6 13.5 20.0 18.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.1 6.8 9.6 9.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1 98.1 98.1 98.1
Percentage of long-stay residents who lose too much weight 1.5 4.2 3.5 3.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7 97.9 98.6 98.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 66.7 58.5 62.7 63.5
Percentage of long-stay residents who have depressive symptoms 1.4 0.0 4.2 2.5
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 87.0 87.0 87.0 87.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.0 89.4 80.2 85.4

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