Resident Health Quality » Signature Healthcare at Mallard Bay

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 15.2 22.1 23.4 19.5
Percentage of high risk long-stay residents with pressure ulcers 12.3 7.6 10.4 10.6
Percentage of long-stay residents experiencing one or more falls with major injury 7.1 7.7 6.3 6.8
Percentage of long-stay residents whose need for help with daily activities has increased 21.1 13.9 19.2 16.6
Percentage of long-stay residents who self-report moderate to severe pain 18.0 8.7 11.2 11.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 2.0 0.5
Percentage of long-stay residents with a urinary tract infection 2.4 1.3 0.0 1.6
Percentage of long-stay residents who received an antipsychotic medication 17.5 12.7 12.7 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 80.3 85.9 74.4 77.0
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.4
Percentage of short-stay residents who self-report moderate to severe pain 17.1 3.2 16.1 11.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.9 13.0 12.8 13.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.8 97.8 97.8 97.8
Percentage of long-stay residents who lose too much weight 4.1 8.0 7.5 8.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 75.3 74.4 72.5 74.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 75.7 71.4 69.0 71.9
Percentage of long-stay residents who have depressive symptoms 13.1 7.9 1.3 6.4
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 88.5 88.5 88.5 88.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.1 79.0 69.9 76.9

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