Resident Health Quality » Autumn Lake Healthcare at Pikesville

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 26.7 33.0 31.6 29.5
Percentage of high risk long-stay residents with pressure ulcers 3.4 5.8 6.3 4.5
Percentage of long-stay residents experiencing one or more falls with major injury 3.8 2.5 3.7 2.5
Percentage of long-stay residents whose need for help with daily activities has increased 22.0 17.7 27.6 27.4
Percentage of long-stay residents who self-report moderate to severe pain 14.7 13.0 1.7 7.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6 1.0 1.0 0.9
Percentage of long-stay residents with a urinary tract infection 2.6 1.2 1.2 1.2
Percentage of long-stay residents who received an antipsychotic medication 17.1 9.7 13.7 13.7

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 59.1 36.1 52.4 54.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 4.8 2.3
Percentage of short-stay residents who self-report moderate to severe pain 18.2 21.4 15.6 13.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.0 20.5 25.3 23.9
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3 96.3 96.3 96.3
Percentage of long-stay residents who lose too much weight 5.4 9.5 6.6 6.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.1 77.8 80.5 81.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 52.4 * 58.7
Percentage of long-stay residents who have depressive symptoms 0.0 2.8 0.0 3.1
Percentage of long-stay residents who were physically restrained 2.5 1.2 1.2 1.2

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 34.9 34.9 34.9 34.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 25.4 34.3 27.3 29.7
  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