Resident Health Quality » Sancta Maria Nursing Facility

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 22.9 23.4 30.7 24.1
Percentage of high risk long-stay residents with pressure ulcers 5.1 8.0 6.5 6.2
Percentage of long-stay residents experiencing one or more falls with major injury 3.7 4.5 1.0 3.2
Percentage of long-stay residents whose need for help with daily activities has increased 18.9 11.3 6.8 12.9
Percentage of long-stay residents who self-report moderate to severe pain 3.8 3.6 5.2 4.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.5 2.4 2.3 3.4
Percentage of long-stay residents with a urinary tract infection 2.8 1.9 4.0 3.3
Percentage of long-stay residents who received an antipsychotic medication 9.7 7.6 10.3 9.0

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 29.8 46.6 44.0 42.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.6
Percentage of short-stay residents who self-report moderate to severe pain 5.0 2.6 3.5 4.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 2.0 2.9 2.1 2.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 6.1 5.9 2.1 4.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.3 94.5 92.2 86.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder 80.0 79.5 75.9 76.4
Percentage of long-stay residents who have depressive symptoms 1.0 0.0 1.0 0.5
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 92.1 92.1 92.1 92.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.7 76.4 75.7 70.3

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