Resident Health Quality » Our Ladys Haven of Fairhaven Inc

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 29.2 11.8 20.2 20.8
Percentage of high risk long-stay residents with pressure ulcers 10.0 13.3 10.9 9.0
Percentage of long-stay residents experiencing one or more falls with major injury 4.9 4.8 1.9 3.3
Percentage of long-stay residents whose need for help with daily activities has increased 22.7 15.2 25.6 23.4
Percentage of long-stay residents who self-report moderate to severe pain 6.3 6.1 7.5 6.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0 0.0 0.0 0.2
Percentage of long-stay residents with a urinary tract infection 1.0 3.9 7.5 4.0
Percentage of long-stay residents who received an antipsychotic medication 10.0 9.7 14.0 12.4

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 * * * 50.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 3.7 3.8 14.3 6.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.3 22.2 23.1 23.3
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 3.6 5.0 5.6 4.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 99.1 97.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 33.3 41.7 33.7
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 1.0 0.3
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 95.6 95.6 95.6 95.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.8 97.9 87.5 92.1
  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