Resident Health Quality » Notre Dame Long Term Care Center

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 14.0 15.8 18.8 16.6
Percentage of high risk long-stay residents with pressure ulcers 3.0 5.7 3.8 4.1
Percentage of long-stay residents experiencing one or more falls with major injury 4.5 4.5 4.5 4.3
Percentage of long-stay residents whose need for help with daily activities has increased 18.8 10.2 7.9 12.8
Percentage of long-stay residents who self-report moderate to severe pain 7.0 10.5 8.9 8.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.1 0.9 0.9 1.4
Percentage of long-stay residents with a urinary tract infection 2.7 1.8 4.5 3.4
Percentage of long-stay residents who received an antipsychotic medication 17.4 16.4 19.1 18.2

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 85.1 86.6 89.0 84.8
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 3.0 0.0 1.6
Percentage of short-stay residents who self-report moderate to severe pain 8.0 8.3 5.7 7.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.8 10.6 16.7 14.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.3 98.3 98.3 98.3
Percentage of long-stay residents who lose too much weight 2.9 5.0 4.7 5.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.3 96.4 96.4 96.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 70.3 77.1 74.3 73.9
Percentage of long-stay residents who have depressive symptoms 6.5 9.5 11.2 9.2
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 94.3 94.3 94.3 94.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.1 94.5 93.1 91.4

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