Resident Health Quality » Grace of Douglas

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 17.9 23.3 24.6 22.1
Percentage of high risk long-stay residents with pressure ulcers 7.1 3.6 3.2 6.3
Percentage of long-stay residents experiencing one or more falls with major injury 2.6 0.0 0.0 0.6
Percentage of long-stay residents whose need for help with daily activities has increased 17.1 20.6 40.0 22.2
Percentage of long-stay residents who self-report moderate to severe pain * * 9.9 10.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.0 0.0 0.0 0.7
Percentage of long-stay residents with a urinary tract infection 2.6 5.4 2.4 2.5
Percentage of long-stay residents who received an antipsychotic medication 48.6 50.0 35.9 42.4

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 * * * 58.2
Percentage of short-stay residents who newly received an antipsychotic medication * 4.2 * 2.9
Percentage of short-stay residents who self-report moderate to severe pain * * * 30.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.8 20.6 20.0 21.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5 97.5 97.5 97.5
Percentage of long-stay residents who lose too much weight 0.0 6.1 2.9 3.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.4 92.1 81.0 85.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 63.1
Percentage of long-stay residents who have depressive symptoms 0.0 2.8 0.0 1.3
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 69.0 69.0 69.0 69.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 51.6 56.8 75.8 63.4
  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