Resident Health Quality » St Mary's Nursing & Rehab 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 15.6 7.2 7.2 10.8
Percentage of high risk long-stay residents with pressure ulcers 12.7 10.0 7.3 9.2
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 0.0 0.3
Percentage of long-stay residents whose need for help with daily activities has increased 14.7 9.6 13.5 12.7
Percentage of long-stay residents who self-report moderate to severe pain 25.4 22.4 25.8 21.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.3 3.5 2.9 2.3
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.3
Percentage of long-stay residents who received an antipsychotic medication 10.0 10.3 8.6 9.9

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 83.9 91.1 * 85.8
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 4.3 1.9
Percentage of short-stay residents who self-report moderate to severe pain 44.4 34.9 14.3 29.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.6 24.0 23.4 25.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 47.7 47.7 47.7 47.7
Percentage of long-stay residents who lose too much weight 3.8 0.0 2.6 3.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8 97.5 98.8 98.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 70.6 76.5 67.6 69.6
Percentage of long-stay residents who have depressive symptoms 12.0 8.3 10.8 10.4
Percentage of long-stay residents who were physically restrained 1.2 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 39.7 39.7 39.7 39.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 60.3 67.2 73.8 64.6
  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