Resident Health Quality » South Haven Nursing and Rehabilitation Community

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 14.2 5.7 9.4 8.1
Percentage of high risk long-stay residents with pressure ulcers 8.6 2.9 6.3 5.4
Percentage of long-stay residents experiencing one or more falls with major injury 5.8 8.0 5.6 5.4
Percentage of long-stay residents whose need for help with daily activities has increased 4.7 13.6 15.6 11.6
Percentage of long-stay residents who self-report moderate to severe pain 10.7 0.0 0.0 3.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 2.0 1.2
Percentage of long-stay residents with a urinary tract infection 6.1 4.0 11.1 7.5
Percentage of long-stay residents who received an antipsychotic medication 11.5 10.0 11.1 9.8

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 88.3 86.3 * 84.9
Percentage of short-stay residents who newly received an antipsychotic medication 6.5 0.0 0.0 2.3
Percentage of short-stay residents who self-report moderate to severe pain 20.9 15.0 5.6 11.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.8 13.0 8.5 12.6
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 6.7 4.3 0.0 2.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 54.2 45.5 17.4 37.2
Percentage of long-stay residents who have depressive symptoms 2.1 4.2 1.9 2.1
Percentage of long-stay residents who were physically restrained 1.9 2.0 1.9 1.5

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 91.4 91.4 91.4 91.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.7 94.2 91.1 93.0
  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