Resident Health Quality » Grace Healthcare of Three Rivers

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 22.6 20.1 12.6 16.4
Percentage of high risk long-stay residents with pressure ulcers 10.9 14.0 6.3 9.5
Percentage of long-stay residents experiencing one or more falls with major injury 7.7 7.4 5.4 7.3
Percentage of long-stay residents whose need for help with daily activities has increased 16.1 8.6 15.8 10.6
Percentage of long-stay residents who self-report moderate to severe pain 3.4 17.2 13.0 11.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 1.5 0.4
Percentage of long-stay residents with a urinary tract infection 1.9 1.9 1.8 1.8
Percentage of long-stay residents who received an antipsychotic medication 12.8 19.1 28.6 20.7

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 92.2 82.8 76.3 79.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 2.9 5.9 3.2
Percentage of short-stay residents who self-report moderate to severe pain 20.0 20.0 24.1 22.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.8 37.1 39.5 35.2
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 14.3 17.1 13.2 13.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 98.1 98.2 93.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 57.1 55.0 * 55.6
Percentage of long-stay residents who have depressive symptoms 9.8 3.7 3.6 6.0
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.5

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 87.7 87.7 87.7 87.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 93.9 83.1 91.1
  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