Resident Health Quality » Hendricks Community Hospital

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 12.8 8.5 22.7 17.0
Percentage of high risk long-stay residents with pressure ulcers 7.7 5.7 8.8 8.6
Percentage of long-stay residents experiencing one or more falls with major injury 6.3 10.6 10.9 10.2
Percentage of long-stay residents whose need for help with daily activities has increased 21.7 11.6 17.1 16.9
Percentage of long-stay residents who self-report moderate to severe pain 11.1 0.0 0.0 2.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.1 2.8 0.0 1.2
Percentage of long-stay residents with a urinary tract infection 4.3 2.1 0.0 2.2
Percentage of long-stay residents who received an antipsychotic medication 6.3 6.4 13.0 9.6

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 5.0
Percentage of short-stay residents who self-report moderate to severe pain * * * 13.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.4 13.6 21.4 18.9
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.2 96.2 96.2 96.2
Percentage of long-stay residents who lose too much weight 0.0 0.0 0.0 1.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.8 100.0 100.0 98.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 38.1 62.5 45.8 47.9
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.6
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 * * * 87.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 86.5
  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