Resident Health Quality » Mayo Clinic Health System - Lake City

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 13.8 17.0 16.6 16.7
Percentage of high risk long-stay residents with pressure ulcers 6.5 4.2 7.8 6.4
Percentage of long-stay residents experiencing one or more falls with major injury 4.5 4.7 4.3 5.5
Percentage of long-stay residents whose need for help with daily activities has increased 25.5 12.2 5.1 12.9
Percentage of long-stay residents who self-report moderate to severe pain 30.2 17.8 20.7 23.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.8 6.9 8.2 7.5
Percentage of long-stay residents with a urinary tract infection 0.0 1.6 7.2 3.3
Percentage of long-stay residents who received an antipsychotic medication 9.5 8.2 9.1 8.9

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 78.9 77.5 70.4 69.8
Percentage of short-stay residents who newly received an antipsychotic medication 3.0 3.0 0.0 1.6
Percentage of short-stay residents who self-report moderate to severe pain * 50.0 36.0 38.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.3 8.2 9.2 10.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7 98.7 98.7 98.7
Percentage of long-stay residents who lose too much weight 9.8 6.6 3.1 5.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 99.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 83.3 73.1 72.2
Percentage of long-stay residents who have depressive symptoms 3.4 3.7 9.4 5.8
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 92.9 92.9 92.9 92.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.1 94.5 96.3 95.9
  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