Resident Health Quality » Centracare Health System - Melrose Pine Villa C C

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 13.6 26.9 16.7 19.7
Percentage of high risk long-stay residents with pressure ulcers 1.5 3.1 5.5 3.8
Percentage of long-stay residents experiencing one or more falls with major injury 6.8 4.1 7.1 6.6
Percentage of long-stay residents whose need for help with daily activities has increased 15.7 20.0 19.4 17.9
Percentage of long-stay residents who self-report moderate to severe pain 9.7 13.2 16.2 11.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.3 3.5 1.9 2.5
Percentage of long-stay residents with a urinary tract infection 1.4 0.0 0.0 0.4
Percentage of long-stay residents who received an antipsychotic medication 8.3 8.2 4.3 7.4

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 * * * 6.3
Percentage of short-stay residents who self-report moderate to severe pain * * * 28.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.0 6.9 10.3 7.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3 96.3 96.3 96.3
Percentage of long-stay residents who lose too much weight 1.4 5.6 1.5 2.9
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 47.4 60.0 60.0 57.5
Percentage of long-stay residents who have depressive symptoms 8.6 12.3 12.1 8.9
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 * * * 88.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * 95.2 95.7
  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