Resident Health Quality » Saint Therese at Oxbow Lake

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 11.2 4.9 2.2 6.6
Percentage of high risk long-stay residents with pressure ulcers 7.7 7.7 7.7 6.3
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 2.2 4.5 2.3
Percentage of long-stay residents whose need for help with daily activities has increased 9.1 7.7 5.4 6.0
Percentage of long-stay residents who self-report moderate to severe pain 12.4 6.6 9.5 9.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.5
Percentage of long-stay residents with a urinary tract infection 2.4 2.2 0.0 1.1
Percentage of long-stay residents who received an antipsychotic medication 7.3 11.1 15.9 12.4

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 65.9 65.8 69.1 67.9
Percentage of short-stay residents who newly received an antipsychotic medication 0.8 0.9 1.7 1.3
Percentage of short-stay residents who self-report moderate to severe pain 21.4 18.6 9.0 16.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.1 10.3 13.5 11.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.5 91.5 91.5 91.5
Percentage of long-stay residents who lose too much weight 6.1 2.6 0.0 2.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 78.0 80.0 81.8 79.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 57.1 59.1 64.7
Percentage of long-stay residents who have depressive symptoms 10.5 0.0 0.0 2.4
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 60.5 60.5 60.5 60.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 66.2 60.7 53.7 60.1
  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