Resident Health Quality » Augustana Mercy Care Center

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 24.6 16.5 18.1 18.2
Percentage of high risk long-stay residents with pressure ulcers 3.0 2.6 2.9 2.7
Percentage of long-stay residents experiencing one or more falls with major injury 3.8 3.7 4.3 3.4
Percentage of long-stay residents whose need for help with daily activities has increased 16.7 12.5 14.6 13.0
Percentage of long-stay residents who self-report moderate to severe pain 5.0 3.2 0.0 3.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.0 0.0 0.0 0.5
Percentage of long-stay residents with a urinary tract infection 3.8 0.0 2.2 2.4
Percentage of long-stay residents who received an antipsychotic medication 11.5 13.2 15.6 12.7

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 79.8 67.6 68.8 73.2
Percentage of short-stay residents who newly received an antipsychotic medication 3.8 4.0 0.0 2.3
Percentage of short-stay residents who self-report moderate to severe pain 8.7 10.4 7.9 8.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.3 8.2 9.8 8.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.0 90.0 90.0 90.0
Percentage of long-stay residents who lose too much weight 4.2 8.5 0.0 3.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.1 94.4 95.7 96.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 34.8 42.9 40.9
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
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 91.8 91.8 91.8 91.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.8 91.9 90.7 93.6
  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