Resident Health Quality » Good Samaritan Society - St James

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 19.1 12.5 15.4 18.4
Percentage of high risk long-stay residents with pressure ulcers 3.4 3.4 10.3 6.6
Percentage of long-stay residents experiencing one or more falls with major injury 2.6 2.6 2.5 2.6
Percentage of long-stay residents whose need for help with daily activities has increased 16.7 17.1 7.9 15.4
Percentage of long-stay residents who self-report moderate to severe pain 19.3 17.6 13.9 16.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.4 0.0 0.0 0.8
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.0
Percentage of long-stay residents who received an antipsychotic medication 7.9 12.8 10.0 9.7

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 * * * 66.4
Percentage of short-stay residents who newly received an antipsychotic medication 10.0 * * 7.0
Percentage of short-stay residents who self-report moderate to severe pain * 10.0 14.3 11.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.8 13.5 12.8 12.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 2.7 2.7 2.6 3.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.4 97.4 95.0 97.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 47.6 60.0 * 46.5
Percentage of long-stay residents who have depressive symptoms 2.6 2.7 2.6 2.0
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 89.7 89.7 89.7 89.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.9 79.2 84.6 87.0
  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