Resident Health Quality » St Therese of Woodbury LLC

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 * * * 11.8
Percentage of high risk long-stay residents with pressure ulcers 0.0 4.8 0.0 1.2
Percentage of long-stay residents experiencing one or more falls with major injury 8.7 4.8 4.3 5.8
Percentage of long-stay residents whose need for help with daily activities has increased * * * 5.8
Percentage of long-stay residents who self-report moderate to severe pain 3.7 * 4.2 6.0
Percentage of long-stay residents with a catheter inserted and left in their bladder * * * 4.0
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 1.2
Percentage of long-stay residents who received an antipsychotic medication 13.6 0.0 4.5 4.8

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 64.1 65.2 69.4 66.6
Percentage of short-stay residents who newly received an antipsychotic medication 1.5 1.0 1.0 1.5
Percentage of short-stay residents who self-report moderate to severe pain 12.3 12.9 16.4 14.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication * * 5.0 4.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.6 92.6 92.6 92.6
Percentage of long-stay residents who lose too much weight * * * 8.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.3 100.0 95.7 96.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 41.9
Percentage of long-stay residents who have depressive symptoms 9.1 0.0 4.3 3.6
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 88.9 88.9 88.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.7 91.1 85.4 88.4
  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