Resident Health Quality » Marymount Manor

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 14.4 12.1 12.1 10.6
Percentage of high risk long-stay residents with pressure ulcers 12.1 11.8 1.9 7.0
Percentage of long-stay residents experiencing one or more falls with major injury 8.0 8.4 3.3 5.2
Percentage of long-stay residents whose need for help with daily activities has increased 9.6 7.9 14.7 11.9
Percentage of long-stay residents who self-report moderate to severe pain 10.2 16.6 12.5 13.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 9.4 4.4 3.0 5.2
Percentage of long-stay residents with a urinary tract infection 22.4 14.4 5.6 11.1
Percentage of long-stay residents who received an antipsychotic medication 11.7 13.2 15.1 13.6

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 * * * 73.8
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 8.3 8.3 5.3
Percentage of short-stay residents who self-report moderate to severe pain 40.6 21.2 32.3 30.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.6 23.5 24.7 24.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.4 94.4 94.4 94.4
Percentage of long-stay residents who lose too much weight 15.7 14.3 13.9 14.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 68.0 65.3 56.5 57.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 42.9 35.6 38.5 40.1
Percentage of long-stay residents who have depressive symptoms 3.3 3.8 1.2 2.0
Percentage of long-stay residents who were physically restrained 1.0 1.1 0.0 0.5

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 81.8 81.8 81.8 81.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.3 68.5 54.9 64.3
  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