Resident Health Quality » Hermitage Nursing & Rehab

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 9.0 15.5 13.2 15.5
Percentage of high risk long-stay residents with pressure ulcers 8.5 2.6 4.9 5.3
Percentage of long-stay residents experiencing one or more falls with major injury 6.6 3.0 2.7 3.8
Percentage of long-stay residents whose need for help with daily activities has increased 16.9 9.5 14.9 13.9
Percentage of long-stay residents who self-report moderate to severe pain 1.7 3.5 4.1 4.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.3 1.3 1.5 2.6
Percentage of long-stay residents with a urinary tract infection 5.3 3.0 2.7 2.7
Percentage of long-stay residents who received an antipsychotic medication 35.7 36.1 39.4 39.3

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 3.7 4.5 4.8 4.4
Percentage of short-stay residents who self-report moderate to severe pain 15.8 12.5 24.2 23.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.8 28.6 29.9 29.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8 98.8 98.8 98.8
Percentage of long-stay residents who lose too much weight 2.8 7.9 1.5 3.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.5 89.6 86.3 89.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 40.0 40.0 29.0 34.4
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 84.6 84.6 84.6 84.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.6 81.4 75.9 77.1
  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