Resident Health Quality » Grand Pavilion at the Plaza

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 6.3 20.6 20.9 16.2
Percentage of high risk long-stay residents with pressure ulcers 12.8 11.4 17.5 15.1
Percentage of long-stay residents experiencing one or more falls with major injury 1.3 0.0 0.0 1.4
Percentage of long-stay residents whose need for help with daily activities has increased 20.3 19.4 7.1 14.0
Percentage of long-stay residents who self-report moderate to severe pain 16.2 15.6 28.3 19.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.8 3.1 3.7 4.0
Percentage of long-stay residents with a urinary tract infection 1.3 1.5 1.5 1.4
Percentage of long-stay residents who received an antipsychotic medication 13.0 11.3 11.3 11.6

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 87.2 71.7 * 72.4
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 33.3 44.0 48.8 42.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.2 13.6 11.9 14.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 85.1 85.1 85.1 85.1
Percentage of long-stay residents who lose too much weight 12.3 6.3 5.2 6.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 35.9 36.6 39.1 38.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 30.0 37.0 26.1 29.0
Percentage of long-stay residents who have depressive symptoms 13.0 9.2 9.4 10.4
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 26.3 26.3 26.3 26.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 6.8 9.4 1.7 6.0
  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