Resident Health Quality » Delta South Nursing & Rehabilitation

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 * * 32.0 31.6
Percentage of high risk long-stay residents with pressure ulcers * * * 11.1
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 3.8 3.1 2.7
Percentage of long-stay residents whose need for help with daily activities has increased 47.6 28.6 34.6 29.8
Percentage of long-stay residents who self-report moderate to severe pain 27.5 19.6 10.6 16.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.4 3.9 3.1 3.6
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 3.2 0.9
Percentage of long-stay residents who received an antipsychotic medication 13.6 11.5 9.4 10.7

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 * * * 53.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 3.3 4.5 2.9
Percentage of short-stay residents who self-report moderate to severe pain 24.0 14.8 13.6 16.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.5 8.7 16.7 13.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 65.2 65.2 65.2 65.2
Percentage of long-stay residents who lose too much weight 0.0 0.0 0.0 0.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 0.0 3.8 9.4 3.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 5.6
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 3.1 0.9

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 50.0 50.0 50.0 50.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 0.0 2.3 3.6 2.2
  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