Resident Health Quality » Hillcrest Shadow Lake

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 29.3 36.1 30.1 30.9
Percentage of high risk long-stay residents with pressure ulcers 5.6 7.5 9.0 7.0
Percentage of long-stay residents experiencing one or more falls with major injury 6.1 5.0 5.8 5.4
Percentage of long-stay residents whose need for help with daily activities has increased 33.8 26.7 21.7 24.5
Percentage of long-stay residents who self-report moderate to severe pain 3.8 13.1 3.6 6.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.4 2.2 2.3 2.3
Percentage of long-stay residents with a urinary tract infection 2.1 1.0 5.9 2.5
Percentage of long-stay residents who received an antipsychotic medication 18.4 16.0 15.5 16.0

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 * * * 27.9
Percentage of short-stay residents who newly received an antipsychotic medication * * * 0.0
Percentage of short-stay residents who self-report moderate to severe pain 20.0 8.7 * 10.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.8 22.4 18.4 20.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0 99.0 99.0 99.0
Percentage of long-stay residents who lose too much weight 3.7 4.1 1.2 3.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 68.4 52.0 74.8 67.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 60.7 63.5 60.3 60.7
Percentage of long-stay residents who have depressive symptoms 18.1 14.4 18.2 18.5
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 82.8 82.8 82.8 82.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 58.1 42.4 * 50.5
  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