Resident Health Quality » Good Shepherd Rehabilitation and Nursing Center

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 25.3 12.6 12.7 15.5
Percentage of high risk long-stay residents with pressure ulcers 7.1 3.1 3.3 3.4
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 4.8 4.8 4.2
Percentage of long-stay residents whose need for help with daily activities has increased 20.0 9.5 10.3 16.8
Percentage of long-stay residents who self-report moderate to severe pain 8.6 3.0 0.0 5.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.1 3.8 3.0 3.6
Percentage of long-stay residents with a urinary tract infection 0.0 7.1 2.4 3.0
Percentage of long-stay residents who received an antipsychotic medication 2.5 2.5 2.4 2.5

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 64.8 * * 67.0
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 6.9 11.5 13.3 13.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.5 23.8 23.1 21.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.8 97.8 97.8 97.8
Percentage of long-stay residents who lose too much weight 4.9 9.5 7.9 5.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.6 97.6 100.0 97.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 55.0 52.4 66.7 57.0
Percentage of long-stay residents who have depressive symptoms 5.0 2.4 2.6 3.1
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 93.9 93.9 93.9 93.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 84.8 89.3 82.4 86.2
  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