Resident Health Quality » Casa Maria Healthcare Center and Pecos Valley Reha

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 12.3 4.6 19.5 13.6
Percentage of high risk long-stay residents with pressure ulcers 7.0 4.9 4.9 5.4
Percentage of long-stay residents experiencing one or more falls with major injury 6.2 3.3 1.6 3.1
Percentage of long-stay residents whose need for help with daily activities has increased 15.6 19.1 7.0 14.1
Percentage of long-stay residents who self-report moderate to severe pain 11.8 8.3 0.0 5.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.2 8.1 4.5 5.4
Percentage of long-stay residents with a urinary tract infection 4.7 6.8 1.7 3.2
Percentage of long-stay residents who received an antipsychotic medication 33.3 38.2 47.4 43.7

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 64.7 65.3 68.4 65.3
Percentage of short-stay residents who newly received an antipsychotic medication 8.3 7.7 10.3 8.4
Percentage of short-stay residents who self-report moderate to severe pain 20.9 10.2 5.9 9.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.1 8.5 4.9 8.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.0 88.0 88.0 88.0
Percentage of long-stay residents who lose too much weight 0.0 0.0 2.4 3.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 72.3 78.3 66.7 77.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder 46.2 58.1 58.5 51.0
Percentage of long-stay residents who have depressive symptoms 12.3 13.0 13.7 11.9
Percentage of long-stay residents who were physically restrained 1.5 1.7 3.2 2.4

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 86.1 86.1 86.1 86.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.0 86.4 86.0 90.2

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