Resident Health Quality » Mercy Hospital Skilled Nursing Facility

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 16.7 23.2 17.3 18.2
Percentage of high risk long-stay residents with pressure ulcers 9.2 2.8 5.1 6.0
Percentage of long-stay residents experiencing one or more falls with major injury 3.6 5.1 4.9 5.0
Percentage of long-stay residents whose need for help with daily activities has increased 15.1 6.8 5.3 9.9
Percentage of long-stay residents who self-report moderate to severe pain 4.9 8.4 6.1 5.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.3
Percentage of long-stay residents with a urinary tract infection 0.0 3.8 2.4 1.9
Percentage of long-stay residents who received an antipsychotic medication 13.3 13.9 11.0 12.1

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

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.3 23.1 23.2 22.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 3.8 6.5 3.7 4.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.2 97.5 100.0 98.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder 86.7 77.8 81.5 81.1
Percentage of long-stay residents who have depressive symptoms 2.5 1.3 0.0 1.0
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 * * * 87.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 71.7
  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