Resident Health Quality » Brothers of Mercy Nursing & Rehabilitation 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 28.6 32.1 24.6 27.1
Percentage of high risk long-stay residents with pressure ulcers 4.5 8.8 6.3 6.8
Percentage of long-stay residents experiencing one or more falls with major injury 1.2 1.8 1.1 1.6
Percentage of long-stay residents whose need for help with daily activities has increased 17.9 15.1 23.1 19.4
Percentage of long-stay residents who self-report moderate to severe pain 2.9 2.2 0.7 2.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.6 1.8 1.4 2.2
Percentage of long-stay residents with a urinary tract infection 0.6 0.6 0.5 0.9
Percentage of long-stay residents who received an antipsychotic medication 9.6 9.8 6.7 8.4

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 59.0 56.1 46.6 50.3
Percentage of short-stay residents who newly received an antipsychotic medication 0.5 1.0 1.1 1.2
Percentage of short-stay residents who self-report moderate to severe pain 1.1 0.7 0.0 0.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.1 14.3 14.0 14.1
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 4.2 8.1 5.1 4.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 99.5 99.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 63.8 58.6 68.1 62.3
Percentage of long-stay residents who have depressive symptoms 4.8 5.0 3.9 4.7
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 96.4 96.4 96.4 96.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.7 98.7 99.0 98.6

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