Resident Health Quality » Evergreen Commons 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 35.5 22.6 33.3 27.3
Percentage of high risk long-stay residents with pressure ulcers 11.9 9.8 7.0 10.1
Percentage of long-stay residents experiencing one or more falls with major injury 2.0 1.0 2.0 1.6
Percentage of long-stay residents whose need for help with daily activities has increased 27.4 17.4 17.8 18.6
Percentage of long-stay residents who self-report moderate to severe pain 3.3 4.6 3.3 3.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0 1.8 1.5 1.4
Percentage of long-stay residents with a urinary tract infection 2.6 5.6 4.9 3.9
Percentage of long-stay residents who received an antipsychotic medication 13.4 15.4 19.6 16.1

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 50.7 57.5 45.1 48.9
Percentage of short-stay residents who newly received an antipsychotic medication 2.1 2.2 1.1 1.5
Percentage of short-stay residents who self-report moderate to severe pain 5.2 9.5 7.4 7.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.7 17.9 20.9 19.8
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 5.1 1.8 2.1 2.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.5 94.4 99.5 97.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 35.1 44.4 43.6 39.4
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
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 81.6 81.6 81.6 81.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.0 85.4 83.4 82.0

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