Resident Health Quality » Pisgah Manor Health Care 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 16.1 17.6 23.2 18.8
Percentage of high risk long-stay residents with pressure ulcers 5.6 13.2 10.1 8.4
Percentage of long-stay residents experiencing one or more falls with major injury 8.6 11.4 13.8 11.8
Percentage of long-stay residents whose need for help with daily activities has increased 15.1 11.8 16.3 15.6
Percentage of long-stay residents who self-report moderate to severe pain 8.1 12.2 1.6 7.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 8.1 5.9 6.0 5.3
Percentage of long-stay residents with a urinary tract infection 8.6 11.6 8.3 9.3
Percentage of long-stay residents who received an antipsychotic medication 7.9 14.3 14.3 12.9

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 65.3 76.2 71.7 70.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.7 0.7 2.1 0.9
Percentage of short-stay residents who self-report moderate to severe pain 16.0 7.4 3.3 8.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 44.7 33.8 33.8 35.9
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 14.5 11.5 11.7 11.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8 94.3 94.3 95.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder 87.2 66.7 70.0 71.9
Percentage of long-stay residents who have depressive symptoms 1.3 0.0 0.0 0.3
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 87.1 87.1 87.1 87.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.3 86.5 83.8 84.3

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