Resident Health Quality » Pavilion Health Center at Brightmore

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 12.5 2.3 11.7 10.4
Percentage of high risk long-stay residents with pressure ulcers 22.7 18.6 17.1 17.9
Percentage of long-stay residents experiencing one or more falls with major injury 6.5 6.2 3.1 4.7
Percentage of long-stay residents whose need for help with daily activities has increased 8.7 29.4 15.7 19.9
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 2.2 2.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.9 3.7 5.2 4.0
Percentage of long-stay residents with a urinary tract infection 3.3 6.3 7.9 4.9
Percentage of long-stay residents who received an antipsychotic medication 9.7 9.2 7.7 8.7

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 54.1 66.4 69.9 64.6
Percentage of short-stay residents who newly received an antipsychotic medication 1.1 0.5 0.0 0.4
Percentage of short-stay residents who self-report moderate to severe pain 14.2 10.2 9.9 10.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.4 7.8 9.4 8.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 87.9 87.9 87.9 87.9
Percentage of long-stay residents who lose too much weight 12.8 2.0 3.8 5.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.4 100.0 100.0 99.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 67.6 68.4 64.5 66.2
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 87.2 87.2 87.2 87.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.6 99.2 99.2 99.2

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