Resident Health Quality » Jacob's Creek Nursing and 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 15.7 23.6 26.3 24.0
Percentage of high risk long-stay residents with pressure ulcers 8.6 8.1 8.9 9.4
Percentage of long-stay residents experiencing one or more falls with major injury 5.6 5.3 3.9 4.6
Percentage of long-stay residents whose need for help with daily activities has increased 5.9 13.8 15.0 13.9
Percentage of long-stay residents who self-report moderate to severe pain 33.4 20.4 34.2 28.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7 1.9 2.5 1.6
Percentage of long-stay residents with a urinary tract infection 4.0 3.8 2.3 3.6
Percentage of long-stay residents who received an antipsychotic medication 20.9 22.0 16.7 18.6

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 * * * 62.3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 8.0 4.1
Percentage of short-stay residents who self-report moderate to severe pain 31.3 20.0 22.9 23.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 41.8 38.9 37.3 39.1
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 7.4 4.6 4.8 5.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2 98.5 97.7 97.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 33.3 36.6 31.7 33.1
Percentage of long-stay residents who have depressive symptoms 5.1 5.6 5.8 6.1
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 82.2 82.2 82.2 82.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.6 86.3 65.5 76.2
  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