Resident Health Quality » Pembroke 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 * * * 30.3
Percentage of high risk long-stay residents with pressure ulcers 17.4 29.3 19.4 22.8
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 0.0 0.0
Percentage of long-stay residents whose need for help with daily activities has increased 25.0 13.0 9.1 19.0
Percentage of long-stay residents who self-report moderate to severe pain 2.8 3.4 0.0 4.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 1.8 1.8 1.9
Percentage of long-stay residents with a urinary tract infection 9.4 6.4 11.4 8.4
Percentage of long-stay residents who received an antipsychotic medication 0.0 0.0 0.0 0.6

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 65.3 58.6 75.8 66.6
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 5.9 2.0
Percentage of short-stay residents who self-report moderate to severe pain 17.6 12.1 17.2 13.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.1 34.2 30.6 31.4
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 13.3 5.6 2.9 6.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 98.0 97.8 99.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 36.0
Percentage of long-stay residents who have depressive symptoms 4.2 2.4 2.5 2.9
Percentage of long-stay residents who were physically restrained 0.0 2.0 2.2 1.5

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 87.5 87.5 87.5 87.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.5 78.4 76.0 80.4
  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