Resident Health Quality » Sienna Hills Nursing & Rehabilitation

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 0.0 6.9 0.0 1.7
Percentage of high risk long-stay residents with pressure ulcers 9.1 4.5 8.7 6.9
Percentage of long-stay residents experiencing one or more falls with major injury 5.4 5.6 5.7 5.4
Percentage of long-stay residents whose need for help with daily activities has increased 14.3 9.4 12.5 9.7
Percentage of long-stay residents who self-report moderate to severe pain 0.0 3.8 3.2 2.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a urinary tract infection 5.4 2.8 5.7 3.4
Percentage of long-stay residents who received an antipsychotic medication * * * 5.7

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 0.0
Percentage of short-stay residents who self-report moderate to severe pain * * * *

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.3 22.9 17.6 22.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4 97.4 97.4 97.4
Percentage of long-stay residents who lose too much weight 13.5 5.7 11.8 9.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 40.9 34.8 27.3 33.7
Percentage of long-stay residents who have depressive symptoms 42.4 53.3 56.3 50.8
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 * * * 85.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 100.0
  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