Resident Health Quality » Mt Airy Gardens Rehabilitation and Nursing 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 9.9 15.0 17.4 15.6
Percentage of high risk long-stay residents with pressure ulcers 4.9 0.0 11.8 6.1
Percentage of long-stay residents experiencing one or more falls with major injury 4.2 5.8 4.1 4.2
Percentage of long-stay residents whose need for help with daily activities has increased 8.3 13.8 19.4 13.2
Percentage of long-stay residents who self-report moderate to severe pain 4.4 1.8 1.5 3.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6 0.0 0.0 1.3
Percentage of long-stay residents with a urinary tract infection 1.4 1.4 2.7 1.4
Percentage of long-stay residents who received an antipsychotic medication 19.0 27.9 29.0 26.5

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 * * * 47.9
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 6.3 5.9 5.0
Percentage of short-stay residents who self-report moderate to severe pain 12.5 9.1 10.0 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 14.1 11.7 11.6 12.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.8 94.8 94.8 94.8
Percentage of long-stay residents who lose too much weight 15.6 15.0 14.5 12.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 81.7 95.7 86.3 89.8
Percentage of low risk long-stay residents who lose control of their bowels or bladder 38.1 36.6 12.5 29.3
Percentage of long-stay residents who have depressive symptoms 11.5 3.3 4.5 6.7
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 79.2 79.2 79.2 79.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 66.7 59.4 44.4 55.4
  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