Resident Health Quality » Mercy Franciscan at West Park

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 5.7 6.3 8.2 7.7
Percentage of high risk long-stay residents with pressure ulcers 8.6 3.3 8.5 5.9
Percentage of long-stay residents experiencing one or more falls with major injury 3.6 2.4 3.7 3.2
Percentage of long-stay residents whose need for help with daily activities has increased 10.0 6.8 6.9 6.8
Percentage of long-stay residents who self-report moderate to severe pain 9.3 10.5 7.6 8.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.3 0.0 1.5 1.3
Percentage of long-stay residents with a urinary tract infection 7.1 7.1 9.8 6.7
Percentage of long-stay residents who received an antipsychotic medication 23.2 18.3 13.9 17.8

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 72.9 74.5 70.8 72.2
Percentage of short-stay residents who newly received an antipsychotic medication 2.0 2.4 0.9 1.4
Percentage of short-stay residents who self-report moderate to severe pain 20.4 14.2 14.2 17.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.8 21.6 23.0 23.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9 98.9 98.9 98.9
Percentage of long-stay residents who lose too much weight 5.3 1.4 2.7 3.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8 96.5 96.3 96.8
Percentage of low risk long-stay residents who lose control of their bowels or bladder 58.3 54.8 50.0 51.2
Percentage of long-stay residents who have depressive symptoms 17.7 11.0 10.8 13.1
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 63.9 63.9 63.9 63.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 67.8 72.3 73.3 70.8

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