Resident Health Quality » Diversicare of St Theresa

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 40.4 28.6 26.4 31.0
Percentage of high risk long-stay residents with pressure ulcers 11.8 11.3 5.9 9.3
Percentage of long-stay residents experiencing one or more falls with major injury 6.8 3.9 5.7 4.5
Percentage of long-stay residents whose need for help with daily activities has increased 25.4 26.7 26.3 24.3
Percentage of long-stay residents who self-report moderate to severe pain 6.5 9.6 4.8 8.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.0 0.0 0.0 1.4
Percentage of long-stay residents with a urinary tract infection 8.1 9.2 5.7 6.3
Percentage of long-stay residents who received an antipsychotic medication 4.5 6.0 3.4 3.6

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 72.5 73.6 76.4 73.2
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 2.0 6.4 17.8 8.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.7 21.9 28.3 21.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.2 96.2 96.2 96.2
Percentage of long-stay residents who lose too much weight 14.1 12.5 5.0 9.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 93.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 67.6 70.5 62.8 59.6
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
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 87.5 87.5 87.5 87.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.4 96.4 98.2 96.9

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