Resident Health Quality » Mount Notre Dame Health 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 5.6 14.7 2.9 8.0
Percentage of high risk long-stay residents with pressure ulcers 15.4 10.7 11.5 10.3
Percentage of long-stay residents experiencing one or more falls with major injury 12.5 8.8 9.4 9.2
Percentage of long-stay residents whose need for help with daily activities has increased 7.4 16.1 17.9 15.8
Percentage of long-stay residents who self-report moderate to severe pain 6.5 2.9 4.1 4.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 4.5 1.1
Percentage of long-stay residents with a urinary tract infection 15.6 8.8 15.6 12.2
Percentage of long-stay residents who received an antipsychotic medication 18.8 11.8 9.4 11.5

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 * * * *
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 * * * 14.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.5 19.4 32.1 23.7
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 7.1 6.5 0.0 4.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 96.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 60.6
Percentage of long-stay residents who have depressive symptoms 6.5 8.8 10.0 6.3
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
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 83.8
  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