Resident Health Quality » St Mary's Alzheimer's 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 15.3 13.3 13.9 14.6
Percentage of high risk long-stay residents with pressure ulcers 1.3 2.7 1.3 1.6
Percentage of long-stay residents experiencing one or more falls with major injury 4.2 3.3 2.3 2.8
Percentage of long-stay residents whose need for help with daily activities has increased 14.8 5.4 20.0 15.1
Percentage of long-stay residents who self-report moderate to severe pain 5.3 0.0 5.0 2.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 1.2 0.3
Percentage of long-stay residents with a urinary tract infection 4.2 4.4 8.0 4.4
Percentage of long-stay residents who received an antipsychotic medication 24.5 25.6 26.7 26.7

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 * * * *
Percentage of short-stay residents who self-report moderate to severe pain * * * 4.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.2 21.6 26.7 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 4.0 0.0 4.0 2.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 97.8 98.9 99.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * *
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 1.1 0.3
Percentage of long-stay residents who were physically restrained 28.4 25.3 25.0 26.2

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 * * * 94.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 83.3
  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