Resident Health Quality » Mount Saint Joseph Rehab 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 13.6 16.2 13.5 15.9
Percentage of high risk long-stay residents with pressure ulcers 9.2 7.8 4.7 7.2
Percentage of long-stay residents experiencing one or more falls with major injury 7.9 4.1 1.4 3.6
Percentage of long-stay residents whose need for help with daily activities has increased 11.1 18.0 13.6 14.6
Percentage of long-stay residents who self-report moderate to severe pain 2.1 0.0 2.0 1.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.1 1.9 1.3 1.9
Percentage of long-stay residents with a urinary tract infection 2.7 4.1 0.0 2.3
Percentage of long-stay residents who received an antipsychotic medication 13.3 20.8 20.0 17.6

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 42.9 21.1 34.1 35.6
Percentage of short-stay residents who newly received an antipsychotic medication 1.7 0.0 0.0 1.0
Percentage of short-stay residents who self-report moderate to severe pain 11.3 1.6 4.9 5.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 4.5 7.7 11.8 8.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8 98.8 98.8 98.8
Percentage of long-stay residents who lose too much weight 7.4 1.5 4.4 5.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 98.6 100.0 99.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 52.9 51.9 43.3 46.7
Percentage of long-stay residents who have depressive symptoms 1.4 1.4 0.0 1.5
Percentage of long-stay residents who were physically restrained 1.3 0.0 0.0 0.3

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 72.2 72.2 72.2 72.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 77.0 75.6 75.9 76.1

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