Resident Health Quality » Eden Springs Nursing and Rehabilitation West LLC

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 34.8 14.1 12.6 21.7
Percentage of high risk long-stay residents with pressure ulcers 17.3 17.4 14.6 17.7
Percentage of long-stay residents experiencing one or more falls with major injury 4.5 1.6 3.5 3.3
Percentage of long-stay residents whose need for help with daily activities has increased 18.2 17.0 13.0 16.5
Percentage of long-stay residents who self-report moderate to severe pain 30.0 25.7 17.5 24.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 11.3 10.5 15.9 11.5
Percentage of long-stay residents with a urinary tract infection 1.5 4.9 1.8 2.1
Percentage of long-stay residents who received an antipsychotic medication 29.2 35.6 29.1 29.4

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 85.5 74.8 64.9 71.7
Percentage of short-stay residents who newly received an antipsychotic medication 4.2 3.0 2.9 2.4
Percentage of short-stay residents who self-report moderate to severe pain 26.7 23.7 37.8 27.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 40.9 33.9 33.3 35.6
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 7.5 6.8 5.4 6.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 35.5 21.4 37.0 30.3
Percentage of long-stay residents who have depressive symptoms 3.6 1.8 2.0 1.9
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.4

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 78.8 78.8 78.8 78.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.0 96.4 94.1 94.4

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