Resident Health Quality » The Pavilion Rehabilitation and Nursing 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 19.6 32.8 * 23.9
Percentage of high risk long-stay residents with pressure ulcers 11.1 8.0 3.4 6.6
Percentage of long-stay residents experiencing one or more falls with major injury 5.7 5.6 6.1 4.4
Percentage of long-stay residents whose need for help with daily activities has increased 20.8 36.4 33.3 31.1
Percentage of long-stay residents who self-report moderate to severe pain 3.5 0.0 0.0 1.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a urinary tract infection 0.0 5.7 3.0 2.2
Percentage of long-stay residents who received an antipsychotic medication 9.7 11.1 3.6 7.1

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 * * * 61.1
Percentage of short-stay residents who newly received an antipsychotic medication * * * 7.1
Percentage of short-stay residents who self-report moderate to severe pain 12.5 * * 11.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 32.1 27.3 13.0 23.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.5 92.5 92.5 92.5
Percentage of long-stay residents who lose too much weight 6.9 8.0 0.0 4.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.1 97.2 90.9 85.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 32.4
Percentage of long-stay residents who have depressive symptoms 6.1 2.9 3.2 3.8
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 92.3 92.3 92.3 92.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.9 63.6 60.7 58.1
  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