Resident Health Quality » Epworth Villa Health Services

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 * * 20.9 11.5
Percentage of high risk long-stay residents with pressure ulcers 3.7 6.7 3.1 3.5
Percentage of long-stay residents experiencing one or more falls with major injury 6.1 11.8 11.4 9.2
Percentage of long-stay residents whose need for help with daily activities has increased 10.0 15.0 16.0 10.7
Percentage of long-stay residents who self-report moderate to severe pain 0.0 17.7 9.9 7.6
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 3.0 3.0 0.0 1.5
Percentage of long-stay residents who received an antipsychotic medication 9.4 11.8 5.7 8.5

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 44.6 41.6 50.2 44.4
Percentage of short-stay residents who newly received an antipsychotic medication 0.5 0.0 0.5 0.5
Percentage of short-stay residents who self-report moderate to severe pain 20.9 22.4 31.8 26.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.0 22.7 15.4 19.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.3 92.3 92.3 92.3
Percentage of long-stay residents who lose too much weight 4.8 4.8 3.8 3.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 97.1 98.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 57.1 62.5 54.8
Percentage of long-stay residents who have depressive symptoms 6.1 3.2 0.0 3.2
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 77.4 77.4 77.4 77.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 98.2 97.9 98.7
  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