Resident Health Quality » Southern Hills Rehabilitation 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 15.8 5.5 8.0 8.3
Percentage of high risk long-stay residents with pressure ulcers 19.4 13.5 7.3 12.2
Percentage of long-stay residents experiencing one or more falls with major injury 6.5 5.8 5.4 5.1
Percentage of long-stay residents whose need for help with daily activities has increased 7.8 8.6 8.2 8.5
Percentage of long-stay residents who self-report moderate to severe pain 15.2 18.8 13.3 15.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 8.4 2.6 6.1 5.6
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 4.2 1.9
Percentage of long-stay residents who received an antipsychotic medication 17.0 13.3 11.9 13.6

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 57.0 * * 59.2
Percentage of short-stay residents who newly received an antipsychotic medication 3.4 3.6 2.2 2.5
Percentage of short-stay residents who self-report moderate to severe pain 45.8 50.0 51.0 47.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.2 27.1 22.6 24.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 86.4 86.4 86.4 86.4
Percentage of long-stay residents who lose too much weight 7.8 5.3 13.3 9.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.9 97.1 95.9 94.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 33.3 35.7 31.1 33.9
Percentage of long-stay residents who have depressive symptoms 3.8 6.3 5.9 6.6
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 66.3 66.3 66.3 66.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 66.0 81.8 67.1 70.6
  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