Resident Health Quality » Regency Gresham Nursing & 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 9.7 29.7 27.3 26.3
Percentage of long-stay residents experiencing one or more falls with major injury 1.3 3.2 2.8 2.5
Percentage of long-stay residents whose need for help with daily activities has increased 8.1 29.4 17.2 14.2
Percentage of long-stay residents who self-report moderate to severe pain 2.2 3.9 2.7 4.2
Percentage of high risk long-stay residents with pressure ulcers 3.4 2.0 3.4 4.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.0 3.0 1.3 2.9
Percentage of long-stay residents with a urinary tract infection 1.3 1.6 2.8 2.8
Percentage of long-stay residents who received an antipsychotic medication 11.3 8.6 10.4 11.3
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.0

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 76.6 83.7 77.0 77.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 1.4 2.8 1.8
Percentage of short-stay residents who self-report moderate to severe pain 12.4 4.5 7.3 8.2
Percentage of short-stay residents with pressure ulcers that are new or worsened 0.0 0.0 0.0 0.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.7 22.8 21.5 23.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 97.5 98.7
Percentage of long-stay residents who lose too much weight 5.3 4.8 7.0 5.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.4 93.7 97.2 96.8
Percentage of low risk long-stay residents who lose control of their bowels or bladder 37.5 * 41.7 38.6
Percentage of long-stay residents who have depressive symptoms 4.4 5.3 3.0 3.9

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.2 96.3 98.3 96.5
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.7 90.7 98.3 94.7
  1. * 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