Resident Health Quality » Pacific Health and Rehabilitation

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 34.1 36.2 31.6 30.5
Percentage of high risk long-stay residents with pressure ulcers 17.9 13.5 8.6 12.5
Percentage of long-stay residents experiencing one or more falls with major injury 7.8 2.3 4.7 4.5
Percentage of long-stay residents whose need for help with daily activities has increased 25.0 23.7 21.1 23.1
Percentage of long-stay residents who self-report moderate to severe pain 9.8 6.0 4.5 9.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 14.4 11.2 16.4 13.8
Percentage of long-stay residents with a urinary tract infection 3.9 4.5 4.8 4.0
Percentage of long-stay residents who received an antipsychotic medication 26.1 27.0 18.2 22.8

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 * * * 72.6
Percentage of short-stay residents who newly received an antipsychotic medication * * * 3.1
Percentage of short-stay residents who self-report moderate to severe pain * * 17.9 28.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.3 7.3 7.1 11.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1 98.1 98.1 98.1
Percentage of long-stay residents who lose too much weight 9.8 4.9 12.2 8.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.1 84.1 95.3 87.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 42.0
Percentage of long-stay residents who have depressive symptoms 4.7 0.0 2.8 3.3
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 80.0 80.0 80.0 80.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.9 68.6 69.6 66.2
  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