Resident Health Quality » Millcreek Manor

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 33.8 37.9 * 29.5
Percentage of high risk long-stay residents with pressure ulcers 11.1 11.5 4.2 8.2
Percentage of long-stay residents experiencing one or more falls with major injury 2.9 3.0 1.1 2.3
Percentage of long-stay residents whose need for help with daily activities has increased 33.3 * 11.1 25.0
Percentage of long-stay residents who self-report moderate to severe pain 2.2 0.0 0.0 0.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.3 1.9 1.1 1.9
Percentage of long-stay residents with a urinary tract infection 5.1 3.1 5.7 5.4
Percentage of long-stay residents who received an antipsychotic medication 22.0 21.9 15.9 18.4

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 62.0 69.2 71.0 68.2
Percentage of short-stay residents who newly received an antipsychotic medication 1.6 1.1 1.5 1.4
Percentage of short-stay residents who self-report moderate to severe pain 13.1 11.5 9.8 10.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.0 21.9 20.2 21.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.6 89.6 89.6 89.6
Percentage of long-stay residents who lose too much weight 8.7 10.0 7.4 7.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.3 99.0 98.9 97.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder 46.0 53.7 50.0 50.0
Percentage of long-stay residents who have depressive symptoms 1.1 0.0 0.0 0.3
Percentage of long-stay residents who were physically restrained 1.9 0.0 0.0 0.5

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 70.6 70.6 70.6 70.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 67.7 96.2 96.6 90.2
  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