Resident Health Quality » Pavilion at St Luke Village, The

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 21.8 22.2 23.9 22.9
Percentage of high risk long-stay residents with pressure ulcers 12.9 3.0 7.7 7.6
Percentage of long-stay residents experiencing one or more falls with major injury 3.6 2.4 4.9 4.2
Percentage of long-stay residents whose need for help with daily activities has increased 13.0 12.8 17.9 13.8
Percentage of long-stay residents who self-report moderate to severe pain 10.0 3.0 6.8 7.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 3.5 5.2 2.6
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.0
Percentage of long-stay residents who received an antipsychotic medication 14.3 16.0 16.2 16.7

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 49.7 57.3 54.0 53.4
Percentage of short-stay residents who newly received an antipsychotic medication 2.4 2.7 2.5 1.8
Percentage of short-stay residents who self-report moderate to severe pain 16.9 28.6 19.1 18.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.8 31.7 30.9 31.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.6 95.6 95.6 95.6
Percentage of long-stay residents who lose too much weight 4.9 7.3 7.4 5.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8 100.0 100.0 99.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 45.8 52.3 50.0 46.4
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
Percentage of long-stay residents who were physically restrained 1.2 1.2 0.0 0.6

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 79.4 79.4 79.4 79.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.3 93.3 89.7 92.2

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