Resident Health Quality » Mt Lebanon Rehabilitation and Wellness 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 21.3 26.2 35.5 27.5
Percentage of high risk long-stay residents with pressure ulcers 6.6 3.6 9.8 5.8
Percentage of long-stay residents experiencing one or more falls with major injury 3.4 3.1 2.0 3.2
Percentage of long-stay residents whose need for help with daily activities has increased 17.6 22.0 34.5 23.1
Percentage of long-stay residents who self-report moderate to severe pain 0.0 3.2 0.0 0.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
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 23.7 20.5 12.8 18.3

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 80.9 * * 68.8
Percentage of short-stay residents who newly received an antipsychotic medication 3.4 0.0 2.6 2.2
Percentage of short-stay residents who self-report moderate to severe pain 4.8 5.3 0.0 2.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.6 15.4 14.8 15.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.7 90.7 90.7 90.7
Percentage of long-stay residents who lose too much weight 7.0 8.8 6.9 7.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 47.2 51.5 42.9 47.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 51.0 50.9 54.9 50.5
Percentage of long-stay residents who have depressive symptoms 66.2 29.8 23.5 35.8
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 68.0 68.0 68.0 68.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 67.3 32.9 14.8 33.8
  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