Resident Health Quality » Majestic Oaks Rehabilitation and Nursing 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 7.6 12.2 11.6 10.7
Percentage of high risk long-stay residents with pressure ulcers 6.9 9.0 8.2 8.8
Percentage of long-stay residents experiencing one or more falls with major injury 6.1 2.1 2.6 3.7
Percentage of long-stay residents whose need for help with daily activities has increased 8.1 10.1 11.3 9.0
Percentage of long-stay residents who self-report moderate to severe pain 5.4 8.1 4.4 4.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 2.0 1.2 1.0
Percentage of long-stay residents with a urinary tract infection 1.4 1.4 2.0 1.4
Percentage of long-stay residents who received an antipsychotic medication 18.2 15.6 17.1 16.6

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 * 76.9 * 73.8
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.8
Percentage of short-stay residents who self-report moderate to severe pain 3.8 4.6 6.1 3.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.5 23.0 19.3 21.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7 98.7 98.7 98.7
Percentage of long-stay residents who lose too much weight 6.8 2.2 2.7 4.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 98.6 97.4 96.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 50.6 48.8 51.2 49.0
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 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 82.3 82.3 82.3 82.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.8 79.3 84.5 79.8
  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