Resident Health Quality » Dundee Manor, LLC

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 13.0 12.6 14.2 13.9
Percentage of high risk long-stay residents with pressure ulcers 14.1 12.7 6.3 10.5
Percentage of long-stay residents experiencing one or more falls with major injury 2.0 3.1 3.2 2.3
Percentage of long-stay residents whose need for help with daily activities has increased 15.1 13.7 12.0 11.8
Percentage of long-stay residents who self-report moderate to severe pain 6.1 2.9 5.4 4.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.6 0.8 0.3
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 1.1 0.8
Percentage of long-stay residents who received an antipsychotic medication 10.7 6.8 7.0 9.2

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 4.3
Percentage of short-stay residents who self-report moderate to severe pain * * * 6.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.8 23.9 29.5 27.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 77.1 77.1 77.1 77.1
Percentage of long-stay residents who lose too much weight 10.0 6.9 6.9 8.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.1 93.9 97.9 94.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 55.6 57.1 36.4 52.2
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 * * * 82.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 91.7 95.8
  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