Resident Health Quality » Brian Center Nursing Care - St Andrews

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 25.3 41.2 27.1 32.7
Percentage of high risk long-stay residents with pressure ulcers 18.9 18.5 15.0 15.8
Percentage of long-stay residents experiencing one or more falls with major injury 1.2 2.3 2.2 2.2
Percentage of long-stay residents whose need for help with daily activities has increased 22.4 28.4 10.7 22.8
Percentage of long-stay residents who self-report moderate to severe pain 2.3 2.2 0.0 1.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8 2.2 2.6 1.9
Percentage of long-stay residents with a urinary tract infection 3.7 5.8 7.8 4.8
Percentage of long-stay residents who received an antipsychotic medication 26.0 23.8 24.7 24.3

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 35.4 * 53.8 49.4
Percentage of short-stay residents who newly received an antipsychotic medication 3.1 4.5 7.0 5.8
Percentage of short-stay residents who self-report moderate to severe pain 12.2 4.3 1.8 6.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.4 14.5 14.8 15.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 70.0 70.0 70.0 70.0
Percentage of long-stay residents who lose too much weight 6.7 7.9 10.0 8.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 74.4 76.7 83.5 81.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder 62.2 76.9 95.6 82.5
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 1.2 1.1 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 64.1 64.1 64.1 64.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 63.9 52.4 41.6 56.2
  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