Resident Health Quality » Avera Bormann Manor

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 17.8 3.5 12.9 17.3
Percentage of high risk long-stay residents with pressure ulcers 6.9 0.0 6.3 3.5
Percentage of long-stay residents experiencing one or more falls with major injury 2.3 2.3 4.3 3.4
Percentage of long-stay residents whose need for help with daily activities has increased 15.8 12.1 8.3 15.1
Percentage of long-stay residents who self-report moderate to severe pain 6.8 0.0 7.4 5.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 1.9 1.6
Percentage of long-stay residents with a urinary tract infection 9.3 2.3 2.1 3.9
Percentage of long-stay residents who received an antipsychotic medication 11.6 16.3 17.0 14.6

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * *
Percentage of short-stay residents who self-report moderate to severe pain * * * 11.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.1 7.9 7.7 8.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 4.8 2.6 2.6 2.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 99.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 52.4 * * 57.5
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 2.3 2.3 2.1 1.7

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 * * * 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 100.0
  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