Resident Health Quality » Avera Sister James Care 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 18.7 17.1 12.2 15.6
Percentage of high risk long-stay residents with pressure ulcers 9.9 1.0 2.0 4.9
Percentage of long-stay residents experiencing one or more falls with major injury 7.4 7.4 5.0 6.5
Percentage of long-stay residents whose need for help with daily activities has increased 13.0 17.1 20.6 18.3
Percentage of long-stay residents who self-report moderate to severe pain 4.2 3.6 7.8 6.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.2 0.0 0.8 0.8
Percentage of long-stay residents with a urinary tract infection 2.5 4.3 4.4 4.1
Percentage of long-stay residents who received an antipsychotic medication 19.4 20.0 19.2 19.4

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 93.3 88.8 89.4 88.5
Percentage of short-stay residents who newly received an antipsychotic medication 6.1 2.6 2.8 3.3
Percentage of short-stay residents who self-report moderate to severe pain 9.7 10.0 10.6 9.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.7 17.0 15.8 16.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.4 99.4 99.4 99.4
Percentage of long-stay residents who lose too much weight 4.9 6.4 4.3 5.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8 99.4 100.0 99.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 47.1 52.0 44.7 50.2
Percentage of long-stay residents who have depressive symptoms 3.8 1.9 1.9 2.2
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 93.1 93.1 93.1 93.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.1 98.0 95.8 97.0

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