Resident Health Quality » The Waters of Cheatham, 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 5.5 0.0 23.4 16.4
Percentage of high risk long-stay residents with pressure ulcers 21.7 7.5 7.0 11.4
Percentage of long-stay residents experiencing one or more falls with major injury 1.8 2.1 3.8 1.9
Percentage of long-stay residents whose need for help with daily activities has increased 4.4 2.4 8.9 9.2
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 7.7 6.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.0
Percentage of long-stay residents who received an antipsychotic medication 0.0 0.0 2.9 3.4

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 72.3 76.4 * 74.2
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 2.8 3.3 1.5
Percentage of short-stay residents who self-report moderate to severe pain 2.0 0.0 14.6 6.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 37.5 39.5 41.3 37.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.3 93.3 93.3 93.3
Percentage of long-stay residents who lose too much weight 18.8 2.3 2.2 7.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.4 93.8 76.9 68.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 59.1 * 60.0 55.8
Percentage of long-stay residents who have depressive symptoms 23.1 25.5 19.5 18.6
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 70.0 70.0 70.0 70.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.3 73.0 43.1 52.3
  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