Resident Health Quality » Concordia Nursing and Rehabilitation-Smith County

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 47.0 28.2 40.1 40.1
Percentage of high risk long-stay residents with pressure ulcers 6.0 6.0 9.6 7.2
Percentage of long-stay residents experiencing one or more falls with major injury 8.1 9.0 7.5 7.5
Percentage of long-stay residents whose need for help with daily activities has increased 44.8 33.3 29.1 37.9
Percentage of long-stay residents who self-report moderate to severe pain 2.4 0.0 2.4 1.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5 1.4 1.4 1.0
Percentage of long-stay residents with a urinary tract infection 1.6 1.5 0.0 0.8
Percentage of long-stay residents who received an antipsychotic medication 2.0 5.7 0.0 2.5

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 72.2 78.6 73.1 71.0
Percentage of short-stay residents who newly received an antipsychotic medication 2.4 3.4 2.0 2.7
Percentage of short-stay residents who self-report moderate to severe pain 7.8 6.7 3.6 4.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 39.0 43.5 41.0 41.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.8 95.8 95.8 95.8
Percentage of long-stay residents who lose too much weight 5.1 3.3 8.2 4.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.5 94.0 88.1 90.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 57.1 55.6 61.5
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 3.2 3.2
Percentage of long-stay residents who were physically restrained 0.0 1.5 0.0 0.4

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 81.5 81.5 81.5 81.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 77.6 73.9 63.2 65.9
  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