Resident Health Quality » Serene Manor Medical 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 18.0 13.4 13.6 16.6
Percentage of high risk long-stay residents with pressure ulcers 3.6 7.7 20.7 12.4
Percentage of long-stay residents experiencing one or more falls with major injury 1.4 1.5 1.4 2.2
Percentage of long-stay residents whose need for help with daily activities has increased 9.5 5.5 6.7 7.6
Percentage of long-stay residents who self-report moderate to severe pain 5.4 4.9 7.9 5.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.2 4.2 7.1 4.7
Percentage of long-stay residents with a urinary tract infection 4.4 3.1 11.8 7.1
Percentage of long-stay residents who received an antipsychotic medication 16.2 13.9 12.1 15.6

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 * * * *

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 40.6 36.2 44.3 41.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.0 92.0 92.0 92.0
Percentage of long-stay residents who lose too much weight 3.2 1.9 3.4 2.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.0 91.0 91.3 90.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 20.4 15.2 23.9 18.0
Percentage of long-stay residents who have depressive symptoms 13.0 12.5 25.4 16.0
Percentage of long-stay residents who were physically restrained 0.0 1.5 1.4 1.1

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 * * * *
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 38.1
  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