Resident Health Quality » Pavilion-Ths, 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 27.7 38.2 15.6 25.5
Percentage of high risk long-stay residents with pressure ulcers 8.8 10.3 7.4 9.3
Percentage of long-stay residents experiencing one or more falls with major injury 2.4 2.9 5.7 3.4
Percentage of long-stay residents whose need for help with daily activities has increased 19.4 13.3 17.9 15.5
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 6.1 2.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 8.3 11.2 5.2 6.4
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 1.4
Percentage of long-stay residents who received an antipsychotic medication 25.0 35.3 23.5 24.5

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 62.5 69.8 71.0 70.2
Percentage of short-stay residents who newly received an antipsychotic medication 1.1 0.0 1.0 0.8
Percentage of short-stay residents who self-report moderate to severe pain 11.0 11.1 10.3 10.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.7 28.1 27.6 28.8
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 13.9 15.6 17.2 17.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 97.1 100.0 99.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 66.7
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 3.2 0.7
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 87.4 87.4 87.4 87.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.2 88.6 89.8 90.0
  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