Resident Health Quality » Signature Healthcare of Madison

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 27.3 25.4 37.1 29.9
Percentage of high risk long-stay residents with pressure ulcers 3.7 5.7 11.1 7.9
Percentage of long-stay residents experiencing one or more falls with major injury 3.4 0.0 0.0 0.9
Percentage of long-stay residents whose need for help with daily activities has increased 19.2 20.8 11.3 21.0
Percentage of long-stay residents who self-report moderate to severe pain 12.3 13.1 9.1 11.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 2.5 0.0 0.6
Percentage of long-stay residents with a urinary tract infection 5.2 8.5 8.8 6.5
Percentage of long-stay residents who received an antipsychotic medication 14.3 9.8 10.4 11.2

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 69.5 70.1 66.3 74.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 2.9 1.8
Percentage of short-stay residents who self-report moderate to severe pain 23.7 23.1 18.2 20.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.0 28.6 33.3 26.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 85.5 85.5 85.5 85.5
Percentage of long-stay residents who lose too much weight 10.9 10.7 5.6 10.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.3 98.3 100.0 97.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 75.0 50.0 73.6
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 3.3
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 75.6 75.6 75.6 75.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.7 84.4 82.9 84.2
  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