Resident Health Quality » Christian Care Center of Memphis

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 11.8 * * 33.9
Percentage of high risk long-stay residents with pressure ulcers 0.0 2.3 0.0 1.6
Percentage of long-stay residents experiencing one or more falls with major injury 4.3 0.0 2.0 2.1
Percentage of long-stay residents whose need for help with daily activities has increased 9.8 26.8 17.0 20.0
Percentage of long-stay residents who self-report moderate to severe pain 0.0 3.6 5.4 4.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.3 2.4 2.1 3.8
Percentage of long-stay residents with a urinary tract infection 6.7 11.1 6.3 6.9
Percentage of long-stay residents who received an antipsychotic medication 10.9 6.5 6.1 7.9

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 56.5 44.4 41.8 45.8
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 1.9 1.1
Percentage of short-stay residents who self-report moderate to severe pain 3.4 6.0 9.6 6.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.6 11.6 17.0 14.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.7 94.7 94.7 94.7
Percentage of long-stay residents who lose too much weight 2.4 4.8 10.9 5.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 98.0 99.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 79.2
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
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 80.9 80.9 80.9 80.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.4 97.9 99.1 97.3
  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