Resident Health Quality » The Waters of Smyrna, 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 9.3 35.9 37.2 24.4
Percentage of long-stay residents experiencing one or more falls with major injury 4.0 1.4 2.9 2.5
Percentage of long-stay residents whose need for help with daily activities has increased 14.1 21.3 16.4 16.4
Percentage of long-stay residents who self-report moderate to severe pain 18.9 23.1 2.9 11.0
Percentage of high risk long-stay residents with pressure ulcers 0.0 3.0 1.7 1.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.3 3.9 4.9 3.1
Percentage of long-stay residents with a urinary tract infection 4.0 9.6 4.3 5.4
Percentage of long-stay residents who received an antipsychotic medication 19.2 22.5 14.9 17.4
Percentage of long-stay residents who were physically restrained 6.7 5.5 2.9 3.9

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 79.5 76.5 * 73.2
Percentage of short-stay residents who newly received an antipsychotic medication 5.4 8.3 7.1 4.9
Percentage of short-stay residents who self-report moderate to severe pain 8.0 8.5 5.6 9.2
Percentage of short-stay residents with pressure ulcers that are new or worsened 0.0 0.0 1.1 0.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.6 25.8 25.5 23.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.2 97.2 92.1 94.6
Percentage of long-stay residents who lose too much weight 20.0 8.2 15.9 14.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 98.6 99.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 40.9 52.2 66.7 54.9
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.4 94.8 88.0 93.9
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91.4 91.4 85.7 89.1
  1. * 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