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 20.4 2.3 16.4 12.1
Percentage of high risk long-stay residents with pressure ulcers 9.2 10.7 3.7 7.7
Percentage of long-stay residents experiencing one or more falls with major injury 2.9 6.6 5.0 4.7
Percentage of long-stay residents whose need for help with daily activities has increased 10.0 18.0 17.3 13.9
Percentage of long-stay residents who self-report moderate to severe pain 3.9 0.0 0.0 1.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5 1.3 0.0 0.7
Percentage of long-stay residents with a urinary tract infection 1.4 0.0 0.0 2.7
Percentage of long-stay residents who received an antipsychotic medication 17.9 15.5 14.0 16.0

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 64.3 * * 81.2
Percentage of short-stay residents who newly received an antipsychotic medication 2.0 3.1 2.6 2.3
Percentage of short-stay residents who self-report moderate to severe pain 9.1 0.0 17.1 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 18.0 19.6 23.1 23.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.0 96.0 96.0 96.0
Percentage of long-stay residents who lose too much weight 12.9 5.9 16.0 13.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 74.3 70.5 81.7 77.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 78.6 76.2 * 78.4
Percentage of long-stay residents who have depressive symptoms 31.1 35.7 30.2 31.3
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 74.3 74.3 74.3 74.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 69.4 60.7 81.3 74.0
  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