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 5.5 24.8 9.3 20.0
Percentage of long-stay residents experiencing one or more falls with major injury 10.4 2.8 4.0 4.5
Percentage of long-stay residents whose need for help with daily activities has increased 5.7 19.0 14.1 15.3
Percentage of long-stay residents who self-report moderate to severe pain 0.0 13.4 18.9 12.8
Percentage of high risk long-stay residents with pressure ulcers 3.5 6.3 0.0 3.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.1 3.5 3.3 3.7
Percentage of long-stay residents with a urinary tract infection 7.5 7.0 4.0 7.0
Percentage of long-stay residents who received an antipsychotic medication 24.6 25.7 19.2 22.9
Percentage of long-stay residents who were physically restrained 9.0 8.5 6.7 7.3

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 63.8 69.4 79.5 72.1
Percentage of short-stay residents who newly received an antipsychotic medication 4.2 2.5 5.4 5.0
Percentage of short-stay residents who self-report moderate to severe pain 3.4 7.5 8.0 6.7
Percentage of short-stay residents with pressure ulcers that are new or worsened 0.0 0.0 0.0 0.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.3 31.1 26.6 27.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.2 97.2 97.2 97.2
Percentage of long-stay residents who lose too much weight 11.9 15.5 20.0 14.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 97.2 100.0 99.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * 40.9 45.1
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 95.9 95.5 98.4 96.1
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91.4 91.4 91.4 91.4
  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