Resident Health Quality » San Rafael Nursing and Rehabilitation Center

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 24.1 36.1 26.1 28.0
Percentage of high risk long-stay residents with pressure ulcers 13.1 9.2 10.6 10.2
Percentage of long-stay residents experiencing one or more falls with major injury 5.5 5.8 3.2 4.7
Percentage of long-stay residents whose need for help with daily activities has increased 27.4 28.6 27.2 24.2
Percentage of long-stay residents who self-report moderate to severe pain 5.3 11.3 14.8 9.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.6 1.4 0.7
Percentage of long-stay residents with a urinary tract infection 0.0 1.7 0.8 1.2
Percentage of long-stay residents who received an antipsychotic medication 8.2 13.1 15.9 13.9

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 * * * 55.6
Percentage of short-stay residents who newly received an antipsychotic medication 4.3 10.7 9.1 9.4
Percentage of short-stay residents who self-report moderate to severe pain 3.2 17.0 15.9 13.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.5 34.7 36.8 33.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.6 98.6 98.6 98.6
Percentage of long-stay residents who lose too much weight 8.1 4.2 4.9 5.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2 99.2 99.2 99.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 44.0 67.9 48.1 53.9
Percentage of long-stay residents who have depressive symptoms 4.9 1.7 1.7 2.1
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 83.3 83.3 83.3 83.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.2 87.1 84.7 86.9
  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