Resident Health Quality » Fall Creek Rehabilitation and Healthcare 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 32.5 20.3 46.0 31.4
Percentage of high risk long-stay residents with pressure ulcers 13.8 17.3 13.7 15.1
Percentage of long-stay residents experiencing one or more falls with major injury 1.4 1.4 2.9 2.8
Percentage of long-stay residents whose need for help with daily activities has increased 13.1 3.4 22.2 14.2
Percentage of long-stay residents who self-report moderate to severe pain 11.4 11.8 5.5 8.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.6 3.0 3.6 3.3
Percentage of long-stay residents with a urinary tract infection 12.2 5.8 2.9 6.7
Percentage of long-stay residents who received an antipsychotic medication 8.5 9.9 7.5 8.5

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 74.1 64.1 51.7 59.9
Percentage of short-stay residents who newly received an antipsychotic medication 4.7 2.5 3.0 3.2
Percentage of short-stay residents who self-report moderate to severe pain 17.6 17.2 11.1 12.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.5 22.0 17.9 18.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.4 91.4 91.4 91.4
Percentage of long-stay residents who lose too much weight 14.3 16.1 12.5 12.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 83.8 87.5 89.7 87.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 69.2 80.6 76.5 76.6
Percentage of long-stay residents who have depressive symptoms 2.8 4.9 1.6 2.3
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 31.5 31.5 31.5 31.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 42.8 34.4 65.5 58.8

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