Resident Health Quality » Bishop Davies Nursing 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 19.7 11.2 10.2 14.8
Percentage of high risk long-stay residents with pressure ulcers 7.7 18.8 26.3 18.1
Percentage of long-stay residents experiencing one or more falls with major injury 1.9 2.2 1.5 1.8
Percentage of long-stay residents whose need for help with daily activities has increased 25.5 16.0 7.1 13.5
Percentage of long-stay residents who self-report moderate to severe pain 0.0 1.9 5.0 2.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.9 1.5 0.6 1.1
Percentage of long-stay residents with a urinary tract infection 2.8 1.5 5.4 3.1
Percentage of long-stay residents who received an antipsychotic medication 26.0 28.4 27.4 26.6

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 14.7 * * 22.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.7
Percentage of short-stay residents who self-report moderate to severe pain 1.3 6.7 3.8 4.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 30.1 35.6 30.2 31.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.2 99.2 99.2 99.2
Percentage of long-stay residents who lose too much weight 18.4 12.3 13.5 13.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 52.5 51.9 45.9 46.4
Percentage of long-stay residents who have depressive symptoms 0.0 2.4 2.6 1.6
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 89.3 89.3 89.3 89.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.0 98.8 91.2 96.4
  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