Resident Health Quality » Millbrook Healthcare 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 23.7 21.4 17.7 19.5
Percentage of high risk long-stay residents with pressure ulcers 6.6 2.2 5.5 4.2
Percentage of long-stay residents experiencing one or more falls with major injury 1.1 2.2 2.2 2.0
Percentage of long-stay residents whose need for help with daily activities has increased 22.9 14.1 7.3 12.4
Percentage of long-stay residents who self-report moderate to severe pain 8.6 8.6 0.0 4.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9 2.2 1.1 1.1
Percentage of long-stay residents with a urinary tract infection 8.8 1.1 3.3 3.4
Percentage of long-stay residents who received an antipsychotic medication 10.6 5.1 8.3 8.0

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 * * * 62.2
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 27.0 26.1 17.2 21.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.4 17.2 10.5 16.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.9 95.9 95.9 95.9
Percentage of long-stay residents who lose too much weight 3.6 1.2 3.5 2.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.9 98.9 100.0 98.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 57.6 63.8 61.5 62.0
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
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 83.6 83.6 83.6 83.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.0 89.1 83.0 86.8
  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