Resident Health Quality » Havencare Nursing and Rehabilitation Center 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 24.6 14.4 23.0 25.2
Percentage of high risk long-stay residents with pressure ulcers 16.3 2.1 3.9 8.9
Percentage of long-stay residents experiencing one or more falls with major injury 1.5 3.0 1.4 1.8
Percentage of long-stay residents whose need for help with daily activities has increased 27.1 23.9 17.0 25.0
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 5.3 3.1
Percentage of long-stay residents with a urinary tract infection 6.2 9.2 11.0 9.5
Percentage of long-stay residents who received an antipsychotic medication 13.1 14.8 17.6 16.3

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 * * * 79.1
Percentage of short-stay residents who newly received an antipsychotic medication 3.8 3.8 4.5 4.3
Percentage of short-stay residents who self-report moderate to severe pain 20.0 0.0 * 8.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 38.2 32.1 37.3 36.4
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 7.4 11.5 6.8 6.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.5 100.0 95.9 95.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 82.1 81.8 76.0 79.6
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 1.5 0.4
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 54.3 54.3 54.3 54.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 59.6 60.0 50.0 57.1
  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