Resident Health Quality » The Pavilion at Creekwood

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 33.7 20.6 24.3 26.9
Percentage of high risk long-stay residents with pressure ulcers 7.1 4.2 4.0 4.9
Percentage of long-stay residents experiencing one or more falls with major injury 5.8 6.3 4.6 4.5
Percentage of long-stay residents whose need for help with daily activities has increased 17.0 13.2 16.4 14.4
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 1.5 0.0 0.0 0.8
Percentage of long-stay residents with a urinary tract infection 8.7 3.2 1.5 3.4
Percentage of long-stay residents who received an antipsychotic medication 4.4 6.5 4.7 4.2

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 53.7 60.3 56.5 54.1
Percentage of short-stay residents who newly received an antipsychotic medication 1.2 0.0 0.0 0.3
Percentage of short-stay residents who self-report moderate to severe pain 0.0 0.0 5.5 3.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 35.0 24.6 25.9 27.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.8 95.8 95.8 95.8
Percentage of long-stay residents who lose too much weight 0.0 0.0 1.8 0.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.8 95.2 95.4 94.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder 37.9 45.5 48.0 46.2
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 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 90.9 90.9 90.9 90.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.2 99.1 84.8 87.3

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