Resident Health Quality » Sienna Nursing and Rehabilitation Lp

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 18.3 28.0 17.9 18.5
Percentage of high risk long-stay residents with pressure ulcers 12.0 7.1 10.0 9.9
Percentage of long-stay residents experiencing one or more falls with major injury 5.8 5.8 5.1 4.9
Percentage of long-stay residents whose need for help with daily activities has increased 26.0 32.4 24.2 24.9
Percentage of long-stay residents who self-report moderate to severe pain 7.2 11.0 0.0 5.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.1 0.0 1.1 0.8
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.0
Percentage of long-stay residents who received an antipsychotic medication 10.6 15.9 16.0 14.9

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 * * * 34.4
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 * * 4.2
Percentage of short-stay residents who self-report moderate to severe pain 19.0 * * 13.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.1 19.5 17.3 18.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 1.2 1.2 0.0 1.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 99.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 25.0 9.5 30.0 23.0
Percentage of long-stay residents who have depressive symptoms 6.3 0.0 0.0 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 81.5 81.5 81.5 81.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.7 92.0 92.3 93.9
  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