Resident Health Quality » Tomball Rehab & Nursing

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 19.1 18.6 21.9 20.4
Percentage of high risk long-stay residents with pressure ulcers 6.2 2.9 1.6 4.2
Percentage of long-stay residents experiencing one or more falls with major injury 5.4 3.2 3.2 3.8
Percentage of long-stay residents whose need for help with daily activities has increased 19.0 15.4 16.0 17.6
Percentage of long-stay residents who self-report moderate to severe pain 7.7 14.2 13.0 11.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.4 1.1 1.1 1.5
Percentage of long-stay residents with a urinary tract infection 3.3 6.5 2.2 3.3
Percentage of long-stay residents who received an antipsychotic medication 11.2 9.9 12.1 11.4

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 * * * 77.6
Percentage of short-stay residents who newly received an antipsychotic medication 4.5 10.0 4.8 6.4
Percentage of short-stay residents who self-report moderate to severe pain 7.1 * * 11.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.4 13.4 13.4 12.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.8 90.8 90.8 90.8
Percentage of long-stay residents who lose too much weight 8.4 4.9 0.0 4.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.7 97.9 100.0 98.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 42.9 34.5 40.0 40.4
Percentage of long-stay residents who have depressive symptoms 1.2 0.0 0.0 0.3
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 100.0 100.0 100.0 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 97.0 90.0 96.0
  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