Resident Health Quality » Mountain View Regional Medical 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 * * * 18.2
Percentage of high risk long-stay residents with pressure ulcers * * * 11.9
Percentage of long-stay residents experiencing one or more falls with major injury 15.0 13.6 0.0 7.1
Percentage of long-stay residents whose need for help with daily activities has increased 20.0 13.6 28.6 18.8
Percentage of long-stay residents who self-report moderate to severe pain * * * 2.6
Percentage of long-stay residents with a catheter inserted and left in their bladder * 12.9 * 3.6
Percentage of long-stay residents with a urinary tract infection * 13.6 * 22.2
Percentage of long-stay residents who received an antipsychotic medication 40.0 31.8 23.8 28.2

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 68.0 58.6 72.7 65.4
Percentage of short-stay residents who newly received an antipsychotic medication 6.7 3.8 1.6 3.7
Percentage of short-stay residents who self-report moderate to severe pain 42.1 40.4 36.6 36.3

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 40.9 19.0 29.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.7 91.7 91.7 91.7
Percentage of long-stay residents who lose too much weight * 9.1 * 12.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 21.4
Percentage of long-stay residents who have depressive symptoms * 0.0 * 0.0
Percentage of long-stay residents who were physically restrained 5.0 4.5 0.0 2.4

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 96.0 96.0 96.0 96.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.6 98.7 100.0 99.4
  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