Resident Health Quality » Shenandoah 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 10.5 32.2 16.4 17.3
Percentage of high risk long-stay residents with pressure ulcers 10.4 2.6 9.1 7.6
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 1.6 1.6
Percentage of long-stay residents whose need for help with daily activities has increased 18.4 28.3 15.7 20.8
Percentage of long-stay residents who self-report moderate to severe pain 8.8 6.6 9.5 10.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a urinary tract infection 0.0 1.7 3.2 1.6
Percentage of long-stay residents who received an antipsychotic medication 3.2 3.6 4.9 3.8

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 62.6 68.1 74.3 70.2
Percentage of short-stay residents who newly received an antipsychotic medication 1.5 2.2 0.0 1.0
Percentage of short-stay residents who self-report moderate to severe pain 7.4 8.9 11.7 10.7

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.1 22.6 22.4 22.8
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 8.6 5.7 3.4 4.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 98.4 99.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * 21.7 26.1
Percentage of long-stay residents who have depressive symptoms 2.2 7.1 4.9 6.3
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 96.8 96.8 96.8 96.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.5 94.8 94.1 93.2
  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