Resident Health Quality » Epione Pavilion

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 15.5 19.0 22.2 16.9
Percentage of high risk long-stay residents with pressure ulcers 3.7 3.8 1.8 3.5
Percentage of long-stay residents experiencing one or more falls with major injury 7.2 4.5 8.6 6.8
Percentage of long-stay residents whose need for help with daily activities has increased 18.6 8.8 13.3 12.3
Percentage of long-stay residents who self-report moderate to severe pain 2.8 5.3 6.7 5.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.6 4.3 4.3 5.2
Percentage of long-stay residents with a urinary tract infection 5.8 6.1 4.3 4.6
Percentage of long-stay residents who received an antipsychotic medication 14.5 13.6 11.4 13.2

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 * * * 81.8
Percentage of short-stay residents who newly received an antipsychotic medication * 0.0 * 0.0
Percentage of short-stay residents who self-report moderate to severe pain * 12.0 9.1 12.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.0 26.6 20.6 22.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7 98.7 98.7 98.7
Percentage of long-stay residents who lose too much weight 5.9 3.1 2.9 3.3
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 36.0 26.1 26.7 29.4
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
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 91.3 91.3 91.3 91.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.0 100.0 100.0 99.0
  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