Resident Health Quality » Delavan Health Services

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 15.4 10.4 32.0 17.4
Percentage of high risk long-stay residents with pressure ulcers 7.7 10.0 3.4 5.5
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 5.1 1.4
Percentage of long-stay residents whose need for help with daily activities has increased 8.0 7.4 3.6 7.8
Percentage of long-stay residents who self-report moderate to severe pain 4.1 3.7 3.5 5.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.3 3.6 8.3 5.6
Percentage of long-stay residents with a urinary tract infection 0.0 2.7 2.6 1.4
Percentage of long-stay residents who received an antipsychotic medication 12.5 11.4 13.5 12.6

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 76.5 76.3 * 76.6
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 2.4 0.0 1.2
Percentage of short-stay residents who self-report moderate to severe pain 30.0 38.5 24.2 27.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.0 14.8 27.6 21.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5 97.5 97.5 97.5
Percentage of long-stay residents who lose too much weight 8.7 0.0 3.6 4.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 97.3 89.7 96.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 47.5
Percentage of long-stay residents who have depressive symptoms 0.0 5.9 2.7 3.4
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 69.8 69.8 69.8 69.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 63.1 71.2 54.4 62.1
  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