Resident Health Quality » Capitol Lakes Health 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 * 11.6 24.9 18.7
Percentage of high risk long-stay residents with pressure ulcers 13.8 12.1 12.5 13.6
Percentage of long-stay residents experiencing one or more falls with major injury 6.3 8.3 8.3 8.6
Percentage of long-stay residents whose need for help with daily activities has increased 3.3 16.1 3.2 6.6
Percentage of long-stay residents who self-report moderate to severe pain 0.0 7.1 7.0 6.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.7 2.6 2.6 2.7
Percentage of long-stay residents with a urinary tract infection 3.1 0.0 5.7 4.3
Percentage of long-stay residents who received an antipsychotic medication 3.3 2.9 0.0 2.2

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 67.4 69.6 71.2 69.8
Percentage of short-stay residents who newly received an antipsychotic medication 0.8 0.9 0.0 0.4
Percentage of short-stay residents who self-report moderate to severe pain 24.1 21.1 22.4 23.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.0 6.5 6.3 7.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.7 94.7 94.7 94.7
Percentage of long-stay residents who lose too much weight 6.7 3.2 6.5 5.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 97.2 100.0 99.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 62.2
Percentage of long-stay residents who have depressive symptoms 3.4 2.9 0.0 2.3
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 87.7 87.7 87.7 87.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.0 94.4 92.6 94.2
  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