Resident Health Quality » Sturgeon Bay 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 18.7 20.7 8.9 13.6
Percentage of high risk long-stay residents with pressure ulcers 5.6 0.0 5.1 4.7
Percentage of long-stay residents experiencing one or more falls with major injury 3.8 0.0 3.9 3.9
Percentage of long-stay residents whose need for help with daily activities has increased 16.0 27.7 11.1 17.0
Percentage of long-stay residents who self-report moderate to severe pain 24.6 16.7 17.6 17.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.6
Percentage of long-stay residents with a urinary tract infection 0.0 2.0 0.0 1.0
Percentage of long-stay residents who received an antipsychotic medication 5.7 4.2 4.0 4.9

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 * 79.5 82.1 78.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 28.6 29.4 19.6 24.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.0 10.6 14.3 12.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.3 98.3 98.3 98.3
Percentage of long-stay residents who lose too much weight 18.4 0.0 2.1 6.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 84.9 100.0 100.0 96.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 40.3
Percentage of long-stay residents who have depressive symptoms 3.8 2.1 0.0 2.1
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 92.6 92.6 92.6 92.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.0 98.3 97.1 93.6
  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