Resident Health Quality » Shepherd of the Valley Rehabilition and Wellness

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 9.6 31.3 25.4 20.5
Percentage of high risk long-stay residents with pressure ulcers 7.7 7.5 7.4 8.8
Percentage of long-stay residents experiencing one or more falls with major injury 5.2 5.5 5.0 5.0
Percentage of long-stay residents whose need for help with daily activities has increased 17.4 24.3 22.3 20.8
Percentage of long-stay residents who self-report moderate to severe pain 12.0 8.8 6.6 8.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 8.5 3.0 7.0 6.4
Percentage of long-stay residents with a urinary tract infection 0.8 2.4 0.7 1.5
Percentage of long-stay residents who received an antipsychotic medication 13.2 16.9 17.0 16.5

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 74.3 79.9 74.6
Percentage of short-stay residents who newly received an antipsychotic medication 0.8 0.8 0.9 1.0
Percentage of short-stay residents who self-report moderate to severe pain 30.7 21.9 22.0 23.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.1 21.1 16.8 19.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 84.1 84.1 84.1 84.1
Percentage of long-stay residents who lose too much weight 15.6 7.5 3.7 7.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3 91.4 97.9 93.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 32.7 44.4 46.2 40.0
Percentage of long-stay residents who have depressive symptoms 4.0 0.0 0.8 1.8
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 85.4 85.4 85.4 85.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.9 78.4 60.1 65.3

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