Resident Health Quality » Good Shepherd Health Care Center of Santa Monica

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 * * 17.1 13.4
Percentage of high risk long-stay residents with pressure ulcers 9.1 8.8 2.5 6.3
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 0.0 0.0
Percentage of long-stay residents whose need for help with daily activities has increased 6.5 3.3 2.9 5.4
Percentage of long-stay residents who self-report moderate to severe pain 8.4 6.3 6.6 6.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.3 0.0 2.3 2.4
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 2.4 2.6
Percentage of long-stay residents who received an antipsychotic medication 14.3 8.6 17.9 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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * *
Percentage of short-stay residents who self-report moderate to severe pain * * * 13.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.3 15.2 13.5 12.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 80.5 80.5 80.5 80.5
Percentage of long-stay residents who lose too much weight 0.0 15.2 13.5 9.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 64.9 69.4 61.9 72.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 31.4
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 * * * 63.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 60.0 * * 45.6
  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