Resident Health Quality » St Andrews Health Campus

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 8.9 26.5 12.3 15.9
Percentage of high risk long-stay residents with pressure ulcers 12.5 16.1 15.2 12.7
Percentage of long-stay residents experiencing one or more falls with major injury 2.4 7.9 7.9 6.3
Percentage of long-stay residents whose need for help with daily activities has increased 22.9 18.2 15.2 15.8
Percentage of long-stay residents who self-report moderate to severe pain 7.2 11.7 13.6 8.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.3 1.6 0.0 1.0
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 2.6 0.6
Percentage of long-stay residents who received an antipsychotic medication 10.0 8.1 10.8 9.1

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 69.9 53.1 57.3 59.4
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 1.5 1.4 1.5
Percentage of short-stay residents who self-report moderate to severe pain 19.5 16.0 20.6 15.9

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 18.2 15.2 15.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.5 91.5 91.5 91.5
Percentage of long-stay residents who lose too much weight 17.6 12.5 9.1 12.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.7 100.0 97.4 95.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 60.9 63.6 * 62.7
Percentage of long-stay residents who have depressive symptoms 7.7 2.9 0.0 2.7
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 74.0 74.0 74.0 74.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.7 89.3 91.3 80.8
  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