Resident Health Quality » Cedar Creek 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 7.3 7.5 8.9 7.1
Percentage of high risk long-stay residents with pressure ulcers 10.0 7.1 14.3 9.3
Percentage of long-stay residents experiencing one or more falls with major injury 6.3 11.8 6.3 7.3
Percentage of long-stay residents whose need for help with daily activities has increased 13.8 9.7 13.8 10.7
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 * 0.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.9 0.0 4.3 1.8
Percentage of long-stay residents with a urinary tract infection 9.7 12.5 12.5 10.7
Percentage of long-stay residents who received an antipsychotic medication 31.3 26.5 21.9 26.6

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 57.9 50.5 53.8 57.3
Percentage of short-stay residents who newly received an antipsychotic medication 3.4 1.0 1.1 1.7
Percentage of short-stay residents who self-report moderate to severe pain 7.8 2.0 3.1 4.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 37.9 25.8 27.6 28.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 70.3 70.3 70.3 70.3
Percentage of long-stay residents who lose too much weight 10.3 0.0 6.9 5.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 65.6 73.5 96.9 83.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 40.8
Percentage of long-stay residents who have depressive symptoms 3.2 3.4 0.0 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 77.9 77.9 77.9 77.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.5 84.9 88.2 86.8
  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