Resident Health Quality » The Villa at Bryn Mawr

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 33.8 13.5 13.9 18.8
Percentage of high risk long-stay residents with pressure ulcers 12.1 10.7 3.3 8.0
Percentage of long-stay residents experiencing one or more falls with major injury 2.1 2.0 7.4 5.8
Percentage of long-stay residents whose need for help with daily activities has increased 23.3 12.5 9.7 14.4
Percentage of long-stay residents who self-report moderate to severe pain 3.0 6.6 6.9 5.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.1 0.0 0.0 1.3
Percentage of long-stay residents with a urinary tract infection 1.1 1.0 1.1 0.8
Percentage of long-stay residents who received an antipsychotic medication 29.8 36.9 38.1 38.2

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 * * * 54.4
Percentage of short-stay residents who newly received an antipsychotic medication * * * 0.0
Percentage of short-stay residents who self-report moderate to severe pain 20.0 20.0 29.6 25.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.7 15.6 17.2 16.3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.5 90.5 90.5 90.5
Percentage of long-stay residents who lose too much weight 5.6 5.3 5.5 6.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.7 96.0 93.6 93.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 28.0 23.4 27.8 27.6
Percentage of long-stay residents who have depressive symptoms 1.2 5.6 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 26.8 26.8 26.8 26.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.2 76.3 55.8 60.8
  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