Resident Health Quality » Trinity Healthcare Center

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 5.9 6.9 14.4 12.0
Percentage of high risk long-stay residents with pressure ulcers 9.5 11.1 8.6 9.2
Percentage of long-stay residents experiencing one or more falls with major injury 6.1 2.2 4.4 4.8
Percentage of long-stay residents whose need for help with daily activities has increased 11.4 7.1 19.0 13.6
Percentage of long-stay residents who self-report moderate to severe pain 3.2 9.0 11.2 9.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.2 0.0 0.0 0.6
Percentage of long-stay residents with a urinary tract infection 2.1 2.3 2.2 1.6
Percentage of long-stay residents who received an antipsychotic medication 14.9 14.0 11.6 14.4

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 * 85.4 92.5 84.6
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 2.2 2.2 1.3
Percentage of short-stay residents who self-report moderate to severe pain 6.5 9.5 2.6 8.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.4 31.1 29.5 27.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.2 98.2 98.2 98.2
Percentage of long-stay residents who lose too much weight 8.9 9.1 0.0 7.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 56.5 45.5 * 47.5
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 97.8 97.8 97.8 97.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
  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