Resident Health Quality » Citizens Memorial Healthcare Facility

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 12.4 4.1 8.7 9.3
Percentage of high risk long-stay residents with pressure ulcers 6.7 10.7 9.8 10.1
Percentage of long-stay residents experiencing one or more falls with major injury 5.2 5.1 7.7 6.4
Percentage of long-stay residents whose need for help with daily activities has increased 8.4 10.3 10.4 10.8
Percentage of long-stay residents who self-report moderate to severe pain 4.5 2.1 2.7 3.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.3 1.4 1.2 1.7
Percentage of long-stay residents with a urinary tract infection 2.1 2.1 1.1 1.6
Percentage of long-stay residents who received an antipsychotic medication 12.9 7.4 10.5 9.9

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 * 23.5 10.0 23.7
Percentage of short-stay residents who newly received an antipsychotic medication 4.3 2.3 6.9 3.8
Percentage of short-stay residents who self-report moderate to severe pain 8.5 5.4 4.8 6.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.7 27.8 26.3 25.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0 99.0 99.0 99.0
Percentage of long-stay residents who lose too much weight 1.1 0.0 0.0 0.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0 99.0 97.8 98.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 42.4 45.0 42.6 43.3
Percentage of long-stay residents who have depressive symptoms 0.0 2.3 2.3 1.2
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 95.8 95.8 95.8 95.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 97.5 92.1 95.8
  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