Resident Health Quality » Shepherd of the Hills Living 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 21.7 24.9 23.8 21.0
Percentage of high risk long-stay residents with pressure ulcers 21.6 18.8 4.7 13.1
Percentage of long-stay residents experiencing one or more falls with major injury 7.6 11.5 10.6 9.4
Percentage of long-stay residents whose need for help with daily activities has increased 17.3 18.0 16.9 15.5
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.6 2.5 3.9 4.2
Percentage of long-stay residents with a urinary tract infection 10.8 4.9 6.1 6.7
Percentage of long-stay residents who received an antipsychotic medication 12.5 10.2 12.5 11.3

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 63.0 58.6 61.5 63.6
Percentage of short-stay residents who newly received an antipsychotic medication 1.3 0.0 1.7 1.1
Percentage of short-stay residents who self-report moderate to severe pain 7.4 7.1 8.0 7.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.8 11.5 21.7 17.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3 97.3 97.3 97.3
Percentage of long-stay residents who lose too much weight * * * 5.6
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.0 96.7 97.0 96.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 26.5 27.8 25.0 26.8
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 93.3 93.3 93.3 93.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.6 98.1 98.9 98.0
  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