Resident Health Quality » Bishop Spencer Place, Inc, The

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 39.5 * * 29.9
Percentage of high risk long-stay residents with pressure ulcers 4.2 4.8 * 9.9
Percentage of long-stay residents experiencing one or more falls with major injury 3.6 4.2 5.0 5.3
Percentage of long-stay residents whose need for help with daily activities has increased 23.8 30.0 * 19.5
Percentage of long-stay residents who self-report moderate to severe pain 17.2 25.8 * 19.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 * * 0.0
Percentage of long-stay residents with a urinary tract infection 14.3 4.2 5.0 9.5
Percentage of long-stay residents who received an antipsychotic medication 3.7 0.0 * 3.3

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 55.4 61.2 64.4 62.5
Percentage of short-stay residents who newly received an antipsychotic medication 2.4 1.4 0.0 0.9
Percentage of short-stay residents who self-report moderate to severe pain 25.5 28.1 32.6 27.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.6 20.0 * 15.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 0.0 20.0 * 6.3
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 * * * 55.6
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 * 1.1
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 99.0 99.0 99.0 99.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 98.5 97.6 98.6
  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