Resident Health Quality » Saunders Medical 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 41.4 26.8 9.5 24.1
Percentage of high risk long-stay residents with pressure ulcers 3.8 3.3 9.4 7.3
Percentage of long-stay residents experiencing one or more falls with major injury 4.1 8.2 7.1 7.6
Percentage of long-stay residents whose need for help with daily activities has increased 15.2 20.0 10.2 14.7
Percentage of long-stay residents who self-report moderate to severe pain 13.6 9.8 20.3 12.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.3 0.0 3.2 2.0
Percentage of long-stay residents with a urinary tract infection 2.1 2.1 1.9 1.9
Percentage of long-stay residents who received an antipsychotic medication 25.0 22.9 16.4 19.8

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 * * * *
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 * 10.0 * 9.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.8 34.8 21.2 26.4
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 4.3 0.0 2.0 4.1
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 33.3 32.0 37.9 37.4
Percentage of long-stay residents who have depressive symptoms 0.0 4.3 1.9 3.0
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 * * * 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * 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