Resident Health Quality » Mission Pines Nursing & Rehabilitation 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 21.3 58.3 35.2 33.0
Percentage of high risk long-stay residents with pressure ulcers 4.5 0.0 4.2 3.7
Percentage of long-stay residents experiencing one or more falls with major injury 2.3 4.3 2.0 2.9
Percentage of long-stay residents whose need for help with daily activities has increased 14.1 14.4 22.3 16.4
Percentage of long-stay residents who self-report moderate to severe pain 13.2 8.1 8.7 9.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8 0.0 0.0 0.7
Percentage of long-stay residents with a urinary tract infection 1.5 0.7 0.7 0.7
Percentage of long-stay residents who received an antipsychotic medication 32.8 33.1 25.2 30.7

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 * * * 14.5
Percentage of short-stay residents who newly received an antipsychotic medication * 4.8 8.7 7.1
Percentage of short-stay residents who self-report moderate to severe pain 20.0 16.1 19.0 17.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.5 17.8 19.3 18.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.0 96.0 96.0 96.0
Percentage of long-stay residents who lose too much weight 7.8 5.2 3.4 4.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.5 95.0 94.0 95.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 52.6 47.5 48.9 48.2
Percentage of long-stay residents who have depressive symptoms 7.6 5.7 5.0 7.7
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 77.5 77.5 77.5 77.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 71.2 61.1 60.0 64.8
  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