Resident Health Quality » St James Rehabilitation & Healthcare 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 15.1 9.7 10.0 11.0
Percentage of high risk long-stay residents with pressure ulcers 5.0 5.4 8.1 6.5
Percentage of long-stay residents experiencing one or more falls with major injury 5.4 3.1 4.3 4.5
Percentage of long-stay residents whose need for help with daily activities has increased 5.1 7.7 6.4 6.6
Percentage of long-stay residents who self-report moderate to severe pain 7.7 5.6 5.1 5.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.0 3.3 1.7 2.3
Percentage of long-stay residents with a urinary tract infection 1.8 0.0 1.8 1.0
Percentage of long-stay residents who received an antipsychotic medication 2.4 2.5 2.5 2.9

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 58.7 59.4 49.9 54.4
Percentage of short-stay residents who newly received an antipsychotic medication 0.4 0.7 1.2 1.0
Percentage of short-stay residents who self-report moderate to severe pain 8.4 9.1 12.9 10.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.8 16.0 15.6 17.9
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 86.6 86.6 86.6 86.6
Percentage of long-stay residents who lose too much weight 12.7 12.3 10.0 10.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.7 91.9 84.7 88.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 71.4 65.6 63.3 66.0
Percentage of long-stay residents who have depressive symptoms 0.6 0.0 0.0 0.2
Percentage of long-stay residents who were physically restrained 2.4 0.6 0.6 1.0

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 75.4 75.4 75.4 75.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.7 75.4 68.7 72.0

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