Resident Health Quality » Macgregor Downs Health and Rehabilitation

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 7.5 13.6 7.9 9.1
Percentage of high risk long-stay residents with pressure ulcers 7.6 7.1 8.3 7.1
Percentage of long-stay residents experiencing one or more falls with major injury 5.2 6.5 7.4 6.2
Percentage of long-stay residents whose need for help with daily activities has increased 4.9 3.9 5.1 4.5
Percentage of long-stay residents who self-report moderate to severe pain 2.8 10.4 10.3 9.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9 1.0 3.0 1.7
Percentage of long-stay residents with a urinary tract infection 1.0 2.2 2.2 2.2
Percentage of long-stay residents who received an antipsychotic medication 11.6 11.0 15.2 11.8

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 85.7 84.3 77.8 80.8
Percentage of short-stay residents who newly received an antipsychotic medication 0.8 0.8 1.5 1.4
Percentage of short-stay residents who self-report moderate to severe pain 24.5 21.4 18.6 20.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.5 10.8 12.0 11.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 71.6 71.6 71.6 71.6
Percentage of long-stay residents who lose too much weight 11.5 6.1 6.3 7.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 98.9 96.8 97.8
Percentage of low risk long-stay residents who lose control of their bowels or bladder 32.4 42.1 56.4 46.9
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 1.0 1.1 0.0 0.5

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 89.8 89.8 89.8 89.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.2 96.4 95.5 95.4

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