Resident Health Quality » Good Samaritan Society De Smet

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 19.2 14.7 23.0 16.7
Percentage of high risk long-stay residents with pressure ulcers 0.0 7.1 3.3 5.2
Percentage of long-stay residents experiencing one or more falls with major injury 8.1 10.5 5.0 7.1
Percentage of long-stay residents whose need for help with daily activities has increased 13.9 13.2 15.8 15.0
Percentage of long-stay residents who self-report moderate to severe pain 8.7 0.0 6.1 5.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.0 0.0 2.2 2.3
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.7
Percentage of long-stay residents who received an antipsychotic medication 0.0 2.9 2.8 2.2

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 * * * 92.7
Percentage of short-stay residents who newly received an antipsychotic medication * * * 4.3
Percentage of short-stay residents who self-report moderate to severe pain 0.0 * * 11.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.2 23.7 23.7 23.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 87.2 87.2 87.2 87.2
Percentage of long-stay residents who lose too much weight 5.6 5.3 5.3 6.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.3 86.8 87.5 89.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder * 47.6 * 39.0
Percentage of long-stay residents who have depressive symptoms 0.0 2.7 5.4 5.3
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 21.7 21.7 21.7 21.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 41.7 * * 52.2
  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