Resident Health Quality » Marshall Manor West

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 8.9 4.7 19.0 10.4
Percentage of high risk long-stay residents with pressure ulcers 7.9 7.9 7.9 9.2
Percentage of long-stay residents experiencing one or more falls with major injury 3.0 3.1 3.1 2.7
Percentage of long-stay residents whose need for help with daily activities has increased 9.8 10.0 14.3 11.2
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6 2.1 0.0 1.0
Percentage of long-stay residents with a urinary tract infection 3.0 1.6 1.6 2.0
Percentage of long-stay residents who received an antipsychotic medication 19.3 21.8 23.6 20.8

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 * * * 0.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.0 17.5 17.2 18.1
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 6.6 10.5 7.0 8.7
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 34.8 28.6 38.1 32.9
Percentage of long-stay residents who have depressive symptoms 63.5 63.1 56.5 59.8
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 * 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