Resident Health Quality » Millcreek Rehabilitation and Nursing, LLC

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 6.0 8.2 26.7 19.9
Percentage of high risk long-stay residents with pressure ulcers * * * 1.6
Percentage of long-stay residents experiencing one or more falls with major injury 2.2 2.0 0.0 1.0
Percentage of long-stay residents whose need for help with daily activities has increased 4.9 14.3 21.3 19.1
Percentage of long-stay residents who self-report moderate to severe pain 13.7 21.9 38.9 21.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 2.5 2.1
Percentage of long-stay residents with a urinary tract infection 0.0 2.0 2.0 1.0
Percentage of long-stay residents who received an antipsychotic medication 8.0 10.7 7.7 8.3

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 * * * 29.1
Percentage of short-stay residents who newly received an antipsychotic medication * * * 3.1
Percentage of short-stay residents who self-report moderate to severe pain 20.0 30.0 57.1 40.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.7 22.0 22.4 22.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4 96.4 96.4 96.4
Percentage of long-stay residents who lose too much weight 4.7 2.0 0.0 3.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.8 98.0 98.0 95.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 18.5 21.9 6.9 18.9
Percentage of long-stay residents who have depressive symptoms 6.8 6.8 9.1 6.7
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 71.0 71.0 71.0 71.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.4 72.2 77.8 72.1
  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