Resident Health Quality » Tivoli at Divine Savior Healthcare

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 4.9 2.5 7.4 5.8
Percentage of high risk long-stay residents with pressure ulcers 12.5 13.2 10.5 11.2
Percentage of long-stay residents experiencing one or more falls with major injury 3.5 2.0 0.0 1.4
Percentage of long-stay residents whose need for help with daily activities has increased 5.0 2.8 2.7 4.1
Percentage of long-stay residents who self-report moderate to severe pain 5.4 3.6 12.1 6.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.2 2.0 1.7 3.8
Percentage of long-stay residents with a urinary tract infection 5.5 9.8 2.0 4.8
Percentage of long-stay residents who received an antipsychotic medication 7.1 8.0 6.1 7.8

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 73.2 65.9 71.9 69.0
Percentage of short-stay residents who newly received an antipsychotic medication 1.5 1.1 2.1 1.8
Percentage of short-stay residents who self-report moderate to severe pain 22.6 16.1 12.0 14.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.9 12.8 12.5 13.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.3 98.3 98.3 98.3
Percentage of long-stay residents who lose too much weight 2.3 5.1 10.0 5.7
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 19.2 20.8 17.4 20.6
Percentage of long-stay residents who have depressive symptoms 5.4 2.1 6.1 6.4
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 100.0 100.0 100.0 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0

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