Resident Health Quality » Ascension Living - Lakeshore at Siena

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 16.4 26.2 26.7 23.8
Percentage of high risk long-stay residents with pressure ulcers 3.3 3.4 10.0 7.5
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 0.0 0.7
Percentage of long-stay residents whose need for help with daily activities has increased 0.0 15.6 16.7 11.8
Percentage of long-stay residents who self-report moderate to severe pain 26.0 25.6 24.4 25.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a urinary tract infection 2.9 2.9 0.0 2.2
Percentage of long-stay residents who received an antipsychotic medication 5.7 8.8 11.8 9.3

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 70.5 73.0 77.2 72.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 1.5 0.7
Percentage of short-stay residents who self-report moderate to severe pain 33.8 26.4 33.3 33.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.1 6.3 3.2 7.7
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 0.0 0.0 20.0 4.7
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 * 55.0 * 55.4
Percentage of long-stay residents who have depressive symptoms 6.1 0.0 0.0 1.7
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 97.7 97.7 97.7 97.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.9 98.8 96.1 96.0
  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