Resident Health Quality » Divine Rehabilitation and Nursing at St Croix

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 11.0 14.0 21.3 17.7
Percentage of high risk long-stay residents with pressure ulcers * * * 3.1
Percentage of long-stay residents experiencing one or more falls with major injury 2.9 3.7 3.2 2.3
Percentage of long-stay residents whose need for help with daily activities has increased 29.0 11.5 10.7 18.5
Percentage of long-stay residents who self-report moderate to severe pain 6.9 0.0 3.7 2.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 8.3 0.0 3.6 5.2
Percentage of long-stay residents with a urinary tract infection 3.0 0.0 6.7 3.1
Percentage of long-stay residents who received an antipsychotic medication 2.9 3.8 0.0 2.4

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 74.0 79.1 76.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 2.0 1.0
Percentage of short-stay residents who self-report moderate to severe pain 37.5 19.0 20.0 27.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.8 11.5 7.1 9.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.2 97.2 97.2 97.2
Percentage of long-stay residents who lose too much weight 9.4 3.8 7.4 8.4
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 33.3 * 31.8 36.0
Percentage of long-stay residents who have depressive symptoms 3.1 0.0 9.7 4.1
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 80.0 80.0 80.0 80.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.1 79.4 69.2 76.2
  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