Nursing Home Quality Reporting Program

Nursing homes that are certified to participate in Medicare or Medicaid programs participate in the Nursing Home Quality Initiative, requiring them to submit performance data on specified measures in an effort to improve the health care delivery system nationwide. Results for measures are made available to the public to help individuals make more informed decisions regarding where they would like to receive their health care services.

Medicare publishes the results of these quality measures on Nursing Home Compare and then aggregates the measures into an overall 5-Star Quality Rating. The maximum score a nursing home can achieve is 5 stars, which is considered a “Much Above Average” rating. Scores on the individual metrics are also published for review. Please see the website www.medicare.gov/NursingHomeCompare for additional information. The following table depicts the 5-Star Quality Rating for all CHS nursing home facilities:

CATHOLIC HEALTH SERVICES OF LONG ISLAND
NURSING HOME 5-STAR QUALITY METRIC RATINGS AS OF FEBRUARY 2018

Our Lady of Consolation	St. Catherine of Siena Nursing Home	Good Samaritan Nursing Home
Overall Rating: 3 out of 5 Much Above Average Quality Measures: 5 out of 5 Much Above Average	Overall Rating: 5 out of 5 Above Average Quality Measures: 5 out of 5 Much Above Average	Rating: 2 out of 5 Average Quality Measures: 5 out of 5 Much Above Average

 

Quality measures are collected on both short-stay and long-stay nursing home residents. The differences between these two populations are as follows:

• The short-stay quality measures include all residents in an episode whose cumulative days in the facility are less than or equal to 100 days at the end of the target period.
• The long-stay quality measures include all residents in an episode whose cumulative days in the facility are greater than or equal to 101 days at the end of the target period.

The following list represents the quality measures that are collected by nursing homes for the 5-Star Quality Rating Program.

Short-Stay Quality Measures

• Percent of Residents Who Self-Report Moderate to Severe Pain
• Percent of Residents With Pressure Ulcers That Are New or Worsened
• Percent of Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
• Percent of Residents Assessed and Appropriately Given the Pneumococcal Vaccine
• Percent of Residents Who Newly Received an Antipsychotic Medication

Long-Stay Quality Measures

• Percent of Residents Experiencing One or More Falls With Major Injury
• Percent of Residents Who Self-Report Moderate to Severe Pain
• Percent of High-Risk Residents With Pressure Ulcers
• Percent of Long-Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine
• Percent of Long-Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine
• Percent of Long-stay Residents With a Urinary Tract Infection
• Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder
• Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
• Percent of Residents Who Were Physically Restrained
• Percent of Residents Whose Need for Help With Activities of Daily Living Has Increased
• Percent of Long-Stay Residents Who Lose Too Much Weight
• Percent of Residents Who Have Depressive Symptoms
• Percent of Residents Who Received an Antipsychotic Medication