Quality of Resident Care at Bronson Commons

Published on March 09, 2021

Quality of Resident Care at Bronson Commons

The quality of resident care star rating measures parts of nursing home care quality, like if residents have gotten their flu shots, are in pain, or are losing weight. By comparing scores, you can see how nursing homes may be different from each other.

The quality of resident care star rating is calculated from 2 different types of quality of resident care measures: short- and long-stay resident quality measures.

Quality of Resident Care Rating

★★★★ Much Above Average

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care.

Short-Stay Quality of Residents Care

★★★★★ Much Above Average

The short-stay quality of care rating reflects the quality of care delivered to temporary residents, and whose typical goal is to improve their health status so they can return to their previous setting, like their home.

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Bronson Commons National Average

Percentage of short-stay residents who were re-hospitalized after a nursing home admission.

Lower percentages are better

10/1/2019 - 9/30/2020

13.6% 21.7%

Percentage of short-stay residents who have had an outpatient emergency department visit.

Lower percentages are better

10/1/2019 - 9/30/2020

10.3% 9.5%

Percentage of short-stay residents who got antipsychotic medication for the first time.1

Lower percentages are better

10/1/2019 - 12/31/2020

0.9% 1.8%

Percentage of residents with pressure ulcers/pressure injuries that are new or worsened.2

Lower percentages are better

1/1/2019 - 12/31/2019

6.1% 2.5%

Percentage of short-stay residents who improved in their ability to move around on their own.3

Higher percentages are better

10/1/2019 - 12/31/2020

61.0% 70.4%

Flu & Pneumonia Prevention Measures - Short-Stay Residents

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10/1/2019 - 12/31/2020

Bronson Commons National Average

Percentage of short-stay residents who needed and got a flu shot for the current flu season.

Higher percentages are better

78.0% 82.3%

Percentage of short-stay residents who needed and got a vaccine to prevent pneumonia.

Higher percentages are better

88.3% 82.5%

Additional Quality Measures - Short-Stay Residents

These measures are part of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) and report information on residents who get skilled nursing services under their Medicare Part A benefit.

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Bronson Commons National Average

Percentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified.

Higher percentages are better

1/1/2019 - 12/31/2019

97.9% 88.4%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay.

Lower percentages are better

1/1/2019 - 12/31/2019

0.3% 0.9%

Percentage of SNF residents whose functional abilities were assessed and functional goals were included in their treatment plan.4

Higher percentages are better

1/1/2019 - 12/31/2019

99.7% 99.1%

Percentage of residents who are at or above an expected ability to care for themselves at discharge.5

Higher percentages are better

1/1/2019 - 12/31/2019

40.3% 52.8%

Percentage of residents who are at or above an expected ability to move around at discharge.6

Higher percentages are better

1/1/2019 - 12/31/2019

53.1% 48.5%

Change in residents' ability to care for themselves.7

Scores above 0 mean that the self-care score has improved and scores below 0 mean that the self-care score has worsened.

1/1/2019 - 12/31/2019

6.7 N/A

Change in residents' ability to move around.8

Scores above 0 mean that the mobility score has improved and scores below 0 mean that the mobility score has worsened.

1/1/2019 - 12/31/2019

22.1 N/A

Rate of successful return to home and community from a SNF.9

Higher rates are better

10/1/2017 - 9/30/2019

65.8% 50.1%

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF.

Lower rates are better

10/1/2017 - 9/30/2019

6.9% 7.7%

Medicare Spending Per Beneficiary (MSPB) for residents in SNFs.10

Displayed as a ratio

10/1/2017 - 9/30/2019

0.70 1.03

Long-Stay Quality of Resident Care

★★★★ Much Above Average

The long-stay quality of care rating reflects the quality of care delivered to long-term residents, and whose typical goal is to maintain or attain their highest possible well-being while residing in the facility.

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Bronson Commons National Average

Number of hospitalizations per 1,000 long-stay resident days.

Lower numbers are better

10/1/2019 - 9/30/2020

1.25 1.65

Number of outpatient emergency department visits per 1,000 long-stay resident days.

Lower numbers are better

10/1/2019 - 9/30/2020

0.24 0.77

Percentage of long-stay residents who got an antipsychotic medication.1

Lower percentages are better

1/1/2020 - 12/31/2020

13.0% 14.2%

Percentage of long-stay residents experiencing one or more falls with major injury.

Lower percentages are better

1/1/2020-12/31/2020

1.6% 3.4%

Percentage of long-stay high-risk residents with pressure ulcers.11

Lower percentages are better

1/1/2020 - 12/31/2020

3.8% 7.9%

Percentage of long-stay residents with a urinary tract infection.

Lower percentages are better

1/1/2020 - 12/31/2020

9.4% 2.5%

Percentage of long-stay residents who have or had a catheter inserted and left in their bladder.12

Lower percentages are better

1/1/2020 - 12/31/2020

5.8% 1.6%

Percentage of long-stay residents whose ability to move independently worsened.

Lower percentages are better

1/1/2020 - 12/31/2020

30.4% 23.0%

Percentage of long-stay residents whose need for help with daily activities has increased.3

Lower percentages are better

1/1/2020 - 12/31/2020

15.1% 16.3%

Flu & Pneumonia Prevention Measures - Long-Stay Residents

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1/1/2020 - 12/31/2020

Bronson Commons National Average

Percentage of long-stay residents who needed and got a flu shot for the current flu season.

Higher percentages are better

93.8% 96.2%

Percentage of long-stay residents who needed and got a vaccine to prevent pneumonia.

Higher percentages are better

87.6% 94.0%

Additional Quality Measures - Long-Stay Residents

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1/1/2020 - 12/31/2020

Bronson Commons National Average

Percentage of long-stay residents who were physically restrained.

Lower percentages are better

0.0% 0.2%

Percentage of long-stay low-risk residents who lose control of their bowels or bladder.

Lower percentages are better

58.7% 47.5%

Percentage of long-stay residents who lose too much weight.

Lower percentages are better

6.5% 7.2%

Percentage of long-stay residents who have symptoms of depression.

Lower percentages are better

2.6% 7.1%

Percentage of long-stay residents who got an antianxiety or hypnotic medication.13

Lower percentages are better

19.4% 19.6%

Antipsychotic medications can be used to treat certain mental health conditions.

Pressure ulcers can be painful and cause other complications, like a reduction in mobility and infections. SNFs can help prevent and treat pressure ulcers by understanding which residents are at higher risk, ensuring frequent changes in their position, providing proper nutrition, and using specialized beds to reduce pressure on the skin. This measure is also used in the Skilled Nursing Facility Quality Reporting Program (SNF QRP), other SNF QRP measures are listed in the "additional quality measures section."

Daily activities include tasks such as: bathing, grooming, dressing, eating, toileting, bed mobility and moving from bed to chair.

The ability to perform daily activities, including bathing, grooming, dressing and walking.

This measure estimates the percentage of SNF resident stays where the self-care score at discharge is at or above the discharge score that was expected for them after adjusting for key resident characteristics.

This measure estimates the percentage of SNF resident stays where the mobility score at discharge is at or above the discharge score that was expected for them after adjusting for key resident characteristics.

The national average isn't available because facility scores should be compared to 0 to understand facility performance. Scores above 0 are better.

The national average isn't available because facility scores should be compared to 0 to understand facility performance. Scores above 0 are better.

This measure is also used in the Five Star Quality Rating System.

10 This measure shows whether Medicare spends more, less, or about the same on an episode of care for a Medicare resident treated in a specific SNF compared to how much Medicare spends on an episode of care across all SNFs nationally.

11 Pressure ulcers are areas of damaged skin caused by staying in one position for too long. High-risk residents have at least one of the following conditions: impaired mobility, difficulty staying nourished, or they are in a coma.

12 A catheter is a tube placed in the body to drain and collect urine from the bladder.

13 Antianxiety and hypnotic medication can be used to treat certain mental health conditions.

Reviewed by Bronson Patient Safety & Quality on July 12, 2021

Bronson Commons