The Pennsylvania Health Care Association (PHCA) is dedicated to sharing accurate and transparent data about the quality of care provided in nursing homes across the state.
As the commonwealth's most trusted voice representing the long-term care continuum, PHCA is committed to elevating Pennsylvania's role as a leader in delivering quality care for seniors and individuals with disabilities while fostering an environment of transparency with the goal of advancing care in our nursing homes.
nursing facilities in Pennsylvania
nursing facility occupancy
Pennsylvania seniors and adults with disabilities are cared for each day
The resident safety and quality measures displayed on this dashboard are priority quality initiatives of the Pennsylvania Health Care Association (PHCA). The outcomes are reflective of the care provided by all nursing facilities in Pennsylvania. These metrics are compared to a national average for a better understanding of performance among Pennsylvania providers.
The Centers for Medicare and Medicaid Services (CMS) has established a set of quality measures developed from the Minimum Data Set (MDS) and Medicare claims data to describe the quality of care provided in nursing homes. CMS measures quality based on 15 performance metrics. These include nine long-stay measures (those who stayed in a nursing home for 101 days or more) and six short-stay measures (those who stayed in a nursing home for 100 days or less or are covered under the Medicare Part A Skilled Nursing Facility benefit).
To learn more about quality measures and Pennsylvania's Quality Incentive Program, click here.
Resident Care and Safety Quality Measures
Percentage of long-stay residents whose need for help with daily activities has increased
This is a change measure that reflects worsening performance on at least two late loss activities of daily living (ADLs) by one functional level or on one late loss ADL by more than one functional level compared to the prior assessment. The late loss ADLs are bed mobility, transfer, eating and toileting. Maintenance of ADLs is related to an environment in which the resident is up and out of bed and engaged in activities.
Percentage of short-stay residents who were rehospitalized after a nursing home admission
This measure reports the percentage of all new admissions or readmissions to a nursing home from a hospital where the resident was re-admitted to a hospital for an inpatient or observation stay within 30 days of entry or reentry.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
This measure reports the percent of long-stay residents who received the pneumococcal vaccine during the 12-month reporting period.
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
The measure reports the percent of long-stay residents who are assessed and/or given, appropriately, the influenza vaccination during the most recent influenza season. This measure is only calculated once per 12-month influenza season which begins on July 1 of a given year and ends on June 30 of the subsequent year and reports data for residents who were in the facility for at least one day during the target period of October 1 through March 31.
Percentage of high-risk long-stay residents with pressure ulcers
This measure captures the percentage of long-stay, high-risk residents with Stage II-IV or unstageable pressure ulcers. Residents at high risk for pressure ulcers are those who are impaired in bed mobility or transfer, who are comatose, or who suffer from malnutrition.
Percentage of long-stay residents experiencing one or more falls with major injury
This measure reports the percentage of long-stay residents who have experienced one or more falls with major injury reported in the target period or look-back period (one full calendar year).
Percentage of long-stay residents who received an antianxiety or hypnotic medication
This measure reports the percentage of long-stay residents who are receiving an anti-anxiety or hypnotic medication in the target period.
Percentage of long-stay residents who received an antipsychotic medication
This measure reports the percentage of long-stay residents who are receiving antipsychotic drugs in the target period. Reducing the rate of antipsychotic medication use has been the focus of several CMS initiatives.