The measure reports the percentage of long-stay residents who have had symptoms of depression during the 2-week period preceding the MDS 3.0 target assessment date.

Long-stay residents with a selected target assessment where the target assessment meets either of the following two conditions: CONDITION A (The resident mood interview must meet Part 1 and Part 2 below) PART 1:Little interest or pleasure in doing things half or more of the days over the last two weeks or Feeling down, depressed, or hopeless half or more of the days over the last two weeks. PART 2:The resident interview total severity score indicates the presence of depression. CONDITION B: (The staff assessment of resident mood must meet Part 1 and Part 2 below) PART 1:Little interest or pleasure in doing things half or more of the days over the last two weeks or Feeling or appearing down, depressed, or hopeless half or more of the days over the last two weeks. PART 2: The staff assessment total severity score indicates the presence of depression

All long-stay residents with a selected target assessment, except those with exclusions

1. Resident is comatose or comatose status is missing. 2. Resident is not included in the numerator (the resident did not meet the depression symptom conditions for the numerator)

Nursing Home Minimum Data Set (MDS) Resident Assessment Instrument

Public report, available from www.medicare.gov/care-compare/

www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits/nhqiqualitymeasures Fitzler, S., Raia, P., Buckley, F. O., & Wang, M. (2016). Does Nursing Facility Use of Habilitation Therapy Improve Performance on Quality Measures? American Journal of Alzheimer's Disease and other Dementias, 31(8), 687-692.