Percent of High-Risk Residents With Pressure Ulcers

Identifying Attributes

Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Nursing Home Minimum Data Set (MDS) Resident Assessment Instrument Based Quality Measures
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Person-Centred Care

Defining Attributes

Definition

Percentage of long-stay, high-risk residents with Stage II-IV or unstageable pressure ulcers

Numerator

All long-stay residents with a selected target assessment that has stage II-IV or unstageable pressure ulcers present

Denominator

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

Exclusions

Target assessment is an OBRA Admission assessment or 5-Day assessment

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Nursing Home Minimum Data Set (MDS) Resident Assessment Instrument

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

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

Reporting Frequency
Quarterly. Internet Quality Improvement and Evaluation System (iQIES) Quality Measure Reports. National, state, facility and resident level (providers only). Nursing Home Care Compare. Publicly reported on CMS website of all Medicare and Medicaid US nursing homes. Reports the average adjusted QM values for most recent three quarters. Five Star Quality Rating System (includes 9 QIs). Publicly available online.
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits/nhqiqualitymeasures Joyce, N. R., McGuire, T. G., Bartels, S. J., Mitchell, S. L., & Grabowski, D. C. (2018). The Impact of Dementia Special Care Units on Quality of Care: An Instrumental Variables Analysis. Health Services Research, 53(5), 3657-3679.

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025