Resident Health Quality » Legacy Health and Rehabilitation of Pleasant Grove

Used in Quality Measure Five Star Rating - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents whose ability to move independently worsened 17.5 5.9 2.6 9.6
Percentage of high risk long-stay residents with pressure ulcers 5.6 6.3 10.5 8.0
Percentage of long-stay residents experiencing one or more falls with major injury 3.6 1.9 2.8 3.0
Percentage of long-stay residents whose need for help with daily activities has increased 19.1 3.4 3.2 8.0
Percentage of long-stay residents who self-report moderate to severe pain 7.6 14.0 13.7 11.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.3 1.8 2.6 2.8
Percentage of long-stay residents with a urinary tract infection 7.3 9.6 2.8 6.6
Percentage of long-stay residents who received an antipsychotic medication 21.1 20.5 26.1 23.6

Used in Quality Measure Five Star Rating - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents who made improvements in function 34.0 26.5 22.1 29.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 5.2 5.1 2.9
Percentage of short-stay residents who self-report moderate to severe pain 18.3 11.0 6.9 10.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 36.0 35.9 33.0 33.9
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 39.7 39.7 39.7 39.7
Percentage of long-stay residents who lose too much weight 4.0 4.3 2.0 3.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 67.3 64.4 61.5 63.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder 40.0 38.5 32.7 38.4
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.0

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 8.1 8.1 8.1 8.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 10.3 12.0 12.6 12.0

Nursing homes regularly collect assessment information on all their residents using a form called the Minimum Data Set. The information collected includes the residents' health, physical functioning, mental status, and general well being. Nursing homes self-report this information to Medicare.

About Quality Measures

References

  1. http://www.medicare.gov/NursingHomeCompare/Data/Long-Stay-Residents.html
  2. http://www.medicare.gov/NursingHomeCompare/Data/Short-Stay-Residents.html