Resident Health Quality » Legacy Health and Rehabilitation Center

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 11.2 12.7 6.2 9.2
Percentage of high risk long-stay residents with pressure ulcers 20.0 29.8 26.3 23.0
Percentage of long-stay residents experiencing one or more falls with major injury 2.1 4.1 2.0 3.8
Percentage of long-stay residents whose need for help with daily activities has increased 3.8 12.8 14.9 13.4
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 1.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.3 1.9 2.9 2.5
Percentage of long-stay residents with a urinary tract infection 3.2 2.1 5.1 3.6
Percentage of long-stay residents who received an antipsychotic medication 9.3 18.4 12.6 14.5

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 * * * 67.7
Percentage of short-stay residents who newly received an antipsychotic medication 7.7 8.3 13.0 7.1
Percentage of short-stay residents who self-report moderate to severe pain 5.7 0.0 0.0 2.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.1 26.7 33.3 28.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.1 95.1 95.1 95.1
Percentage of long-stay residents who lose too much weight 2.4 1.2 8.1 3.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.8 88.8 88.9 89.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 53.5 62.0 54.2 57.1
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 56.0 56.0 56.0 56.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 66.0 78.3 93.8 77.1
  1. * Not Available - The number of residents is too small to report.  Call the facility to discuss this quality measure.

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