Resident Health Quality » Bethel Lutheran Home

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 26.5 29.0 33.1 25.6
Percentage of high risk long-stay residents with pressure ulcers 5.4 7.5 2.5 6.7
Percentage of long-stay residents experiencing one or more falls with major injury 2.0 1.9 3.8 3.0
Percentage of long-stay residents whose need for help with daily activities has increased 20.9 25.0 15.9 19.4
Percentage of long-stay residents who self-report moderate to severe pain 11.9 13.5 12.3 13.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.4 1.8 1.6 2.1
Percentage of long-stay residents with a urinary tract infection 4.0 1.9 0.0 1.5
Percentage of long-stay residents who received an antipsychotic medication 8.2 7.8 5.9 6.1

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * *
Percentage of short-stay residents who self-report moderate to severe pain * * * *

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.0 11.8 7.8 11.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 12.0 13.7 15.7 11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 80.0 88.5 86.5 85.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder 69.6 70.8 70.0 70.9
Percentage of long-stay residents who have depressive symptoms 4.4 2.1 0.0 1.6
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 * * * *
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 72.0
  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