Resident Health Quality » Twin Oaks Rehabilitation & Nursing 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 43.9 17.8 19.2 26.0
Percentage of high risk long-stay residents with pressure ulcers 3.5 5.6 3.8 3.8
Percentage of long-stay residents experiencing one or more falls with major injury 3.3 3.5 2.4 3.3
Percentage of long-stay residents whose need for help with daily activities has increased 20.0 19.7 14.7 18.2
Percentage of long-stay residents who self-report moderate to severe pain 10.8 12.1 8.5 10.3
Percentage of long-stay residents with a catheter inserted and left in their bladder 9.7 8.6 8.1 8.5
Percentage of long-stay residents with a urinary tract infection 8.9 11.8 9.9 7.9
Percentage of long-stay residents who received an antipsychotic medication 12.4 10.7 9.9 10.3

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 70.9 66.4 69.0 68.7
Percentage of short-stay residents who newly received an antipsychotic medication 2.9 4.8 4.9 4.0
Percentage of short-stay residents who self-report moderate to severe pain 9.4 9.3 7.7 7.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.7 24.7 22.7 24.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9 97.9 97.9 97.9
Percentage of long-stay residents who lose too much weight 14.6 14.3 10.8 13.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.9 98.8 100.0 99.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 45.5 33.3 34.2 37.7
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 91.3 91.3 91.3 91.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.1 90.9 97.5 93.5

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