Resident Health Quality » Eben Ezer Lutheran Care 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 12.2 15.9 20.6 16.7
Percentage of high risk long-stay residents with pressure ulcers 8.1 8.1 13.2 10.2
Percentage of long-stay residents experiencing one or more falls with major injury 7.1 7.5 7.8 7.6
Percentage of long-stay residents whose need for help with daily activities has increased 12.1 22.7 5.7 15.1
Percentage of long-stay residents who self-report moderate to severe pain 16.1 14.1 6.6 11.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.8 5.8 5.8 5.8
Percentage of long-stay residents with a urinary tract infection 10.3 5.4 3.4 6.6
Percentage of long-stay residents who received an antipsychotic medication 8.2 7.5 11.1 9.2

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 * * * 61.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 3.2 0.0 0.9
Percentage of short-stay residents who self-report moderate to severe pain 10.3 11.8 25.8 17.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.3 7.6 7.9 7.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.2 97.2 97.2 97.2
Percentage of long-stay residents who lose too much weight 3.2 6.6 4.6 5.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.8 94.6 96.7 95.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder 75.7 83.3 78.8 79.0
Percentage of long-stay residents who have depressive symptoms 2.3 1.2 2.4 1.5
Percentage of long-stay residents who were physically restrained 1.0 1.1 0.0 0.5

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 86.1 86.1 86.1 86.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.7 88.4 94.6 86.4
  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