Resident Health Quality » Legacy Health and Rehabilitation

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 * * * 10.1
Percentage of high risk long-stay residents with pressure ulcers 23.8 * * 22.5
Percentage of long-stay residents experiencing one or more falls with major injury 7.7 8.7 7.4 6.5
Percentage of long-stay residents whose need for help with daily activities has increased * * 33.3 32.1
Percentage of long-stay residents who self-report moderate to severe pain * * 5.2 13.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.4 5.2 9.6 6.6
Percentage of long-stay residents with a urinary tract infection 15.4 0.0 3.8 4.8
Percentage of long-stay residents who received an antipsychotic medication 17.4 * 12.5 14.7

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 * * 74.6 76.1
Percentage of short-stay residents who newly received an antipsychotic medication * 0.0 12.8 9.2
Percentage of short-stay residents who self-report moderate to severe pain * 13.0 20.0 16.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.4 17.4 11.5 14.1
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 0.0 12.0 8.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.2 87.0 77.8 78.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 32.4
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 * * * 92.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * 72.7 58.5 62.3
  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