Resident Health Quality » Three Springs Lodge Nursing Home, LLC

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 17.1 7.4 10.1 12.0
Percentage of high risk long-stay residents with pressure ulcers 8.6 8.1 8.6 6.9
Percentage of long-stay residents experiencing one or more falls with major injury 7.1 5.3 3.8 5.1
Percentage of long-stay residents whose need for help with daily activities has increased 11.5 18.2 6.0 13.1
Percentage of long-stay residents who self-report moderate to severe pain 10.1 11.8 13.7 11.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.7 9.9 6.9 7.0
Percentage of long-stay residents with a urinary tract infection 10.9 9.1 5.8 6.6
Percentage of long-stay residents who received an antipsychotic medication 22.2 21.8 24.0 21.6

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 * * * 83.4
Percentage of short-stay residents who newly received an antipsychotic medication * * * 0.0
Percentage of short-stay residents who self-report moderate to severe pain 23.8 10.0 13.6 16.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 30.4 29.8 32.7 31.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.8 96.8 96.8 96.8
Percentage of long-stay residents who lose too much weight 1.8 0.0 3.8 1.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 98.2 98.1 98.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 51.9 52.0 60.7 57.3
Percentage of long-stay residents who have depressive symptoms 1.9 7.5 0.0 2.5
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 92.9 92.9 92.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 72.4 95.8 91.7 87.9
  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