Resident Health Quality » Lutheran Retirement 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 15.3 21.5 26.6 20.2
Percentage of high risk long-stay residents with pressure ulcers * * * 1.5
Percentage of long-stay residents experiencing one or more falls with major injury 2.4 0.0 0.0 0.7
Percentage of long-stay residents whose need for help with daily activities has increased 16.2 24.2 23.5 21.0
Percentage of long-stay residents who self-report moderate to severe pain 12.2 7.2 10.0 10.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 11.3 12.9 12.7 11.6
Percentage of long-stay residents with a urinary tract infection 4.9 2.8 2.8 3.3
Percentage of long-stay residents who received an antipsychotic medication 22.0 19.4 13.9 18.4

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 * * * 1.7
Percentage of short-stay residents who self-report moderate to severe pain 28.6 14.3 * 15.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.8 14.7 8.6 12.5
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.6 95.6 95.6 95.6
Percentage of long-stay residents who lose too much weight 0.0 8.8 0.0 2.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 99.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 31.7
Percentage of long-stay residents who have depressive symptoms 10.0 9.1 14.7 14.0
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 30.4 30.4 30.4 30.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.5 100.0 95.5 94.2
  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