Resident Health Quality » St Luke Lutheran Nursing 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 22.7 23.7 16.3 20.0
Percentage of high risk long-stay residents with pressure ulcers 1.9 3.9 4.1 2.5
Percentage of long-stay residents experiencing one or more falls with major injury 3.9 5.1 6.6 5.5
Percentage of long-stay residents whose need for help with daily activities has increased 13.2 5.7 9.1 9.9
Percentage of long-stay residents who self-report moderate to severe pain 16.3 3.3 2.9 7.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6 1.7 0.0 0.8
Percentage of long-stay residents with a urinary tract infection 2.7 1.3 1.3 1.7
Percentage of long-stay residents who received an antipsychotic medication 10.5 10.4 10.7 11.1

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 95.7 100.0 * 95.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.8
Percentage of short-stay residents who self-report moderate to severe pain 18.9 16.7 23.3 22.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.9 12.9 11.9 13.3
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 3.0 7.1 1.5 3.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7 98.7 98.7 99.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 37.1 31.7 21.1 28.5
Percentage of long-stay residents who have depressive symptoms 5.5 2.8 5.4 4.5
Percentage of long-stay residents who were physically restrained 1.3 1.3 0.0 0.6

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 87.8 87.8 87.8 87.8
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.7 100.0 84.4 90.3
  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