Resident Health Quality » Legacy at College Hill

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 19.6 16.7 19.0 22.0
Percentage of high risk long-stay residents with pressure ulcers 11.4 2.6 11.1 7.6
Percentage of long-stay residents experiencing one or more falls with major injury 6.6 1.7 0.0 2.4
Percentage of long-stay residents whose need for help with daily activities has increased 13.0 12.0 12.1 18.2
Percentage of long-stay residents who self-report moderate to severe pain 4.3 11.0 15.0 11.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7 0.0 1.9 0.9
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 1.6 0.8
Percentage of long-stay residents who received an antipsychotic medication 12.2 24.4 15.4 15.5

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 * * * *
Percentage of short-stay residents who self-report moderate to severe pain * * * 21.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.6 28.8 25.4 27.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3 94.3 94.3 94.3
Percentage of long-stay residents who lose too much weight 6.1 11.5 11.9 10.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 54.1 76.7 79.7 76.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 51.4 45.2 28.2 40.4
Percentage of long-stay residents who have depressive symptoms 19.0 5.3 8.1 8.8
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 60.9 60.9 60.9 60.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 39.1 70.8 62.5 62.9
  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