Resident Health Quality » Fair Oaks Health Systems, 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 6.6 6.2 7.2 7.3
Percentage of high risk long-stay residents with pressure ulcers 5.9 7.8 6.1 6.9
Percentage of long-stay residents experiencing one or more falls with major injury 4.5 3.9 2.8 3.8
Percentage of long-stay residents whose need for help with daily activities has increased 13.1 14.7 5.0 9.4
Percentage of long-stay residents who self-report moderate to severe pain 5.2 9.7 9.0 7.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.4 3.1 0.9 2.9
Percentage of long-stay residents with a urinary tract infection 0.0 1.0 1.9 1.0
Percentage of long-stay residents who received an antipsychotic medication 22.2 25.0 25.7 24.4

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 * * * 48.7
Percentage of short-stay residents who newly received an antipsychotic medication * 4.8 4.5 2.4
Percentage of short-stay residents who self-report moderate to severe pain * 22.2 24.0 21.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.1 24.8 24.5 25.9
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1 99.1 99.1 99.1
Percentage of long-stay residents who lose too much weight 4.6 6.0 7.5 6.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.2 100.0 100.0 99.3
Percentage of low risk long-stay residents who lose control of their bowels or bladder 54.1 52.8 52.2 52.8
Percentage of long-stay residents who have depressive symptoms 10.8 13.1 11.3 10.9
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 100.0 100.0 100.0 100.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.5 94.9 91.7 93.7
  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