Resident Health Quality » Leslie Lakes Retirement Center

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 1.6 4.5 0.0 1.5
Percentage of high risk long-stay residents with pressure ulcers 6.4 4.4 2.4 5.2
Percentage of long-stay residents experiencing one or more falls with major injury 3.3 3.3 2.2 2.8
Percentage of long-stay residents whose need for help with daily activities has increased 22.6 14.8 14.8 16.0
Percentage of long-stay residents who self-report moderate to severe pain 4.4 8.6 5.8 5.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 2.5 3.8 2.2
Percentage of long-stay residents with a urinary tract infection 0.0 6.7 4.3 3.6
Percentage of long-stay residents who received an antipsychotic medication 7.6 9.0 11.3 10.1

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 4.8
Percentage of short-stay residents who self-report moderate to severe pain * * * 7.4

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.3 19.0 19.3 20.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.0 96.0 96.0 96.0
Percentage of long-stay residents who lose too much weight 0.0 0.0 0.0 0.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 99.7
Percentage of low risk long-stay residents who lose control of their bowels or bladder 20.0 17.8 16.3 18.6
Percentage of long-stay residents who have depressive symptoms 10.7 6.3 6.0 7.6
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 66.7 66.7 66.7 66.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 81.3 97.0 100.0 94.1
  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