Resident Health Quality » Twin Oaks Rehab and Nursing

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 20.2 9.8 24.1 25.2
Percentage of high risk long-stay residents with pressure ulcers 2.6 5.4 10.0 5.5
Percentage of long-stay residents experiencing one or more falls with major injury 6.4 6.8 5.1 5.9
Percentage of long-stay residents whose need for help with daily activities has increased 27.4 14.8 22.2 28.6
Percentage of long-stay residents who self-report moderate to severe pain 9.3 10.7 0.0 4.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 1.8 2.8 1.4
Percentage of long-stay residents with a urinary tract infection 1.3 0.0 0.0 0.3
Percentage of long-stay residents who received an antipsychotic medication 33.3 36.2 41.4 37.0

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 * * * 49.0
Percentage of short-stay residents who newly received an antipsychotic medication * * * 2.0
Percentage of short-stay residents who self-report moderate to severe pain * * * 8.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.8 34.4 29.9 36.1
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6 97.6 97.6 97.6
Percentage of long-stay residents who lose too much weight 10.3 4.8 3.1 6.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7 91.9 92.3 95.8
Percentage of low risk long-stay residents who lose control of their bowels or bladder 40.6 41.2 36.1 40.3
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
Percentage of long-stay residents who were physically restrained 1.3 1.4 0.0 0.7

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 80.6 80.6 80.6 80.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 71.9 46.2 64.7 67.1
  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