Resident Health Quality » Wellspring Lutheran Services

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 10.2 * 55.4 28.7
Percentage of high risk long-stay residents with pressure ulcers 4.8 * * 6.2
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 3.3 0.0 0.8
Percentage of long-stay residents whose need for help with daily activities has increased 9.1 * 22.7 11.6
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 3.6 0.8
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.0
Percentage of long-stay residents who received an antipsychotic medication 9.7 10.3 18.5 14.2

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 63.8 74.5 72.3 67.9
Percentage of short-stay residents who newly received an antipsychotic medication 3.4 3.7 0.0 2.0
Percentage of short-stay residents who self-report moderate to severe pain 4.0 0.0 0.0 1.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 36.0 25.0 17.4 23.2
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 3.8 0.0 4.3 3.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.9 100.0 100.0 99.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 46.4
Percentage of long-stay residents who have depressive symptoms 3.3 3.4 3.7 2.5
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 97.6 97.6 97.6 97.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.4 95.5 95.1 96.0
  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