Resident Health Quality » Lake Woods Nursing & Rehabilitation 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 6.1 15.7 13.9 12.2
Percentage of high risk long-stay residents with pressure ulcers 6.3 6.0 6.7 5.8
Percentage of long-stay residents experiencing one or more falls with major injury 2.6 1.2 0.0 1.6
Percentage of long-stay residents whose need for help with daily activities has increased 4.5 12.5 11.8 12.1
Percentage of long-stay residents who self-report moderate to severe pain 6.7 8.6 5.7 6.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5 2.2 0.0 1.3
Percentage of long-stay residents with a urinary tract infection 1.3 3.7 0.0 1.3
Percentage of long-stay residents who received an antipsychotic medication 21.1 20.8 16.9 19.8

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 * * * 80.0
Percentage of short-stay residents who newly received an antipsychotic medication * * * 1.5
Percentage of short-stay residents who self-report moderate to severe pain 10.3 14.8 3.3 8.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.4 11.1 27.5 17.0
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 15.2 15.3 5.9 10.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7 93.9 97.3 97.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder 51.7 58.3 64.3 57.9
Percentage of long-stay residents who have depressive symptoms 3.0 0.0 1.4 1.1
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 95.5 95.5 95.5 95.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.1 86.1 87.5 89.1
  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