Resident Health Quality » St Lukes Lutheran Care 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 16.1 14.1 22.9 15.3
Percentage of high risk long-stay residents with pressure ulcers 4.2 2.2 4.9 4.5
Percentage of long-stay residents experiencing one or more falls with major injury 6.9 5.9 3.1 5.1
Percentage of long-stay residents whose need for help with daily activities has increased 25.4 9.4 21.3 17.3
Percentage of long-stay residents who self-report moderate to severe pain 7.9 16.2 12.8 12.2
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.4 7.8 8.9 7.9
Percentage of long-stay residents with a urinary tract infection 5.6 4.5 3.1 4.4
Percentage of long-stay residents who received an antipsychotic medication 11.1 14.7 16.9 15.4

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 * * * 95.5
Percentage of short-stay residents who newly received an antipsychotic medication * 0.0 3.7 2.3
Percentage of short-stay residents who self-report moderate to severe pain * 17.4 17.9 14.6

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.7 14.9 15.4 14.6
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 1.4 3.0 4.6 3.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.8 98.5 100.0 97.8
Percentage of low risk long-stay residents who lose control of their bowels or bladder 46.3 42.1 43.8 44.0
Percentage of long-stay residents who have depressive symptoms 0.0 1.5 0.0 0.4
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 95.0 95.0 95.0 95.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 93.9 97.2
  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