Resident Health Quality » Lakewood Health System

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 10.1 8.7 4.7 10.6
Percentage of high risk long-stay residents with pressure ulcers 8.6 6.0 7.2 7.2
Percentage of long-stay residents experiencing one or more falls with major injury 9.9 13.8 9.5 10.6
Percentage of long-stay residents whose need for help with daily activities has increased 15.3 8.6 6.6 11.2
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 2.8 1.7 1.5 2.2
Percentage of long-stay residents with a urinary tract infection 3.7 5.1 1.2 2.4
Percentage of long-stay residents who received an antipsychotic medication 8.8 10.1 12.0 11.1

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 40.3 43.6 * 49.7
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 5.9 2.7
Percentage of short-stay residents who self-report moderate to severe pain 6.3 1.7 0.0 1.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 2.6 4.1 3.8 3.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9 98.9 98.9 98.9
Percentage of long-stay residents who lose too much weight 7.6 2.8 1.3 3.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder 43.6 31.4 36.8 39.2
Percentage of long-stay residents who have depressive symptoms 1.3 1.3 1.2 1.6
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 94.1 94.1 94.1 94.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.2 98.4 100.0 98.7
  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