Resident Health Quality » El Jen Convalescent Hospital and Retirement 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 21.9 13.4 11.7 15.7
Percentage of high risk long-stay residents with pressure ulcers 7.6 9.7 11.1 8.9
Percentage of long-stay residents experiencing one or more falls with major injury 3.4 2.3 2.4 2.4
Percentage of long-stay residents whose need for help with daily activities has increased 13.6 12.5 8.0 10.8
Percentage of long-stay residents who self-report moderate to severe pain 5.8 7.8 6.5 6.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.5 3.4 7.0 5.6
Percentage of long-stay residents with a urinary tract infection 14.3 2.5 1.6 4.6
Percentage of long-stay residents who received an antipsychotic medication 27.8 31.4 34.2 32.5

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 * * * 62.1
Percentage of short-stay residents who newly received an antipsychotic medication * 4.0 0.0 1.2
Percentage of short-stay residents who self-report moderate to severe pain 26.7 22.2 24.2 24.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.3 20.9 21.4 20.9
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.3 99.3 99.3 99.3
Percentage of long-stay residents who lose too much weight 3.0 3.7 3.6 3.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 99.2 100.0 99.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 56.6 51.7 48.3 54.3
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.2
Percentage of long-stay residents who were physically restrained 4.3 3.9 4.0 4.0

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 90.9 90.9 90.9 90.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.2 97.9 93.0 95.7
  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