Resident Health Quality » Lutheran Sunset Home

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 26.0 14.4 25.4 20.4
Percentage of high risk long-stay residents with pressure ulcers 5.3 11.1 1.9 6.0
Percentage of long-stay residents experiencing one or more falls with major injury 3.4 4.5 4.7 4.3
Percentage of long-stay residents whose need for help with daily activities has increased 18.1 21.2 13.8 17.9
Percentage of long-stay residents who self-report moderate to severe pain 7.1 10.1 13.7 10.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 1.7 1.2
Percentage of long-stay residents with a urinary tract infection 2.4 3.9 1.3 2.5
Percentage of long-stay residents who received an antipsychotic medication 19.3 21.4 20.5 19.5

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 0.0
Percentage of short-stay residents who self-report moderate to severe pain * * * 16.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.9 22.1 23.2 21.7
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 5.0 4.1 7.9 5.5
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 28.6 40.5 41.2 34.5
Percentage of long-stay residents who have depressive symptoms 3.6 8.2 1.3 4.6
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 * * * 71.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 98.2
  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