Resident Health Quality » Bethel Lutheran 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 19.0 13.8 19.4 17.2
Percentage of high risk long-stay residents with pressure ulcers 4.3 8.5 8.1 6.9
Percentage of long-stay residents experiencing one or more falls with major injury 7.9 8.3 7.8 7.2
Percentage of long-stay residents whose need for help with daily activities has increased 21.7 17.2 12.2 17.3
Percentage of long-stay residents who self-report moderate to severe pain 4.2 12.8 10.8 8.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.0 3.1 2.3 3.2
Percentage of long-stay residents with a urinary tract infection 10.4 4.2 4.7 5.7
Percentage of long-stay residents who received an antipsychotic medication 22.0 20.7 20.3 20.4

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 * * * 83.6
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 9.1 6.3 16.7 11.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.2 19.3 20.0 18.7
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 8.3 8.5 7.3 7.5
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 57.4 46.3 66.7 56.8
Percentage of long-stay residents who have depressive symptoms 2.4 1.7 2.4 2.3
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 92.9 92.9 92.9 92.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.5 100.0 100.0 98.8
  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