Resident Health Quality » Legends Care Rehabilitation and Nursing 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 15.1 17.8 20.7 15.8
Percentage of high risk long-stay residents with pressure ulcers 7.1 0.0 4.0 2.9
Percentage of long-stay residents experiencing one or more falls with major injury 2.0 1.9 2.3 2.1
Percentage of long-stay residents whose need for help with daily activities has increased 18.6 7.0 9.8 11.4
Percentage of long-stay residents who self-report moderate to severe pain 3.5 2.8 15.9 6.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 2.4 0.5
Percentage of long-stay residents who received an antipsychotic medication 8.7 8.0 10.0 8.9

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 * * 70.5 72.0
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 2.1 1.4
Percentage of short-stay residents who self-report moderate to severe pain 11.5 3.0 5.1 5.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 48.9 39.1 41.5 44.9
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.4 94.4 94.4 94.4
Percentage of long-stay residents who lose too much weight 2.1 0.0 0.0 0.6
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 * * * 20.0
Percentage of long-stay residents who have depressive symptoms 6.4 6.4 5.1 4.5
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 92.5 92.5 92.5 92.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.7 88.2 92.8 94.5
  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