Resident Health Quality » Lake Emory Post Acute Care

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 30.4 14.2 27.0 24.6
Percentage of high risk long-stay residents with pressure ulcers 5.1 7.0 3.4 4.3
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 1.4 2.9 1.4
Percentage of long-stay residents whose need for help with daily activities has increased 13.0 11.9 6.7 13.3
Percentage of long-stay residents who self-report moderate to severe pain 7.6 8.4 6.7 7.8
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7 4.9 3.0 3.8
Percentage of long-stay residents with a urinary tract infection 9.0 13.2 11.9 9.6
Percentage of long-stay residents who received an antipsychotic medication 14.5 18.5 20.6 21.1

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 * 43.8 33.0 43.5
Percentage of short-stay residents who newly received an antipsychotic medication 2.5 2.5 2.1 1.7
Percentage of short-stay residents who self-report moderate to severe pain 29.7 31.4 27.0 26.1

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.4 37.3 39.4 37.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 80.8 80.8 80.8 80.8
Percentage of long-stay residents who lose too much weight 12.7 0.0 6.7 5.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 54.4 53.5 58.8 56.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 43.5
Percentage of long-stay residents who have depressive symptoms 3.4 3.0 6.3 3.6
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 29.3 29.3 29.3 29.3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 22.4 36.4 16.9 21.4
  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