Resident Health Quality » Legacy Nursing and Rehabilitation

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 34.2 17.1 11.0 18.7
Percentage of high risk long-stay residents with pressure ulcers 3.0 0.0 7.1 6.1
Percentage of long-stay residents experiencing one or more falls with major injury 5.7 5.8 4.8 6.3
Percentage of long-stay residents whose need for help with daily activities has increased 25.7 25.7 23.1 27.0
Percentage of long-stay residents who self-report moderate to severe pain 12.4 0.0 * 6.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.5 2.4 0.0 2.3
Percentage of long-stay residents with a urinary tract infection 13.2 3.8 4.8 6.2
Percentage of long-stay residents who received an antipsychotic medication 10.0 14.0 15.4 13.3

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 * * * 51.4
Percentage of short-stay residents who newly received an antipsychotic medication 4.5 0.0 0.0 1.1
Percentage of short-stay residents who self-report moderate to severe pain * 22.7 24.0 21.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.1 27.3 24.2 28.1
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 6.5 9.1 3.0 8.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.1 98.1 97.6 97.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 71.2
Percentage of long-stay residents who have depressive symptoms 2.0 4.1 0.0 2.8
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 93.1 93.1 93.1 93.1
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.1 83.8 70.0 76.4
  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