Resident Health Quality » Legend Oaks Healthcare and Rehabilitation - North/

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 26.8 30.8 27.5 28.0
Percentage of high risk long-stay residents with pressure ulcers 4.7 2.0 9.4 6.8
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 1.4 2.8 2.8
Percentage of long-stay residents whose need for help with daily activities has increased 19.6 19.0 31.3 21.4
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 14.0 5.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.3 1.5 1.5 2.0
Percentage of long-stay residents with a urinary tract infection 1.5 6.8 4.2 4.0
Percentage of long-stay residents who received an antipsychotic medication 4.4 5.5 4.3 4.3

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 57.0 52.1 38.0 50.1
Percentage of short-stay residents who newly received an antipsychotic medication 1.0 1.3 0.0 0.7
Percentage of short-stay residents who self-report moderate to severe pain 5.6 * * 5.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.5 11.9 10.6 11.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 80.5 80.5 80.5 80.5
Percentage of long-stay residents who lose too much weight 6.3 6.1 6.1 5.1
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 49.3 54.1 70.8 63.8
Percentage of low risk long-stay residents who lose control of their bowels or bladder 62.1 77.8 * 71.1
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
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 45.5 45.5 45.5 45.5
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 41.6 52.1 52.9 48.8
  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