Resident Health Quality » Legend Oaks Healthcare and Rehabilitation-Kyle

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 16.0 12.8 17.3 18.0
Percentage of high risk long-stay residents with pressure ulcers 8.6 5.0 4.9 5.0
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 1.3 1.2
Percentage of long-stay residents whose need for help with daily activities has increased 23.4 9.7 13.7 15.2
Percentage of long-stay residents who self-report moderate to severe pain 0.0 0.0 0.0 0.0
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.6 1.3 1.3 1.6
Percentage of long-stay residents with a urinary tract infection 3.7 1.2 2.7 2.2
Percentage of long-stay residents who received an antipsychotic medication 7.8 6.6 4.3 5.0

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 51.8 57.2 59.6 56.2
Percentage of short-stay residents who newly received an antipsychotic medication 2.7 2.4 2.5 2.4
Percentage of short-stay residents who self-report moderate to severe pain 0.0 1.0 1.0 0.8

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.3 16.7 18.9 17.6
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.6 92.6 92.6 92.6
Percentage of long-stay residents who lose too much weight 7.7 3.9 1.4 3.3
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 96.4 98.7 98.2
Percentage of low risk long-stay residents who lose control of their bowels or bladder 73.2 70.2 68.8 64.5
Percentage of long-stay residents who have depressive symptoms 3.7 1.2 0.0 1.6
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 78.7 78.7 78.7 78.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.8 91.0 88.1 88.9

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