Resident Health Quality » Twin Lakes Rehabilitation and Care 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 32.3 15.2 4.8 18.0
Percentage of high risk long-stay residents with pressure ulcers 4.3 4.4 0.0 3.8
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 1.5 1.7 1.2
Percentage of long-stay residents whose need for help with daily activities has increased 26.8 21.4 18.0 24.3
Percentage of long-stay residents who self-report moderate to severe pain 6.8 9.2 2.8 4.9
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 11.1 10.8 8.9 9.5
Percentage of long-stay residents who received an antipsychotic medication 12.5 10.9 10.5 10.2

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 * * * 75.5
Percentage of short-stay residents who newly received an antipsychotic medication 4.0 8.3 3.6 4.3
Percentage of short-stay residents who self-report moderate to severe pain 7.7 * 6.9 6.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.4 23.3 22.6 23.7
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 9.8 6.7 3.9 5.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 73.8 64.6 89.7 80.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 42.9 34.5 24.0 31.8
Percentage of long-stay residents who have depressive symptoms 3.6 4.6 0.0 2.2
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 45.0 45.0 45.0 45.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 39.1 57.6 76.2 63.9
  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