Resident Health Quality » Syverson Lutheran Home

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 25.0 16.9 37.9 28.9
Percentage of long-stay residents experiencing one or more falls with major injury 2.3 2.2 2.2 2.8
Percentage of long-stay residents whose need for help with daily activities has increased 17.1 15.2 9.4 15.8
Percentage of long-stay residents who self-report moderate to severe pain 4.2 2.1 11.2 5.5
Percentage of high risk long-stay residents with pressure ulcers 3.3 0.0 2.8 1.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.8 6.8 9.7 7.6
Percentage of long-stay residents with a urinary tract infection 7.1 15.6 13.0 12.8
Percentage of long-stay residents who received an antipsychotic medication 16.7 20.0 17.8 18.6
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.0

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 * * * 84.8
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 19.4 23.3 15.2 19.8
Percentage of short-stay residents with pressure ulcers that are new or worsened 0.0 0.0 0.0 0.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.0 31.6 21.6 24.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5 95.5 95.5 90.2
Percentage of long-stay residents who lose too much weight 0.0 7.0 2.3 6.0
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 95.7 91.5 94.6
Percentage of low risk long-stay residents who lose control of their bowels or bladder 39.1 * 25.0 32.1
Percentage of long-stay residents who have depressive symptoms 2.3 4.7 4.5 4.0

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.9 56.4 50.0 60.5
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 75.9 75.9 75.9 69.9
  1. * 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