Resident Health Quality » Wheaton Franciscan Health Care - Lakeshore Manor

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 * 31.3 * 22.2
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 2.9 0.7
Percentage of long-stay residents whose need for help with daily activities has increased 24.2 10.3 9.1 11.0
Percentage of long-stay residents who self-report moderate to severe pain 14.8 16.8 27.8 20.4
Percentage of high risk long-stay residents with pressure ulcers 6.9 0.0 3.2 2.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.9 0.0 3.3 1.3
Percentage of long-stay residents with a urinary tract infection 0.0 3.2 0.0 1.5
Percentage of long-stay residents who received an antipsychotic medication 17.1 16.7 14.3 13.3
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 70.7 76.5 74.7 73.6
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 33.9 29.6 36.0 33.3
Percentage of short-stay residents with pressure ulcers that are new or worsened 0.9 0.0 1.0 1.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.6 26.7 11.8 16.0
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3 94.3 94.3 95.8
Percentage of long-stay residents who lose too much weight 8.8 3.2 2.9 4.5
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 100.0 100.0
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 58.7
Percentage of long-stay residents who have depressive symptoms 0.0 6.7 3.1 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 93.8 95.1 96.8 96.1
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.9 80.9 80.9 85.1
  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