Resident Health Quality » Twin Oaks Health and Rehab

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 0.0 * * 11.1
Percentage of high risk long-stay residents with pressure ulcers 4.3 7.7 0.0 4.3
Percentage of long-stay residents experiencing one or more falls with major injury 3.2 0.0 0.0 0.8
Percentage of long-stay residents whose need for help with daily activities has increased 4.5 10.0 14.3 10.6
Percentage of long-stay residents who self-report moderate to severe pain 4.1 0.0 18.5 9.1
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 14.0 4.6 4.6
Percentage of long-stay residents with a urinary tract infection 3.6 0.0 0.0 1.6
Percentage of long-stay residents who received an antipsychotic medication 6.5 3.2 8.8 7.6

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 60.1 71.8 71.2 67.5
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 2.1 6.0 13.4 7.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.6 15.0 22.7 17.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.4 91.4 91.4 91.4
Percentage of long-stay residents who lose too much weight 10.0 0.0 4.5 4.8
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.5 93.5 88.2 88.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 46.4
Percentage of long-stay residents who have depressive symptoms 10.7 10.0 3.1 6.6
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 73.7 73.7 73.7 73.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.9 73.6 77.4 75.4
  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