Resident Health Quality » Legacy Manor Nursing and Rehabilitation

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 13.3 12.9 0.0 7.3
Percentage of high risk long-stay residents with pressure ulcers 22.6 21.9 18.2 19.8
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 0.0 0.0
Percentage of long-stay residents whose need for help with daily activities has increased 21.1 37.8 34.2 28.0
Percentage of long-stay residents who self-report moderate to severe pain 2.9 2.3 6.2 2.7
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6 1.4 1.7 1.5
Percentage of long-stay residents with a urinary tract infection 0.0 0.0 0.0 0.6
Percentage of long-stay residents who received an antipsychotic medication 16.2 21.6 15.8 17.9

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 * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 2.4
Percentage of short-stay residents who self-report moderate to severe pain * * * 2.3

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.8 31.8 26.7 29.2
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 6.8 6.8 14.0 11.4
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 * * * 27.5
Percentage of long-stay residents who have depressive symptoms 0.0 2.4 0.0 0.6
Percentage of long-stay residents who were physically restrained 2.2 2.2 2.2 3.3

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 * * * 88.2
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 100.0
  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