Resident Health Quality » Legend Oaks Healthcare and Rehabilitation - North

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 10.1 24.6 16.4 14.7
Percentage of high risk long-stay residents with pressure ulcers 3.2 1.6 6.5 4.8
Percentage of long-stay residents experiencing one or more falls with major injury 0.0 0.0 2.5 1.3
Percentage of long-stay residents whose need for help with daily activities has increased 16.4 17.9 25.4 19.3
Percentage of long-stay residents who self-report moderate to severe pain 2.6 13.1 6.9 8.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.5 1.4 0.0 0.9
Percentage of long-stay residents with a urinary tract infection 2.7 1.4 1.3 2.6
Percentage of long-stay residents who received an antipsychotic medication 11.6 8.8 5.5 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 54.7 54.3 53.0 56.5
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 8.2 6.5 12.0 9.6

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 17.4 15.1 15.7
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7 98.7 98.7 98.7
Percentage of long-stay residents who lose too much weight 9.0 3.0 5.6 5.4
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.7 98.6 100.0 97.4
Percentage of low risk long-stay residents who lose control of their bowels or bladder 72.4 81.8 80.0 78.6
Percentage of long-stay residents who have depressive symptoms 1.4 0.0 2.7 1.7
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 71.4 71.4 71.4 71.4
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.9 93.5 93.0 90.6

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