Resident Health Quality » Columbia 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 17.8 17.7 10.8 15.5
Percentage of high risk long-stay residents with pressure ulcers 6.0 6.5 2.7 5.9
Percentage of long-stay residents experiencing one or more falls with major injury 1.2 2.4 1.2 1.9
Percentage of long-stay residents whose need for help with daily activities has increased 19.5 18.4 14.9 15.7
Percentage of long-stay residents who self-report moderate to severe pain 8.1 8.3 8.7 7.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.6 1.7 4.8 4.8
Percentage of long-stay residents with a urinary tract infection 1.2 0.0 0.0 0.3
Percentage of long-stay residents who received an antipsychotic medication 17.3 16.7 13.2 14.1

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 51.5 48.4 56.1 51.8
Percentage of short-stay residents who newly received an antipsychotic medication 1.6 2.7 1.7 1.6
Percentage of short-stay residents who self-report moderate to severe pain 11.3 14.2 14.3 14.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.3 11.5 7.4 10.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0 99.0 99.0 99.0
Percentage of long-stay residents who lose too much weight 3.8 7.8 10.4 7.0
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 71.9 63.2 54.5 64.4
Percentage of long-stay residents who have depressive symptoms 28.9 25.9 30.0 26.7
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 98.9 98.9 98.9 98.9
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.5 94.6 96.0 94.9

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