| Happy Times Nursing Home |
| Quality Indicator Rates Report | |
| Based on Assessments Completed for Reporting Period 07/13/1999 To 10/11/2001 | |
| Peer Group: ST-ALL 04/01/2001 To 06/30/2001 |
| Quality Indicator | Residents with Condition |
Residents Assessed for Condition |
Facility Rate |
Peer Group Rate |
Percentile Rank |
Flag | No.Residents Over(+)/Under(-) Benchmark |
|---|---|---|---|---|---|---|---|
| H1 Incidence of New Fractures | 3 | 318 | 0.94 | 1.36 | 40 | -1 | |
| H2 Prevalence of Falls | 21 | 358 | 5.87 | 10.07 | 19 | -15 | |
| H3 Prevalence of Behavioral Symptoms Affecting Others | 50 | 358 | 13.97 | 17.46 | 42 | -13 | |
| ____High risk residents | 47 | 290 | 16.21 | 21.05 | 38 | -14 | |
| ____Low risk residents | 3 | 68 | 4.41 | 7.94 | 39 | -2 | |
| H4 Prevalence of Symptoms of Depression | 13 | 358 | 3.63 | 4.98 | 48 | -5 | |
| H5 Prevalence of Depression without Antidepressant Therapy | 9 | 358 | 2.51 | 2.45 | 60 | 0 | |
| H6 Use of 9 or More Different Medications | 208 | 358 | 58.10 | 33.75 | 91 |  |
87 |
| H7 Onset of Cognitive Impairment | 7 | 67 | 10.45 | 8.79 | 65 | 1 | |
| H8 Prevalence of Bladder or Bowel Incontinence | 236 | 322 | 73.29 | 61.97 | 83 | |
36 |
| ____High risk residents | 148 | 152 | 97.37 | 95.68 | 46 | 3 | |
| ____Low risk residents | 88 | 170 | 51.76 | 50.06 | 52 | 3 | |
| H9 Prevalence of Occasional or Frequent Bladder or Bowel Incontinence without a Toileting Plan |
18 | 51 | 35.29 | 33.91 | 56 | 1 | |
| H10 Prevalence of Indwelling Catheters | 29 | 358 | 8.10 | 4.43 | 86 | |
13 |
| H11 Prevalence of Fecal Impaction* | 2 | 358 | 0.56 | 0.17 | 85 | |
1 |
| H12 Prevalence of Urinary Tract Infections | 20 | 358 | 5.59 | 6.29 | 43 | -3 | |
| H13 Prevalence of Weight Loss | 35 | 358 | 9.78 | 8.53 | 64 | |
4 |
| H14 Prevalence of Tube Feeding | 23 | 358 | 6.42 | 9.22 | 46 | -10 | |
| H15 Prevalence of Dehydration* | 1 | 358 | 0.28 | 0.28 | 72 | |
0 |
| H16 Prevalence of Bedfast Residents | 23 | 358 | 6.42 | 2.29 | 90 | |
15 |
| H17 Incidence of Decline in Late Loss ADLs | 40 | 249 | 16.06 | 12.40 | 73 | 9 | |
| H18 Incidence of Decline in ROM | 35 | 283 | 12.37 | 10.13 | 69 | 6 |
* Sentinel Health Event: If one resident has this condition, QI will flag as area of area of conern for survey.
| Happy Times Nursing Home |
| Quality Indicator Rates Report | |
| Based on Assessments Completed for Reporting Period 07/13/1999 To 10/11/2001 | |
| Peer Group: ST-ALL 04/01/2001 To 06/30/2001 |
| Quality Indicator | Residents with Condition |
Residents Assessed for Condition |
Facility Rate |
Peer Group Rate |
Percentile Rank |
Flag | No.Residents Over(+)/Under(-) Benchmark |
|---|---|---|---|---|---|---|---|
| H19 Prevalence of Antipsychotic Use, in the Absence of Psychotic and Related Conditions |
72 | 354 | 20.34 | 20.52 | 55 | -1 | |
| ____High risk residents | 22 | 45 | 48.89 | 45.05 | 54 | 2 | |
| ____Low risk residents | 50 | 309 | 16.18 | 16.45 | 54 | -1 | |
| H20 Prevalence of Antianxiety/Hypnotic Use | 61 | 354 | 17.23 | 10.35 | 85 | |
24 |
| H21 Prevalence of Hypnotic Use More Than Two Times in Last Week |
24 | 358 | 6.70 | 2.25 | 92 | |
16 |
| H22 Prevalence of Daily Physical Restraints | 33 | 358 | 9.22 | 8.61 | 63 | 2 | |
| H23 Prevalence of Little or No Activity | 81 | 358 | 22.63 | 6.97 | 90 | |
56 |
| H24 Prevalence of Stage 1-4 Pressure Ulcers | 55 | 358 | 15.36 | 9.26 | 88 | |
22 |
| ____High risk residents | 51 | 248 | 20.56 | 14.74 | 80 | |
14 |
| ____Low risk residents* | 4 | 110 | 3.64 | 2.72 | 67 | |
1 |
| (no HCFA#)(R1)Incidence of New Hip Fracture | 2 | 311 | 0.64 | 0.54 | 65 | 0 | |
| (no HCFA#) Prevalence of Pain | 65 | 74 | 87.84 | . | 100 | |
. |
* Sentinel Health Event: If one resident has this condition, QI will flag as area of area of conern for survey.