Overall Rating

This is the weighted total of selected scores on health inspections, quality measures, and staffing measures. This rate is available if compared at the national level. MONAHRQ doesn’t report overall rating at the peer/state and county level.

Overall Inspection Results

This data is based on the results of the three most recent annual and complaint-related health inspection surveys. Scores are calculated based on the number, scope, and severity of minimum standards that are not met and the number of revisits needed to confirm compliance. Stars are assigned based on performance within a State - for instance, only the top ten percent of performers in a State receive a five star rating.

Health Survey Date:

Date of most recent health inspection

This is the date of the most recent standard health inspection conducted at this nursing home. These inspections take place approximately once a year but may be done more often if a nursing home is performing poorly.

Fire Safety Survey Date:

Date of most recent Fire Safety inspection

This is the date of the most recent fire safety inspection conducted at this nursing home.

Total Number of Health Deficiencies:

How many health-related standards nursing home failed to meet

This number takes into account minimum standards designed to protect residents, such as those related to care of residents, interactions between residents and staff, management of medication, storage and preparation of food, and the nursing home environment.

Total Number of Fire Safety Deficiencies:

How many fire safety standards nursing home failed to meet

This number takes into account a wide range of fire protection standards set by the National Fire Protection Agency.

Overall Quality Rating

This is an overall score based on the following individual scores:

Short Stay Ratings (for patients who stay up to 100 days)

Pain:

How many residents, out of a hundred, with a short nursing home stay, reported moderate to severe pain?

The percent of short-stay residents (at the nursing home for 100 days or less) who self-reported at least one episode of moderate/severe pain or horrible/excruciating pain of any frequency in the last 5 days before the target assessment

* Lower scores are better.

Pressure Ulcers:

How many residents, out of a hundred, with a short nursing home stay had new or worsening pressure ulcers?

The percent of short-stay residents (at the nursing home for 100 days or less) who have one or more new or worsening pressure sores. Lower scores are better.

Flu Vaccine:

How many residents, out of a hundred, with a short nursing home stay, got a flu vaccine during the most recent flu season?

The percent of short-stay residents (staying at the nursing home for 100 days or less) who were assessed and appropriately given the flu vaccine during the current or most recent flu season as of reporting.

* Higher scores are better.

Pneumonia Vaccine:

How many residents, out of a hundred, with a short nursing home stay, got a pneumonia vaccine if needed?

The percent of short-stay residents (staying at the nursing home for 100 days or less) who were assessed and appropriately given a pneumonia vaccine during their stay.

* Higher scores are better.

New Mental Illness Medication:

How many residents, out of a hundred, with a short nursing home stay, got medicine for a mental illness for the first time?

The percent of short-stay residents (staying at the nursing home for 100 days or less) who received antipsychotic medication during their stay but were not receiving it their initial assessment.

* Lower scores are better.

Long Stay Measures (for patients who stay 101 days or more)

Falls with Injury:

How many residents, out of a hundred, with a long nursing home stay, had a fall leading to a major injury?

The number of long-term residents who had one or more falls with a major injury (such as a bone fracture, dislocated joint, or closed head injury) in the past 12 months.

* Lower scores are better.

Pain:

How many residents, out of a hundred, with a long nursing home stay reported moderate to severe pain?

The percent of short-stay residents who self-reported at least one episode of moderate/severe pain or horrible/excruciating pain of any frequency in the last 5 days before the target assessment.

* Lower scores are better.

Pressure Ulcers:

How many residents, out of a hundred, with a long nursing home stay, had new or worsening pressure ulcers?

The percent of long-stay residents with limited mobility who have one or more new or worsening pressure sores.

* Lower scores are better.

Flu Vaccine:

How many residents, out of a hundred, with a long nursing home stay, got a flu vaccine during the flu season?

The percent of long-stay residents who were assessed and appropriately given the flu vaccine during the current or most recent flu season as of reporting.

* Higher scores are better.

Pneumonia Vaccine:

How many residents, out of a hundred, with a long nursing home stay, got a pneumonia vaccines if needed?

The percent of long-stay residents who were assessed and appropriately vaccinated against the bacteria that causes pneumonia.

* Higher scores are better.

Urinary Tract Infection:

How many residents, out of a hundred with a long nursing home stay, get a urinary tract infection?

The percent of long-stay residents who had a urinary tract infection in the last 30 days before the target assessment.

* Lower scores are better.

Losing Control of Bowel or Bladder:

How many residents, out of a hundred with a long nursing home stay, lose control of bladder or bowels?

The percent of long-stay low-risk residents who often or always lose control of their bowels or bladder. Low-risk patients are those who do not have severe cognitive impairment and have at least some mobility.

* Lower scores are better.

Urine Tube Left in Bladder:

How many residents, out of a hundred with a long nursing home stay, had catheter inserted and left in their bladder?

The percent of long-stay residents who had an indwelling catheter in the last 7 days before the target assessment

* Lower scores are better.

Physical Restraints:

How many residents, out of a hundred with a long nursing home stay, were physically restrained?

The percent of long-stay residents who were physically restrained on a daily basis.

* Lower scores are better.

More help needed with daily tasks:

How many residents, out of a hundred with a long nursing home stay, need more help doing daily tasks?

The percent of long-stay residents whose need for help with late-loss Activities of Daily Living (such as bed mobility, transfer, eating, and toileting) has increased when compared to the prior assessment.

* Lower scores are better.

Weight Loss:

How many residents, out of a hundred with a long nursing home stay, lost too much weight?

The percent of long-stay residents not on a prescribed weight-loss regimen who lost 5% or more in the last month or 10% or more in the last 6 months before the target assessment.

* Lower scores are better.

Depression:

How many residents, out of a hundred with a long nursing home stay, began to be depressed?

This measure reports the percentage of long-stay residents who had symptoms of depression during the last 2 weeks before the target assessment.

* Lower scores are better.

Antipsychotic:

How many residents, out of a hundred, with a long nursing home stay, got medicine for a mental illness?

The percent of long-stay residents who received antipsychotic medication.

* Lower scores are better.

*The time period in this measure falls immediately before the nursing home’s target assessment. The assessment is usually the most recent assessment in the episode of care, but must occur within 120 days of the end of the resident’s selected episode. The end is defined as either date of discharge or as the end of the target period if the resident’s episode of care is ongoing. Assessments for admission or readmission, or PPS (prospective payment system) 5-day assessment are excluded.

Overall Staffing Rating

Nursing Aide Hours:

Hours of care from nursing aides that each resident can get each day.

This was calculated in two steps. First, the number of hours worked by Certified Nurse Aides (CNAs) each day during a specific 2 week period was computed. Second, the number of hours worked was divided by the number of residents present during that two week period.

LPN/LVN Hours:

Hours of care from licensed vocational or practical nurses (LVN, LPN) that each resident can get each day.

This was calculated in two steps: First, the number of hours worked by LPN/LVNs each day during a specific 2 week period was computed. Second, the number of hours worked was divided by the number of residents present during that two week period.

RN Hours:

Hours of care from Registered Nurses that each resident can get each day.

This was calculated in two steps: First, the number of hours worked by RNs each day during a specific 2 week period was computed. Second, the number of hours worked was divided by the number of residents present during that two week period.

Total LPN, LVN and RN Hours:

Hours of care from any licensed nurse (LVN, LPN, RN) that each resident can get each day.

This is the number of hours worked by licensed staff (RN and LPN/LVN) each day at the nursing home per resident. This is computed by adding the "Number of RN Hours Available Per Resident Per Day" and "Number of LPN/LVN Hours Available Per Resident Per Day."

Total Nursing Hours:

Hours of care from any kind of nurse that each resident can get each day.

This is the total number of hours worked by all nursing staff (RN, LPN/LVN, and CNA) each day at the nursing home per resident. This is computed by adding the "Number of licensed staff (RN, LPN/ LVN) Hours Available per Resident per Day" and "Number of CNA Hours Available per Resident per Day"

Physical Therapist (PT) Hours:

Hours of therapy from a physical therapist available to each resident each day.

This was calculated in two steps: First, the number of hours worked by PTs each day during a specific 2 week period was computed. Second, the number of hours worked was divided by the number of residents present during that two week period.

Nursing Home Family Survey Results

Some nursing homes offer their residents a better experience than others. These ratings are the results of the Nursing Home CAHPS - Family Member Survey. The survey is filled out by adult family members of nursing home residents who have stayed in the nursing home for longer than 100 days. The survey asks the family members about their experiences with care and services at the nursing home. Questions are grouped into different topics:

Meeting basic needs without waiting too long

Information about whether residents had to wait too long to receive help for their most basic needs, such as help with eating, drinking, and using the toilet. The rate shown is the percent of family members who answered "no" to the individual questions.

Nurses and aides treat residents with respect and kindness

Information about how often nurses and aides always treat residents with respect, courtesy, and kindness and how well nurses and aides always care for patients with behavioral problems. The rate shown is the percent of family members who answered "always" or "yes" to the individual questions.

How well the nursing home communicates with family members

Information about how often family members of the nursing home resident receive timely information, have things clearly explained to them, and are involved in decisions about payments. The rate shown is the percent of family members who answered "always" or "yes" to the individual questions.

Nursing Home Staffing, Care of Belongings, and Cleanliness

Information about how often family members notice things about the nursing home, such as how well the rooms are kept clean, whether their family member's personal belongings have been damaged or lost, and whether there are enough nurses or aides to take care of all of the residents. The rate shown is the percent of family members who answered "always" or "never" to the individual questions.

Rating of Care

Information about how family members rate the care at the nursing home overall. The rate shown is the percent of family members who rated the nursing home as a 9 or 10.