5 Star Analysis - Nursing Home

Nursing Home Five Star Analysis

Extract Date: April 1, 2019

Larksfield Place, Wichita, KS

Overall 5 Star Rating:

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3 Months Prior:

Follow the sections below to see how your current rating is calculated and 2 scenarios that could possibly change your overall 5 star rating. View Overall 5 Star Trend

Growing Importance of Nursing Home Ratings

Receiving a better than average 5-star rating has never been more important to nursing homes.

These ratings are increasingly used by consumers, regulators, insurers and other payers, and provider networks to select which facilities they will consider having relationships with. Nursing homes may not even be able to obtain sufficient referrals or receive Medicare and Medicaid funding in the future if they do not have at least a 3-star rating.

Health Inspection 5 Star Rating:

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3 Months Prior:

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The health inspection rating is based on the number, scope, and severity of deficiencies identified during the 3 or 2 most recent annual inspection surveys and from complaint investigations during that same time period. More than one revisit will have a negative impact on the score for a survey cycle. The total score from each survey cycle is weighted so that the more recent survey cycles have more impact on the overall total score as compared to the older survey cycle. View Health Inspection 5 Star Trend

Inspection Cycle	1	2	3
Health Survey Date	2018-07-19	2016-08-23	2015-02-19
Count of Health Deficiencies
Standard
Freedom from Abuse, Neglect, and Exploitation	0	0	0
Quality of Life and Care	0	0	0
Resident Assessment and Care Planning	0	0	0
Nursing and Physician Services	0	0	0
Resident Rights	0	0	0
Nutrition and Dietary	0	1	0
Pharmacy Service	0	1	0
Environmental	0	1	0
Administration	0	0	0
Number of Standard Health Deficiencies	0	3	0
Scope of most Severe Standard Health Deficiency		Some
Severity of most Severe Standard Health Deficiency		Minimal harm or potential for actual harm
Complaints
Number of Complaint Health Deficiencies	0	0	0
Scope of most Severe Complaint Health Deficiency
Severity of most Severe Complaint Health Deficiency
Total Number of Health Deficiencies	0	3	0
Health Deficiency Score	0	20	0
Number of Health Revisits	0	1	0
Health Revisit Score	0	0	0
Total Health Score	0	20	0
Survey Weighting	1/2	1/3	1/6
Weighted Total Health Score	0	7	0
Total Weighted Health Survey Score	7 View Cut Points
Use Quality Metrics (login required using your MyLeadingAge username and password) and the Nursing Home Trend Report to compare your inspection ratings to your peers.

Staffing 5 Star Rating:

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Registered Nurse (RN) Staffing 5 Star Rating:

The number in the box where the blue (i.e. adjusted RN hours) and red (i.e. adjusted total nurse staff hours) lines intersect represents the numbers of stars this facility receives for staffing. The columns going from left to right represents the number of stars for total nurse staff hours. The rows going from top to bottom represent the number of stars for RN hours. View Staffing 5 Star Trend

Interpretation

This facility currently has a 5 star staffing rating of 5.
Neither the total nurse staff hours or RN hours are close to a cut point and thus do not have high potential to change the 5 star staffing rating.

To see how a change in your resident mix or reported hours could change your staffing rating, use the Staffing Scenario Worksheet

Use Quality Metrics (login required using your MyLeadingAge username and password) and the Nursing Home Trend Report to compare your adjusted staff hours to your peers.

View Cut Points

Quality Measure 5 Star Rating:

Previous Month: only updated quarterly

3 Months Prior:

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Long Stay Quality Measure 5 Star Rating:

Short Stay Quality Measure 5 Star Rating:

View Quality Measure 5 Star Trend

Quality Measure	Rate	Points	Interpretation	Bottom Cut Point	Top Cut Point
Higher Rate is Better
Functional Improvement (short-stay) View Trend	64.937	75	Decreasing this QM rate by 1% or by approximately 0.657 percentage points could result in losing 15 points.	64.28	67.37
Successful community discharge (short-stay) View Trend	69.4	150	Full points are currently being attained for this QM, but decreasing this rate by 6.4% or by approximately 4.45 percentage points could result in losing 15 points.	64.95	100
Lower Rate is Better
Moderate to Severe Pain (long-stay) View Trend	6.921	40	Potential To Gain Points Decreasing this QM rate by 1% or by approximately 0.071 percentage points could result in gaining 20 points.	6.85	11.94
Mobility Decline (long-stay) View Trend	17.673	75	Potential To Gain Points Decreasing this QM rate by 0.4% or by approximately 0.063 percentage points could result in gaining 15 points.	17.61	19.55
Moderate to Severe Pain (short-stay) View Trend	13.765	40	Potential To Gain Points Decreasing this QM rate by 2.4% or by approximately 0.335 percentage points could result in gaining 20 points.	13.43	20.29
Antipsychotic Medications (long-stay) View Trend	0.578	150	Full points are currently being attained for this QM, but increasing this rate by 726.9% or by approximately 4.202 percentage points could result in losing 15 points.	0	4.78
High Risk Pressure Ulcers (long-stay) View Trend	4.032	80	Potential To Gain Points Decreasing this QM rate by 6.3% or by approximately 0.252 percentage points could result in gaining 20 points.	3.78	5.84
ADL Decline (long-stay) View Trend	16.34	60	Decreasing this QM rate by 2.7% or by approximately 0.44 percentage points could result in gaining 15 points.	15.9	17.59
Number of hospitalizations per 1,000 resident days (long-stay) View Trend	1.17	120	Decreasing this QM rate by 4.5% or by approximately 0.053 percentage points could result in gaining 15 points.	1.117	1.311
Antipsychotic Medications (short-stay) View Trend	1.212	60	Decreasing this QM rate by 20% or by approximately 0.242 percentage points could result in gaining 20 points.	0.97	1.68
ED Visits (short-stay) View Trend	10.442	75	Decreasing this QM rate by 4.1% or by approximately 0.432 percentage points could result in gaining 15 points.	10.01	11.24
Catheter (long-stay) View Trend	1.671	60	Decreasing this QM rate by 24% or by approximately 0.401 percentage points could result in gaining 20 points.	1.27	2.17
New or Worsening Pressure Ulcers (short-stay) View Trend	0.4	80	Decreasing this QM rate by 97.5% or by approximately 0.39 percentage points could result in gaining 20 points.	0.01	0.8
Number of outpatient emergency department (ED) visits per 1,000 resident days (long-stay) View Trend	0.221	150	Full points are currently being attained for this QM, but increasing this rate by 56.7% or by approximately 0.125 percentage points could result in losing 15 points.	0	0.347
Injurious Falls (long-stay) View Trend	4.624	40	Increasing this QM rate by 11.2% or by approximately 0.516 percentage points could result in losing 20 points.	3.57	5.14
Urinary Tract Infection (long-stay) View Trend	4.07	40	Increasing this QM rate by 11.1% or by approximately 0.45 percentage points could result in losing 20 points.	2.73	4.52
Hospital readmission (short-stay) View Trend	17.18	135	Increasing this QM rate by 3% or by approximately 0.52 percentage points could result in losing 15 points.	15.01	17.7
Note: The QM rates and points in this table have been rounded to either one, two, or three decimal places due to space constraints. However, the full QM value has been used to calculate facility scores and rankings. To view the full QM cut point tables, click here.

Total Points	Overall	Long-Stay	Short-Stay
Current	1669	815	854
Gain	1752	870	882
Lose	1669	815	854
Gain and lose	1752	870	882

Overall

Long-Stay

Short-Stay

Use Quality Metrics (login required using your MyLeadingAge username and password) and the Nursing Home Trend Report to compare your QMs to your peers or to see how your QMs are trending.

View Cut Points

Overall 5 Star Rating:

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3 Months Prior:

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Follow the steps below to see how your current rating is calculated and 2 scenarios could possibly change your overall 5 star rating.

Step	Instruction	Current	Likely to Gain	Likely to Lose
1	Start with the health inspection five-star rating.	5	5	5
2	Add one star to the Step 1 result if staffing rating is four or five stars and greater than the health inspection rating; subtract one star if staffing is one star. The overall rating cannot be more than five stars or less than one star.	+ 0	+ 0	+ 0
3	Add one star to the Step 2 result if quality measure rating is five stars; subtract one star if quality measure rating is one star. The overall rating cannot be more than five stars or less than one star.	+ 0	+ 0	+ 0
Note	If the health inspection rating is one star, then the overall quality rating cannot be upgraded by more than one star based on the staffing and quality measure ratings.	- 0	- 0	- 0
Final Overall Star Rating		5	5	5
Use Quality Metrics (login required using your MyLeadingAge username and password) and the Nursing Home Trend Report to compare your 5 Star Ratings to your peers.

Nursing Home Five Star Analysis

Staffing matrix explanation

Interpretation

Overall

Long-Stay

Short-Stay