Table 2 Facilities with increasing and decreasing scores between 2003 and 2004 on each quality measure.
Quality measure | n | Facilities with increasing score n (%) | Average Increase (worse quality) Mean (SD) | Relative increase | Facilities with decreasing score n (%) | Average decrease (better quality) Mean (SD) | Relative decrease | No change n (%) |
---|---|---|---|---|---|---|---|---|
1. Percentage of residents whose need for help with daily activities has increased | 8446 | 3740 (44.3) | 5.65 (4.29) | 41.1% | 4161 (49.3) | −5.99 (4.57) | 43.5% | 545 (6.4) |
2. Percentage of residents with moderate to severe pain | 6105 | 2158 (35.4) | 3.21 (2.19) | 115.5% | 2346 (38.4) | −3.29 (2.29) | 118.3% | 1601 (26.2) |
3. Percentage of low‐risk residents who have pressure sores | 9999 | 5048 (50.5) | 7.67 (5.89) | 16.4% | 4423 (44.2) | −7.02 (5.34) | 15.0% | 528 (5.3) |
4. Percentage of residents who are physically restrained | 11 885 | 4842 (40.7) | 3.95 (3.55) | 58.8% | 5398 (45.4) | −4.36 (4.30) | 64.9% | 1645 (13.9) |
5. Percentage of residents who are more depressed or anxious | 11 901 | 5199 (43.7) | 3.04 (2.24) | 53.6% | 4720 (39.7) | −2.79 (2.02) | 49.2% | 1982 (16.6) |
6. Percentage of low‐risk residents who have lost control over their bowel or bladder | 12 005 | 4263 (35.5) | 3.31 (2.90) | 76.1% | 4642 (38.7) | −3.28 (3.01) | 75.4% | 3100 (25.8) |
7. Percentage of residents who have/had a catheter inserted and left in their bladder | 12 019 | 4265 (35.5) | 4.32 (3.82) | 55.2% | 5110 (42.5) | −4.79 (4.48) | 61.2% | 2644 (22.0) |
8. Percentage of residents who spend most of their time in bed or in a chair | 11 942 | 5332 (44.6) | 7.08 (6.52) | 48.3% | 5878 (49.2) | −6.58 (5.44) | 44.9% | 737 (6.2) |
9. Percentage of residents whose ability to move about in and around their room has become worse | 10 068 | 4698 (46.6) | 6.02 (5.18) | 49.9% | 4689 (46.6) | −5.93 (4.96) | 49.2% | 681 (6.8) |
10. Percentage of residents with a urinary tract infection | 11 451 | 5349 (46.7) | 7.18 (6.20) | 47.1% | 5442 (47.5) | −6.88 (5.73) | 45.1% | 660 (5.8) |
11. Percentage of residents who have lost too much weight | 12 024 | 5639 (46.9) | 4.58 (3.52) | 54.8% | 5166 (43.0) | −4.42 (3.45) | 52.9% | 1219 (10.1) |
12. Percentage of short‐stay residents with delirium | 8596 | 4249 (49.4) | 9.90 (7.98) | 42.8% | 3999 (46.5) | −9.74 (8.13) | 42.1% | 348 (4.1) |
13. Percentage of short‐stay residents with moderate to severe pain | 8513 | 2803 (32.9) | 3.82 (3.86) | 113.7% | 3251 (38.2) | −4.16 (3.88) | 123.8% | 2459 (28.9) |
14. Percentage of short‐stay residents with pressure sores | 7731 | 3313 (42.9) | 7.50 (5.94) | 36.6% | 4078 (52.7) | −8.28 (6.26) | 40.5% | 340 (4.4) |
Overall change in quality measures | 12 974 | 6164 (47.5) | 2.22 (2.08) | 52% | 6602 (50.9) | −2.25 (2.10) | 59% | 208 (1.6) |
The total number of facilities was 14 673 in 2003 and 14 724 in 2004. In all, 14 554 facilities were identified as operating in both 2003 and 2004; however, for each of the 14 quality measures, we include only those facilities with scores available in both years for calculating the difference. This is the n given in the first column of figures.