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. 2007 Jun;16(3):185–191. doi: 10.1136/qshc.2005.016923

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.