Quarterly Quality Report

(1)

Quarterly Quality Report

Calendar Year 3rd Quarter (July-September 2013)

A.G. Rhodes Health & Rehab is a not-for-profit organization that operates three facilities in the metro Atlanta area providing a range of care including therapy and rehabilitation services, short-term recovery and long-short-term care. Our staff of 600 serves a total resident capacity of more than 400.

We know that high quality health care is critical to residents, families and others who look to A.G. Rhodes as a trusted leader in senior care. This quarterly quality report highlights statistics for some of the most important factors considered when evaluating a skilled nursing or

rehabilitation facility.

These statistics reflect calendar year third quarter, July-September 2013. They include

comparisons among A.G. Rhodes Health & Rehab’s three facilities, more than 350 facilities in Georgia and more than 15,400 facilities nationwide.

A.G. Rhodes Health & Rehab snapshot

Location Staff total as of Sept. 30

Resident

Capacity Total residents served July-Sept. 2013 Percentage Occupied as of Sept. 30 A.G. Rhodes of Atlanta 189 138 150 93.56% A.G. Rhodes of Cobb 183 130 160 94.4% A.G. Rhodes at Wesley Woods 229 150 208 90.07% Total 601 418 518 92.7% (avg.)

(2)

The following charts reflect July-September 2013 data from the American Health Care Association’s Long-term Care Trend Tracker.

Overall star ratings

A.G. Rhodes has the highest star quality ratings possible.

A.G. Rhodes homes have 5-star quality ratings, which is the highest possible rating. Our homes exceed the state average of 3 and nationwide average of 3.28 star quality ratings. Nursing home ratings come from health inspections, staffing and quality measures.

Staff hours per patient day

A.G. Rhodes has high total staff hours per patient day, which allows staff to provide more personalized care.

Staff hours per patient day is the total number of staff providing patient care compared to the number of patients. At A.G. Rhodes, we have total staff hours per patient day of 6.84. The statewide average is 5.86 and the nationwide average is 6.56.

0 1 2 3 4 5 Star Ratings A.G. Rhodes Georgia Nationwide 0 1 2 3 4 5 6 7

Staff hours per patient day

A.G. Rhodes Georgia Nationwide

(3)

Fall incidents

A.G. Rhodes takes significant measures to mitigate the risks associated with falling, and we have a lower fall incident rate than statewide and nationwide averages.

A “fall” refers to unintentionally coming to a rest on the ground, floor or other lower level, but not as a result of an overwhelming external force. An episode where a resident loses his or her balance, and would have fallen if not for staff intervention, is considered a fall. While most falls are benign and result in no injuries, A.G. Rhodes takes significant measures to mitigate the risks associated with falling. A.G. Rhodes has a lower fall incident rate than the statewide and nationwide averages with 10.9 percent of A.G. Rhodes residents with fall incidents compared to 15.2 percent in Georgia and 15.1 percent nationwide.

Antipsychotic medications

A.G. Rhodes has a lower-than-average percentage of residents who take antipsychotic medications.

In March 2012, CMS launched a nursing facility quality initiative that included a goal to decrease the off-label use of antipsychotic medications by 15 percent by December 2012. A.G. Rhodes continues to be successful in this effort, which reflects a low percentage, 7.8 percent, of residents who take antipsychotic medications. This is compared to 26.4 percent statewide and 23.6 percent nationwide. 0 2 4 6 8 10 12 14 16

% of residents with incidents of falls

A.G. Rhodes Health & Rehab 3

0 3 6 9 12 15 18 21 24 27

% of residents taking antipsychotic medications

(4)

Acquired catheters

Only 0.34 percent of residents at A.G. Rhodes acquired urinary catheters this quarter, compared to 0.7 percent statewide and 0.93 percent nationwide.

Physical restraints

A.G. Rhodes takes many steps to reduce or eliminate the need for restraints, which contributes to its low percentage of residents who require restraints.

Physical restraints are items used to restrict, restrain or prevent movement of a person. Restraints are used as a last resort and only after less restrictive alternatives have been tried. A.G. Rhodes takes many steps to reduce or eliminate the need for restraints, which contributes to its low percentage, 0.78 percent, of residents who required restraints from July-September 2013. This is compared to 1.06 percent statewide and 0.98 percent nationwide.

0 0.2 0.4 0.6 0.8 1

% of residents with acquired urinary catheters A.G. Rhodes Georgia Nationwide 0 0.2 0.4 0.6 0.8 1 1.2

% of residents requiring physical restraints

(5)

Unexpected weight gain or loss

A.G. Rhodes has a low percentage of residents with unexpected weight fluctuations.

Weight can be a useful indicator of nutritional status when evaluated within the context of the individual’s personal history and overall condition. We monitor residents’ weight to ensure significant, unintended changes are addressed immediately. A.G. Rhodes had a low percentage of residents, 1.9 percent, with unexpected weight fluctuations July-September 2013. This is compared to 6 percent statewide and 5.8 percent nationwide.

Pressure ulcers

A.G. Rhodes takes significant steps to prevent pressure ulcers, which contributes to its very low percentage of residents who experience them.

A pressure ulcer is any lesion caused by unrelieved pressure that results in damage to the underlying tissue. A.G. Rhodes takes significant steps to prevent pressure ulcers, however in rare instances they are unavoidable. From July-September 2013, 0.56 percent of residents experienced pressure ulcers, compared to 2.5 percent statewide and nationwide.

0 1 2 3 4 5 6

% of residents with unexpected weight gain/loss

A.G. Rhodes Georgia Nationwide 0 0.5 1 1.5 2 2.5 3

% of residents with pressure ulcers