1.0 Executive Summary

The NFQR is a statewide process used by DADS to benchmark the quality of care and the quality of life for individuals in nursing facilities across the state. NFQR data collected over time helps DADS track progress in quality improvement activities and formulate strategies which are meant to improve both the quality of long-term services and supports and clinical outcomes of residents.

This year, of the 128,971 residents (including those with Medicare, Medicaid, or any other payer source) living in the 1,044 Medicaid certified nursing facilities in Texas at any time during a four month period, a subset of 2,129 residents were randomly selected, assessed, and interviewed. Key findings from this year’s evaluation are noted below.

1.1 Quality of Care and Quality of Life Key Findings

Only statistically significant increases or declines from 2007 to 2008 are included in this section.

Observed improvements from 2007 to 2008 include (Figure 1.1):

More incontinent residents had a continence promotion plan
More residents were assessed for fall risks upon admission or annually
More advance care plans addressed artificial nutrition and hydration
More residents were assessed for risk factors for weight loss and dehydration
More residents diagnosed with anxiety were reassessed every two weeks
More residents liked the food at their nursing facility
Increased privacy
- o More residents found a place to be alone when they wished, found a place to visit with a friend in private, and were able to be together in private with another resident
Increased satisfaction with safety and security
- o More residents felt safe and secure and that their possessions were safe

Observed declines from 2007 to 2008 (Figure 1.1):

Higher proportion of residents had a Vancomycin-Resistant Enterococcus (VRE) infection
Fewer residents received care consistent with an advance care document
Fewer residents participated in religious activities

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Updated: June 8, 2010