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Glossary of Terms Used in OSCAR Data

Activities of Daily Living (ADL) are activities done during a normal day such as getting in and out of bed, dressing, bathing, eating, and using the bathroom. Patients are considered to be independent if they can execute an activity of daily living independent of direct care staff or with only “set up” assistance. Patients needing assistance can partially execute the activity of daily living but must have considerable assistance from direct care staff to successfully complete the activity. Patients who are dependent for an activity of daily living are not capable of executing the activity of daily living and are dependent on staff to perform the activity.

Advance Directive (Health Care) is a written health care directive prepared by patients in advance of needing to apply its contents which documents how a patient wants medical decisions to be made on their behalf in the event they become disabled and are unable to make their own health related decisions. A health care advance directive may include a Living Will and a Durable Power of Attorney for health care.

Certified Beds This measure represents the total number of certified beds in the nursing home. Some nursing homes can have a combination of Medicare, Medicaid, and/or private pay beds. Certified beds refer to those beds certified for use under the Medicare and/or Medicaid programs.

Certified Nursing Assistants (CNAs) provide care on a twenty-four hour basis. They work under the direction of a licensed nurse to assist patients with activities of daily living, i.e., eating, grooming, hygiene, dressing, transferring, and toileting. All full-time certified nursing assistants (CNAs) must have completed a competency evaluation program or nurse assistant training within 4 months of their permanent employment. They must also pursue continuing education each year.

Hospital-based The nursing home is affiliated with a hospital.

Medicare is the federal health insurance program for: people 65 years of age or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure with dialysis or a transplant, sometimes called ESRD). Medicare pays for some nursing home care in specific situations and for no more than 100 days for each benefit period. A benefit period begins the day you go to a skilled nursing facility. The benefit period ends when you have not received skilled nursing care for 60 days in a row.

Medicaid is the joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid. Medicaid pays for long term care for people with low incomes and resources.

Mulitfacility Multi-nursing home chains have two or more homes under one ownership

Occupancy This measure indicates the percentage of certified beds occupied by patients at the time of the inspection. It is obtained by taking the number of patients occupying certified beds at the time of the inspection divided by the total number of certified beds in the nursing home.

Ownership Nursing homes can be run by private for-profit corporations, non-profit corporations or gove rnment entities.

Patients in Certified Beds This number tells you how many patients in certified beds were living in the nursing home at the time of the inspection Primary Payer is an insurance policy, plan, or program that pays first on a claim for medical care. This could be Medicare, Medicaid or other health insurance.

Registered Nurses and Licensed Practical and Vocational Nurses Registered nurses (RNs) have between 2 and 6 years of education. Licensed practical and vocational nurses (LPNs/LVNs) generally have 1 year of training. By law, RNs must assess patients' needs. RNs and LPNs/LVNs work together to plan care, implement care and treatment, and evaluate patients' outcomes.

Restraint is any physical or chemical way to stop a patient from being free to move. These restraints are used to prevent patient injury and are not used for treating medical symptoms.