Final RAI assessment for HSA nursing homes for the period March-May 2026

The overall RAI assessment results for HSA are very similar to the last one. Out of 20 quality indicators, HSA exceeds the upper quality indicator in 2 quality indicators in the period March-May 2026, which is the same as the last one. Of these two quality indicators, the national average is also exceeded in one of them and just below the line in the upper quality indicator in the other. HSA is below the lower quality indicator in 3 quality indicators, which is one less quality indicator than last time. If we compare the results of the quality indicators at HSA on the one hand and the national average on the other hand, HSA is below the national average in 3 quality indicators (three less than last time), a similar result to the national average in another 9 quality indicators (was 6) and above the national average in 8 quality indicators (same as last time).

HSA is doing well in terms of quality indicators for the prevalence of body restraints, the prevalence of dehydration and the prevalence of fecal impaction, which are below the lower quality standard there and the national average. Recently, quality indicators relating to depression in the population have been examined separately, and the quality indicator for depressive symptoms has decreased considerably since the last time, moving closer to the lower quality standard line as well as the national average. Work to improve the quality indicator for depressive symptoms without treatment has also been successful, and HSA is now well below the upper quality standard there. The issues that need to be examined more closely relate to the prevalence of use of 9 or more medications and the prevalence of urinary catheters. HSA is above the upper quality standard and the national average there, and the quality indicator for the prevalence of urinary catheters has risen well above the upper quality standard. The prevalence of use of 9 or more medications has remained stable over the last three assessment periods, but is only slightly decreasing.

The so-called nursing burden can be assessed with the RAI measuring instrument, but nursing burden is used to indicate how much pressure there is on nursing homes over a certain period.
Nursing burden in nursing homes HSA was measured at 1.14 for the period March-May 2026, an increase from the last time or by 0.02. However, this is still below the national average, where nursing burden is 1.24. Of the 101 who were assessed, 20 HSA clients are measured with a nursing burden above the national average, or just under 20%. Those who score the highest have 1.63. The lowest score is 0.92, but the median is 1.12.

When assessing nursing burden, the RUG classification is used and the classification depends on how complex or specialized the nursing care is, as well as how much assistance the resident needs with ADL (activities of daily living) or how much training/activity the person receives in the nursing home. This actually means how much service the person receives in the nursing home. There are 7 categories in total, but they are then divided into 44 subcategories depending on how many points the person receives for ADL. About 50% of HSA nursing home residents fall into the category of special rehabilitation and about 30% into the category of reduced physical skills. It should be noted that the highest score you can get is 1.79 in the top category of special rehabilitation, the second highest in the top category is extensive nursing care (1.63), and the lowest is 0.66 in the bottom category of behavioral problems. Residents can fall into all of these categories but register in the category that has the highest weight.