![]() ![]() Reviewing health inspection results, staffing data, and quality measure data are three important ways to measure nursing home quality. Nursing homes vary in the quality of care and services they provide to their residents. Facilities with fewer than two inspections do not. Almost all nursing homes receive a rating. These three ratings are combined to calculate an overall rating. Since 2008, CMS has been continually adding information to Nursing Home Compare, including facility ownership information, sanctions against nursing homes, and the full text of nursing home inspection reports.Ī star rating is provided for each of these three sources. In 2008, CMS implemented a Five Star Nursing Home Quality Rating System to summarize much of the detailed information on Nursing Home Compare so that consumers could more easily distinguish among nursing homes. In 2003, CMS added quality measures to the health inspection and staffing information already on the site. The sixth new quality measure, the antianxiety/hypnotic medication measure, is not incorporated into the Five-Star Quality Rating because it has been difficult to determine appropriate nursing home benchmarks for the acceptable use of these medications.ĬMS launched Nursing Home Compare in 1998. Percentage of long-stay residents whose ability to move independently worsened (MDS-based) Percentage of short-stay residents who made improvements in function (MDS-based)ĥ. ![]() Percentage of short-stay residents who were rehospitalized after a nursing home admission (Medicare claims-Ĥ. Percentage of short-stay residents who have had an outpatient emergency department visit (Medicare claims-ģ. ![]() Percentage of short-stay residents who were successfully discharged to the community (Medicare claims- andĢ. Today, CMS is including five of those six new quality measures in the calculations for the Five-Star Quality Rating. The Centers for Medicare & Medicaid Services (CMS) recently added six new quality measures to the Nursing Home Compare website as part of an initiative to broaden the amount of quality information available on that site. Nursing Home Compare allows consumers to select multiple nursing homes at a time to compare the health inspection history, staffing levels, and self-reported quality of care outcomes, information that can assist them in choosing the facility that best meets their needs or the needs of their family member. Nursing Home Compare is a user-friendly web tool found at that provides information on how well Medicare- and Medicaid-certified nursing homes provide care to their residents. All rights reserved.Five Star Changes to Nursing Home Compare Published by Oxford University Press on behalf of The Gerontological Society of America. We recommend that the star system be refined to include a consumer component.ĬMS data sets (OSCAR Long-term care MDS) Nursing homes Quality of care Quality of life. The current study compares the CMS star rating system to nursing home satisfaction data reported by residents and their families in Ohio.įindings indicate that the star rating system does not adequately reflect consumer satisfaction. Although the components of the star rating system take into account various dimensions of quality, satisfaction of nursing home residents and their families is not taken into consideration. These star ratings have been widely publicized both by CMS and the national and state media. In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented a five-star rating system of nursing homes in the United States. ![]()
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