Health Inspections: Inspections include the findings on compliance with Medicare and Medicaid health and safety requirements from onsite surveys conducted by state survey agencies at nursing homes.There is one overall five-star rating for each nursing home and a separate rating for each of the following three factors: Nursing homes with five stars are considered to have quality that is much above average, and nursing homes with one star are considered to have quality much below average. The Nursing Home Compare website features a quality rating system that gives each nursing home a rating of between one and five stars. Accordingly, providers should be aware of these recent changes.
Lenders may look to such rankings as well. Hospital network contracts sometimes use Five Star rankings as a threshold for participation in their networks. Commercial payers may use similar metrics for credentialing. Five Star rankings are also used by CMS in evaluating providers for participation in alternate payment and bundled payment projects. But these data and rankings have broader significance. The Nursing Home Compare website and Five-Star Quality Rating System were created in 1998 to help consumers and their families find a nursing home and to encourage nursing homes to achieve higher quality through public reporting of nursing home performance. This article provides a brief overview of these changes. The star rating provides a "snapshot" of the quality of each nursing home.ĬMS is making changes to the quality component on Nursing Home Compare that would improve identifying differences in quality among nursing homes, raise expectations for quality, and incentivize continuous quality improvement. The Nursing Home Compare website contains data, including quality measures and staffing information, for more than 15,000 nursing homes around the country. On April 11, 2019, CMS announced updates to Nursing Home Compare and the Five-Star Quality Rating System.
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