Long-stay residents measures: Proportion reporting: Falls, urinary tract infections, moderate to severe pain, pressure ulcers, functional status independence/improvement, weight loss, need for help with daily activities increased, depressive symptoms Short-stay resident measures: Proportion with: Functional status, hospital readmissions, emergency room visits, discharge to community, new or worsened pressure ulcers. Longitudinal assessment of nursing homes’ improvement in quality outcomes State and regional variations in nursing home quality outcomes. Skilled Nursing care, swing beds, nursing home quality of care, nursing home staffing information, regulatory compliance, long-stay quality outcomes, short-stay quality outcomes, MDS datasetĬenters for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS) All data is aggregated at the national, state and individual Nursing Home level. Note that no patient level data is available. The Nursing Home Compare uses a “five star rating” system, which is a composite measure derived from health inspection findings of these facilities, staffing (e.g., availability of nursing staff per resident per day), and quality measures (e.g., falls, pain, functional status, hospital readmissions). This ongoing data collection aims to assist consumers (including patients) in selecting nursing homes by evaluating outcomes and deficiencies. The Centers for Medicare and Medicaid Services (CMS) launched a quality rating system for Medicare and Medicaid certified nursing homes (skilled nursing and long-term care facilities) on December 2008. Rehabilitation Dataset Directory: Dataset Profile Dataset: Nursing Home Compare () Basic Information Cut points for the health inspection ratings by state for the month of May 2023 are shown in Cut Point Table 1 (CP Table 1).Rehabilitation Dataset Directory: Search / In the rare case that a State or territory has fewer than 5 facilities upon which to generate the cut points, the national distribution is used. The cut points are recalibrated each month so that the distribution of star ratings within States remains relatively constant over time in an effort to reduce the likelihood that the rating process affects the health inspection process. This distribution is based on CMS experience and input from the Project’s TEP. ![]() The bottom 20 percent receive a one-star rating.The middle 70 percent of facilities receive a rating of two, three, or four stars, with an equal number (approximately 23.33 percent) in each rating category.The top 10 percent (lowest 10 percent in terms of health inspection deficiency score) in each State receive a five-star rating.Facility ratings are determined using these criteria: This approach helps to control for variation between States. Data tables giving the cut points for those ratings are included in the Five-Star Quality Rating System: Technical Users’ Guide.ĬMS’ Five-Star quality ratings for the health inspection domain are based on the relative performance of facilities within a State. Cut points for the staffing ratings and for the QM ratings have been fixed and do not vary monthly. This document – Five Star Quality Rating System Technical Users’ Guide: State Level Health Inspection Cut Point Table – provides the data for the state-level cut points for the star ratings included in the health inspection domain. The Five Star Quality Rating System: Technical Users’ Guide provides detailed information about the content and scoring of each domain, as well as the overall star rating. These domains are: Health Inspections (measures based on outcomes from State health inspection surveys), Staffing (measures based on nursing home staffing levels reported at the time of State health inspection), and Quality Measures (measures based on the CMS Minimum Data Set (MDS)). ![]() The rating system features an overall five-star rating based on facility performance for three types of performance measures, each of which has its own associated five-star rating. The primary goal in launching this rating system is to provide residents and their families with an easy way to understand assessment of nursing home quality, making meaningful distinctions between high and low performing nursing homes. The ratings take the form of several “star” ratings for each nursing home. ![]() The Centers for Medicare & Medicaid Services (CMS) has enhanced its Nursing Home Compare public reporting site to include a set of quality ratings for each nursing home that participates in Medicare or Medicaid. CMS has posted the Five-Star State Level Cut Point Table for May 2023.
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