Total staffing includes RNs, licensed practical nurses or licensed vocational nurses, and certified nurse aids. Staffing rating is based on two measures: the number of registered nurse (RN) hours per resident day and the total staffing hours per resident day. Number of nursing homes: 15,600 (2016) Proportion of nursing homes with for-profit ownership: 69.3 (2016) Number of licensed beds: 1.7 million (2016).QMs are derived from clinical data reported by the nursing home. Quality Measures (QM) rating combines the values on nine QMs (a subset of the 19 QMs listed on Nursing Home Compare) to create the QM rating.We place more emphasis on recent inspections. Health Inspections rating is based on the three most recent comprehensive (annual) inspections, and inspections due to complaints in the last three years.If a nursing home is a Special Focus Facility, the maximum "Overall" rating is three stars.If the "Health Inspections" rating is one star, then the "Overall" rating cannot be upgraded by more than one star based on the "Staffing" and "Quality Measure" ratings.Add one star if the "Quality Measures" rating is five stars subtract one star if the "Quality Measures" rating is one star.Subtract one star if the "Staffing" rating is one star. Add 1 star if the "Staffing" rating is four or five stars and greater than the Health Inspections Rating. Avoid neglect and abuse at all costs by doing your research, and the CMS Nursing Home Compare Five-Star Quality Rating System can help.Start with the Health Inspections Rating.How CMS calculates ratingsĬMS assigns the Overall Five-Star rating using the following steps: Each facility is rated from a low of one star to a high of five stars based on three critical areas: health inspection results, quality measures and staffing levels. Nursing Home Compare, which is managed by the Centers for Medicare and Medicaid Services (CMS), provides quality ratings for each of the nation's approximately 16,000 Medicare and/or Medicaid-certified nursing homes. Medicaid Supplemental Payment & Directed Payment Programs.
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