Only nursing facilities with five stars in staffing will receive an additional star in their overall rating.

Īlso effective July 27, CMS no longer adds a star to a facility’s overall rating on Care Compare if the facility has four stars (on a five-point scale) in the staffing domain. Number of administrators who have left the nursing home within a given yearĬMS converts performance on each measure into points, “which are then totaled and compared to thresholds for each staffing star rating.” Additional information is available in CMS’s Technical Users’ Guide for the Five-Star Quality Rating System, which CMS updated in July.Total nurse staff turnover within a given year.Total nurse (RN, licensed practical nurses, and nurse aides) staffing hours per resident per day on weekends.Ī companion Fact Sheet to the July 27 Press Release identifies the four new components of the methodology for the staffing measure: An analysis reported in McKnight’s Long-Term Care News on July 28 finds that one-third of nursing facilities nationwide declined in their staffing rating as a result of the new methodology, with 939 facilities losing two or more stars. CMS cites research documenting that staffing levels and staff turnover “‘can substantially affect quality of care and health outcomes for people living in nursing homes.’” Since January 2022, CMS has posted weekend staffing and turnover rates on Care Compare. Listen to Medicare & Health Care StoriesĮffective July 27, 2022, the Centers for Medicare & Medicaid Services (CMS) includes weekend staffing rates for nurses and information on annual turnover of nurses and administrators as it calculates the staffing measure for the federal website Care Compare.Join the Center for Medicare Advocacy Founder’s Circle.Career, Fellowship & Internship Opportunities.Ossen Medicare Outreach, Education and Advocacy Project.Connecticut Dually Eligible Appeals Project.The Center for Medicare Advocacy Founder’s Circle.Nursing Home / Skilled Nursing Facility Care.'Overall scores should be considered in light of a potential resident’s unique care needs,” the spokesperson said. In a statement to the Times, a CMS spokesperson said the star-rating system is 'intended to serve as one tool' to help people select a nursing home. 'They were allowed to not have enough staffing, and they were allowed to ignore infection-control deficiencies, so they had poorer quality than the public knew about, and they were in the worst position to manage Covid,' Charlene Harrington, RN, PhD, a professor at the University of California, San Francisco's School of Nursing who also sits on a board that advises CMS on its star ratings, told the publication. The Times said the ratings system left nursing homes ill-prepared for the COVID-19 pandemic, as facilities were able to achieve higher star ratings without improving care quality. Some nursing homes inflated staffing levels and failed to report accidents or health issues among residents.Nursing home information submitted to CMS was often incorrect and made the facilities appear safer and cleaner than they were.COVID-19 patients treated at five-star nursing homes were about as likely to die as those treated at facilities with one star.Of more than 3,500 nursing homes with five stars from CMS, at least 2,400 were cited for infection control issues or patient abuse, according to January 2020 data from Nursing Home Compare.The publication also obtained ratings data that are not publicly available from scholars who had research agreements with CMS.

To assess the accuracy of these ratings, the Times analyzed millions of payroll records, 373,000 state inspection reports and financial statements of more than 10,000 nursing homes submitted to the government. have taken advantage of the CMS star ratings system to achieve higher ratings without addressing quality issues, according to an investigative report from The New York Times. 50 community hospital cfos to know | 2022.83 community hospital ceros to know | 2022.

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