Medicare assigned rating based on staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars mean a better level of staffing per resident.
Federal law requires all nursing homes to provide enough staff to safely care for residents. However, there is no current federal standard for the best nursing home staffing levels. The staffing rating takes into account differences in the levels of residents' care needs in each nursing home. For example, a nursing home with residents that have more health problems would be expected to have more nursing staff than a nursing home where the residents need less health care.
Medicare assigned rating based on weighted score from recent health inspections. More stars mean lower health risks.
Certified nursing homes must meet standards set by the federal government to protect residents. Examples of these standards include:
Preventing abuse, neglect, and exploitation
Hiring enough quality staff to provide adequate care
Managing medications properly
Protecting residents from physical and mental abuse
Storing and preparing food properly
State survey agencies conduct health inspections about once a year on behalf of the federal government and may inspect nursing homes more often if the nursing home is performing poorly, if there are complaints, or if the facility reported incidents. The health inspection team consists of trained inspectors, including at least one registered nurse.
Using the federal government’s standards, the inspection team looks at many aspects of life in the nursing home including, but not limited to:
The care of residents and the processes used to give that care
How the staff and residents interact
The nursing home environment
Medicare assigned rating based on a select set of clinical data measures. More stars mean a better quality of care.
Quality Measures are on a 0-100 scale, with higher ratings = better quality
Quality of Patient Care
The star rating range is 1 to 5 stars.
A rating of 4 or more stars means the agency performed better than most other agencies on selected measures.
A rating of 3 stars means that the agency performed about the same as most agencies.
A rating of fewer than 3 stars means that the agency’s performance was below the average of other agencies on selected measures.
Patient Survey Rating
Average rating of the patient survey star rating
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Medicare Quality of Patient Care Rating
Long-Term Care / Skilled Nursing Facilities have a star rating system that gives each facility a rating between 1 and 5 stars. The nursing home star ratings come from:
Quality of resident care measures
The Centers for Medicare & Medicaid Services (CMS) regularly gathers information from surveys and calculates a star rating for each of these 3 sources, along with an overall rating.
Not Yet Rated
Not all senior care providers have a star rating. For services such as nursing homes or home health care providers, the Centers for Medicare and Medicaid Services (CMS) regularly monitors these providers and calculates a star rating based on their findings.