5-Star Nursing Home Rating System

Three Rating Dimensions Survey results Quality Measures Staffing

Quality Measure Ratings Long-Stay prevalence measures: ADL Change Mobility Change High-Risk PU Long-Term Cath Physical Restraints UTIs Pain Short Stay Prevalence Measures: Delirium Pain Pressure Ulcers

Survey Scoring Each Deficiency Scored by Scope & Severity More Points for Higher Scope, Higher Severity Weighted Scores Summed – Similar to SFF Algorithm – for: 3 Most Recent Standard Surveys 3 Years of Substantiated Complaints Added Points for: (a) substandard quality, (b) revisits needed beyond first revisit Most Recent Surveys Weighted More (1/2 + 1/3 + 1/6) Survey Results State by State (i.e. Control for State Variation)

The 5 star display on NH compare will include the four categories… An overall composite quality rating Surey rating Staffing Rating Quality Measures Consumers can sort by any of the above

CMS Update

Timeline - Five Star Quality Ratings Oct 31st – Complete Uploads, IDRs, Etc. Nov 4th – Data locked down for 12/18 Posting Oct-Nov - Update data, test systems, checks Dec - Roll-out Dec ? - Star Ratings Available to SAs Dec 15th - Star Rating Available to Each NH Dec 18th - Star Ratings Posted to NH Compare