1. 5-Star Nursing Home Rating System

2. Three Rating Dimensions
Survey results
Quality Measures
Staffing

3. 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

4. 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)

6. 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

8. CMS Update

9. 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