![]() ![]() ![]() ![]() For example, adverse events that affected one or two residents and caused no harm are worth zero points. Health inspection stars are determined by onsite inspection scores, and onsite inspection scores are determined by adverse events that can harm nursing home residents. Strategies to improve health inspection scores and stars With those challenges in mind, she identified opportunities or strategies in each subcategory to improve performance and ideally, notch more stars to push a nursing home’s overall rating even higher. Knowing how to use that information to improve clinical performance and the facility’s overall star rating.Knowing how to collect, analyze and report those performance measures internally and externally.Knowing what performance measures CMS is using to calculate the number of stars in each subcategory.The remaining 70 percent are evenly distributed among two, three and four stars.Īs Alexander demonstrated during the webinar, the challenge for nursing homes is threefold: Some 20 percent receive one star-the lowest rating. In each state, 10 percent of nursing homes receive five stars-the highest rating. CMS awards stars relative to a facility’s performance against other nursing homes within its own state. Then the number of health inspection stars can be adjusted up or down based on the number of stars awarded for staffing and quality measures to determine the final rating. The process starts with awarding stars in the health inspection category. The three subcategories are onsite health inspections, staffing and quality measures. The system awards stars in three subcategories to determine an overall composite star rating for each nursing home. McKesson Medical-Surgical, a business unit of McKesson, sponsored the webinar, “Five Star Rating-How to Improve Your Rating Through Data and Quality Processes.” Karolee Alexander, director of clinical and reimbursement consulting for Pathway Health, a Minnesota-based long-term care consulting firm, hosted the hour-long session.ĬMS launched its five-star rating system for Medicare and Medicaid certified nursing homes in December 2008. Used with other research and personal considerations, the CMS Five-Star Quality Rating System provides additional information to help you make an important decision for yourself or for your loved one.A webinar detailing how the Centers for Medicare & Medicaid Services (CMS) runs its five-star rating system for nursing homes provides insights into how nursing homes can improve the care they provide to their residents and earn higher star ratings in the process. While you can look up the ratings yourself, you can also ask any Care Center for their most current ratings. The Quality Measures rating is based on 15 different physical and clinical measures for nursing home residents and offers information about how well nursing homes are caring for those needs.The Staffing rating includes information about the average number of hours of care nursing staff provide to each resident each day.The Health Inspection rating is composed of the Care Center’s three most recent health inspections and any investigations that may have resulted from a complaint.A Care Center receives an overall rating as well as specific ratings for Health Inspections, Staffing, and Quality Measures. To help older adults and families make better informed decisions, CMS updates ratings quarterly. A one-star ranking is much below average, while a five-star ranking is much above average. The ratings can be found on the CMS Nursing Home Compare website and rank from one to five stars. One tool that can be used when researching senior living communities is the Centers for Medicare and Medicaid Services (CMS) Five-Star Quality Rating System. Whether you or your loved one need to move to a care setting right away, or are considering moving into Independent Living and planning for possible future needs, knowing the quality of a community’s Care Center is a significant part of the decision-making process. Important questions include: How close is the community to family and friends? And, does the community have a good reputation? One of the most important considerations can also be one of the hardest to get answers to: Is the Care Center, where you get 24-hour nursing care, one of good quality? These things are the same whether it is a single building or is part of a senior living community offering a continuum of care. There are many things to think about when considering moving to a nursing home. ![]()
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