![]() These changes seek to incentivize a more holistic approach to improving nursing home staffing, and ultimately aim to result in better quality of care and outcomes for residents. These changes will provide a more comprehensive representation of each facility’s staffing for residents, families, caregivers, and consumers that use the Care Compare website to view information about nursing homes to support health care decisions for themselves or someone they care about. Rather, only facilities with a five-star staffing rating will result in an increase in their overall star rating by the addition of one star. Rating thresholds will be set based on this initial distribution, but remain static over time to allow providers to demonstrate improvement.Īdditionally, to emphasize the importance of staffing, we will no longer add one star to the overall rating of facilities that have a four-star staffing rating. The remaining thresholds will then be assigned to produce the four remaining groups (1 to 4 stars). Similar to the staffing methodology that was implemented in April 2019, the new rating system will use staffing levels of nursing homes with high performance on the quality measures related to hospitalizations to set the five-star staffing rating threshold. Number of administrators who have left the nursing home within a given yearĪ facility’s performance on each measure is converted to points, which are then totaled and compared to thresholds for each staffing star rating.Total nurse staff turnover within a given year.Total nurse (RN, licensed practical nurses, and nurse aids) staffing hours per resident per day on weekends.In addition to existing staffing measures for registered nurse (RN) and total nurse hours per resident per day, the new staffing domain rating methodology will include the following measures: We also note that improving nursing home staffing and increasing transparency are key components of the White House Fact Sheet on improving nursing home quality and safety. Now, we are adding four new measures to the Nursing Home Five Star Quality Rating System effective with the July 27 release. In January, we began posting new weekend staffing and staff turnover measures on Care Compare ( CMS memorandum QSO 22-08-NH ). Over the last several years, CMS has made improvements to the information reported. For more than 10 years, CMS has been posting information on facility staffing measures on the website Care Compare. Staffing in nursing homes has a substantial impact on the quality of care and outcomes residents experience.
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