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Latest Quality Data Update on CMS Nursing Home Compare

The latest quarterly nursing home quality data refresh has been posted to CMS Nursing Home Compare on October 23 2019.

For short-stay and long-stay resident quality measures, CMS assigns nursing homes a quality of resident care star rating based on their performance on 16 measures. These, and other measures reflect, on average, how well nursing homes care for their residents. Nursing home quality data was updated on CMS Nursing Home Compare as follows for 2 groups of residents:

  1. Short-stay residents – those who spent 100 days or less in a nursing home or residents covered under the Medicare Part A Skilled Nursing Facility (SNF) benefit
  2. Long-stay residents – those who spent over 100 days in a nursing home
  1. Short-stay quality of resident care:
  • Percentage of short-stay residents who were re-hospitalized after a nursing home admission.
  • Percentage of short-stay residents who have had an outpatient emergency department visit.
  • Percentage of short-stay residents who got antipsychotic medication for the first time.
  • Percentage of SNF residents with pressure ulcers that are new or worsened.
  • Percentage of short-stay residents who improved in their ability to move around on their own.

Flu and pneumonia prevention measures – Short-stay residents

  • Percentage of short-stay residents who needed and got a flu shot for the current flu season.
  • Percentage of short-stay residents who needed and got a vaccine to prevent pneumonia.

Additional quality measures – Short-stay residents

  • Percentage of SNF residents who experience one or more falls with major injury during their SNF stay.
  • Percentage of SNF residents whose functional abilities were assessed and functional goals were included in their treatment plan.
  • Rate of successful return to home and community from a SNF.
  • Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF.
  • Medicare Spending Per Beneficiary (MSPB) for residents in SNFs.

2. Long-stay quality of resident care:

Measures used to calculate the star rating – Long-stay residents

  • Number of hospitalizations per 1,000 long-stay resident days.
  • Number of outpatient emergency department visits per 1,000 long-stay resident days.
  • Percentage of long-stay residents who got an antipsychotic medication.
  • Percentage of long-stay residents experiencing one or more falls with major injury.
  • Percentage of long-stay high-risk residents with pressure ulcers.
  • Percentage of long-stay residents with a urinary tract infection.
  • Percentage of long-stay residents who have or had a catheter inserted and left in their bladder.
  • Percentage of long-stay residents whose ability to move independently worsened.
  • Percentage of long-stay residents whose need for help with daily activities has increased.

Flu and pneumonia prevention measures – Long-stay residents

  • Percentage of long-stay residents who needed and got a flu shot for the current flu season.
  • Percentage of long-stay residents who needed and got a vaccine to prevent pneumonia.

Additional quality measures – Long-stay residents

  • Percentage of long-stay residents who were physically restrained.
  • Percentage of long-stay low-risk residents who lose control of their bowels or bladder.
  • Percentage of long-stay residents who lose too much weight.
  • Percentage of long-stay residents who have symptoms of depression.
  • Percentage of long-stay residents who got an antianxiety or hypnotic medication.

Note: CMS now displays a consumer alert icon on the Nursing Home Compare website for facilities cited on inspection reports for one or both of the following: 1) abuse that led to harm of a resident within the past year; and 2) abuse that could have potentially led to harm of a resident in each of the last two years. To ensure CMS is providing the latest information, the icon will be updated monthly, at the same time CMS inspection results are updated.

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