For its 2018-19 nursing home ratings release, U.S. News introduced a new composite quality measure and corresponding Short-Term Rehabilitation rating that assesses the performance of skilled nursing facilities in post-acute care. This Short-Term Rehabilitation rating will be updated on October 29 as part of the 2019-20 ratings release. U.S. News will also debut a Long-Term Care rating to help people in need of daily assistance and their families decide where to go for residential care.
The 2019-20 Short-Term Rehabilitation rating was determined by ten measures of facility quality, and the Long-Term Care rating by nine. This year the Short-Term Rehabilitation ratings newly incorporate several measures of quality, including consistency of registered nurse staffing, use of antipsychotic drugs, and success in preventing falls. The Long-Term Care rating includes data on staffing, success in preventing ER visits, hospitalizations and pressure ulcers, use of antianxiety and hypnotic drugs, residents’ ability to self-care, pneumonia vaccination rates, and the rate of substantiated complaints coming from residents or their families. All measures in both ratings were developed from publicly available data released by the federal Centers for Medicare and Medicaid Services (CMS) as of August 2019.