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Nursing Home Quality Data on Medicare Care Compare

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Nursing home quality data on the Medicare Care Compare Website was updated on April 28, 2021.

Measures for Long-Stay residents: (16 measures)

Measures used to calculate the star rating – Long-stay residents (9 measures)

  1. Percentage of long-stay residents whose need for help with daily activities has increased (20Q1_20Q4)
  2. Percentage of long-stay residents whose ability to move independently worsened (20Q1_20Q4)
  3. Percentage of long-stay high-risk residents with pressure ulcers (20Q1_20Q4)
  4. Percentage of long-stay residents who have or had a catheter inserted and left in their bladder (20Q1_20Q4)
  5. Percentage of long-stay residents with a urinary tract infection (20Q1_20Q4)
  6. Percentage of long-stay residents experiencing one or more falls with major injury (20Q1_20Q4)
  7. Percentage of long-stay residents who got an antipsychotic medication (20Q1_20Q4)
  8. Number of hospitalizations per 1,000 long-stay resident days (19Q4_20Q3)
  9. Number of outpatient emergency department (ED) visits per 1,000 long-stay resident days (19Q4_20Q3)

Flu and pneumonia prevention measures – Long-stay residents (2 measures)

  1. Percentage of long-stay residents who needed and got a flu shot for the current flu season. (20Q1_20Q4)
  2. Percentage of long-stay residents who needed and got a vaccine to prevent pneumonia. (20Q1_20Q4)

Additional quality measures – Long-stay residents (5 measures)

  1. Percentage of long-stay residents who were physically restrained. (20Q1_20Q4)
  2. Percentage of long-stay low-risk residents who lose control of their bowels or bladder. (20Q1_20Q4)
  3. Percentage of long-stay residents who lose too much weight. (20Q1_20Q4)
  4. Percentage of long-stay residents who have symptoms of depression. (20Q1_20Q4)
  5. Percentage of long-stay residents who got an antianxiety or hypnotic medication. (20Q1_20Q4)

Measures for Short-Stay residents: (18 measures)

Measures used to calculate the star rating – Short-stay residents: (5 measures)

  1. Percentage of short-stay residents who improved in their ability to move around on their own (20Q1_20Q4)
  2. Percentage of short-stay residents who got antipsychotic medication for the first time (20Q1_20Q4)
  3. Percentage of SNF residents with pressure ulcers/pressure injuries that are new or worsened. (This measure is also used in the SNF Quality Reporting Program) (19Q1_19Q4)
  4. Percentage of short-stay residents who were re-hospitalized after a nursing home admission (19Q4_20Q3)
  5. Percentage of short-stay residents who have had an outpatient emergency department (ED) visit (19Q4_20Q3)

Flu and pneumonia prevention measures – Short-stay residents: (2 measures)

  1. Percentage of short-stay residents who needed and got a flu shot for the current flu season. (20Q1_20Q4)
  2. Percentage of short-stay residents who needed and got a vaccine to prevent pneumonia. (20Q1_20Q4)

Additional quality measures – Short-stay residents: (10 measures)

  1. Percentage of SNF residents whose medications were reviewed and who received follow-up care when medication issues were identified. (19Q1_19Q4)
  2. Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. (19Q1_19Q4)
  3. Percentage of SNF residents whose functional abilities were assessed and functional goals were included in their treatment plan. (19Q1_19Q4)
  4. Percentage of residents who are at or above an expected ability to care for themselves at discharge.(19Q1_19Q4)
  5. Percentage of residents who are at or above an expected ability to move around at discharge. (19Q1_19Q4)
  6. Change in residents’ ability to care for themselves. 1/1/2019 12/31/2019
  7. Change in residents’ ability to move around. (19Q1_19Q4)
  8. Rate of successful return to home and community from a SNF. This measure is also used in the Five Star Quality Rating System. (17Q4_19Q3)
  9. Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF. (17Q4_19Q3)
  10. Medicare Spending Per Beneficiary (MSPB) for residents in SNFs. (17Q4_19Q3)

Additional quality measures – SNF Value-Based Purchasing (VBP) Program (1 measure)

  1. SNF 30-Day All-Cause Readmission Measure (16Q4_17Q3)

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