Nursing Home Quality Data Refresh on Medicare Care Compare

Nursing home quality data on the Medicare Care Compare Website was updated on October 27 2021 as follows.

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 (20Q3_21Q2)
2. Percentage of long-stay residents whose ability to move independently worsened (20Q3_21Q2)
3. Percentage of long-stay high-risk residents with pressure ulcers (20Q3_21Q2)
4. Percentage of long-stay residents who have or had a catheter inserted and left in their bladder (20Q3_21Q2)
5. Percentage of long-stay residents with a urinary tract infection (20Q3_21Q2)
6. Percentage of long-stay residents experiencing one or more falls with major injury (20Q3_21Q2)
7. Percentage of long-stay residents who got an antipsychotic medication (20Q3_21Q2)
8. Number of hospitalizations per 1,000 long-stay resident days (20Q2_21Q3)
9. Number of outpatient emergency department (ED) visits per 1,000 long-stay resident days (20Q2_21Q3)

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. (20Q2_21Q1)
2. Percentage of long-stay residents who needed and got a vaccine to prevent pneumonia. (20Q2_21Q1)

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

1. Percentage of long-stay residents who were physically restrained. (20Q3_21Q2)
2. Percentage of long-stay low-risk residents who lose control of their bowels or bladder. (20Q3_21Q2)
3. Percentage of long-stay residents who lose too much weight. (20Q3_21Q2)
4. Percentage of long-stay residents who have symptoms of depression. (20Q3_21Q2)
5. Percentage of long-stay residents who got an antianxiety or hypnotic medication. (20Q3_21Q2)

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 (20Q2_21Q2)
2. Percentage of short-stay residents who got antipsychotic medication for the first time (20Q2_21Q2)
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 (20Q2_21Q1)
5. Percentage of short-stay residents who have had an outpatient emergency department (ED) visit (20Q2_21Q1)

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. (20Q2_21Q2)
2. Percentage of short-stay residents who needed and got a vaccine to prevent pneumonia. (20Q2_21Q2)

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

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

SNF 30-Day All-Cause Readmission Measure: Baseline period (16Q4_17Q3) Performance period (17Q4_18Q3)

Read more:

• CMS Care Compare – Nursing Homes: https://www.medicare.gov/care-compare/details/nursing-home
• Nursing Homes quality of care reporting time periods: https://data.cms.gov/provider-data/topics/nursing-homes/quality-of-resident-care/#quality-of-resident-care-data-collection-periods