Nursing home quality data on the Medicare Care Compare Website was updated on January 25, 2023 as follows:
Measures for Long-Stay residents: (16 measures)
Measures used to calculate the star rating – Long-stay residents (9 measures)
- Percentage of long-stay residents whose need for help with daily activities has increased (21Q4_22Q3)
- Percentage of long-stay residents whose ability to move independently worsened (21Q4_22Q3)
- Percentage of long-stay high-risk residents with pressure ulcers (21Q4_22Q3)
- Percentage of long-stay residents who have or had a catheter inserted and left in their bladder (21Q4_22Q3)
- Percentage of long-stay residents with a urinary tract infection (21Q4_22Q3)
- Percentage of long-stay residents experiencing one or more falls with major injury (21Q4_22Q3)
- Percentage of long-stay residents who got an antipsychotic medication (21Q4_22Q3)
- Number of hospitalizations per 1,000 long-stay resident days (21Q3_22Q2)
- Number of outpatient emergency department (ED) visits per 1,000 long-stay resident days (21Q3_22Q2)
Flu and pneumonia prevention measures – Long-stay residents (2 measures)
- Percentage of long-stay residents who needed and got a flu shot for the current flu season. (21Q4_22Q3)
- Percentage of long-stay residents who needed and got a vaccine to prevent pneumonia. (21Q4_22Q3)
Additional quality measures – Long-stay residents (5 measures)
- Percentage of long-stay residents who were physically restrained. (21Q4_22Q3)
- Percentage of long-stay low-risk residents who lose control of their bowels or bladder. (21Q4_22Q3)
- Percentage of long-stay residents who lose too much weight. (21Q4_22Q3)
- Percentage of long-stay residents who have symptoms of depression. (21Q4_22Q3)
- Percentage of long-stay residents who got an antianxiety or hypnotic medication. (21Q4_22Q3)
Measures for Short-Stay residents: (19 measures)
Measures used to calculate the star rating – Short-stay residents: (5 measures)
- Percentage of short-stay residents who improved in their ability to move around on their own (21Q3_22Q3)
- Percentage of short-stay residents who got antipsychotic medication for the first time (21Q3_22Q3)
- 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) (21Q2_22Q1)
- Percentage of short-stay residents who were re-hospitalized after a nursing home admission (21Q3_22Q2)
- Percentage of short-stay residents who have had an outpatient emergency department (ED) visit (21Q3_22Q2)
Flu and pneumonia prevention measures – Short-stay residents: (2 measures)
- Percentage of short-stay residents who needed and got a flu shot for the current flu season. (21Q3_22Q3)
- Percentage of short-stay residents who needed and got a vaccine to prevent pneumonia. (21Q3_22Q3)
Additional quality measures – Short-stay residents: (12 measures)
- Percentage of SNF residents whose medications were reviewed and who received follow-up care when medication issues were identified. (21Q2_22Q1)
- Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. (21Q2_22Q1)
- Percentage of SNF residents whose functional abilities were assessed and functional goals were included in their treatment plan. (21Q2_22Q1)
- Percentage of residents who are at or above an expected ability to care for themselves at discharge.(21Q2_22Q1)
- Percentage of residents who are at or above an expected ability to move around at discharge. (21Q2_22Q1)
- Change in residents’ ability to care for themselves. (21Q2_22Q1)
- Change in residents’ ability to move around. (21Q2_22Q1)
- Percentage of SNF healthcare personnel who completed COVID-19 primary vaccination series (22Q1_22Q1)
- Rate of successful return to home and community from a SNF. This measure is also used in the Five Star Quality Rating System. (19Q3_19Q4, 20Q3_21Q2)
- Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF. (19Q3_19Q4, 20Q3_21Q2)
- Percentage of infections patients got during their SNF stay that resulted in hospitalization (20Q4_21Q3)
- Medicare Spending Per Beneficiary (MSPB) for residents in SNFs. (19Q3_19Q4, 20Q3_21Q2)
Additional quality measures – SNF Value-Based Purchasing (VBP) Program
- SNF 30-Day All-Cause Readmission Measure: Baseline period (18Q4_19Q3)
- SNF 30-Day All-Cause Readmission Measure: Performance period (20Q4_21Q3)
Read more:
- Medicare Care Compare: https://www.medicare.gov/care-compare