Nursing Home Important Information |
Overview | Quality | Staffing | Inspections | Characteristics | Five-Star Quality Rating |
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Five-Star Quality RatingThe Five-Star Quality Rating System was created to help consumers, their families, and caregivers compare nursing homes more easily and help identify areas about which you may want to ask questions. This rating system is based on continued efforts as a result of the Omnibus Reconciliation Act of 1987 (OBRA '87), a nursing home reform law, and more recent quality improvement campaigns such as the Advancing Excellence in America’s Nursing Homes, a coalition of consumers, health care providers, and nursing home professionals. Nursing home ratings are taken from the following three sources of data:
We provide a star rating for each of these three sources, in case some areas are more important to you than others. Then, these three ratings are combined to calculate an overall rating. Why is this important?Nursing homes vary in the quality of care and services they provide to their residents. Reviewing health inspection results, staffing data, and quality measure data are three important ways to measure nursing home quality. This information gives you a "snap shot" of the care individual nursing homes give. One of the most important things to do is to visit the nursing homes you are considering. If possible, also contact your Long-Term Care Ombudsman or State Survey Agency before making a decision. Take a copy of the Nursing Home Checklist when you visit a nursing home and talk to the nursing home staff about the information on this website. Strengths and Limitations of the Five-Star RatingsLike any information, the Five-Star rating system has strengths and limits. Here are some things to consider as you compare nursing homes. Health Inspection ResultsStrengths:
Limits:
TIP: The best comparisons are made by looking at nursing homes within the same state. You should be careful if you are trying to compare a nursing home in one state with a nursing home in another state. StaffingStrengths:
Limits:
TIP: Quality is generally better in nursing homes that have more staff who work directly with residents. It is important to ask nursing homes about their staff levels, the qualifications of their staff, and the rate at which staff leave and are replaced. Quality MeasuresStrengths:
Limits:
TIP: Talk to the nursing home staff about these quality measures and ask what else they are doing to improve the care they give their residents. Think about the things that are most important to you and ask about them, especially if there are no quality measures that focus on your main concerns. Use the Five-Star together with other informationThe Five Star Quality Rating System is not a substitute for visiting the nursing home. This system can give you important information, help you compare nursing homes by topics you consider most important, and help you think of questions to ask when you visit the nursing home. Use the Five-Star ratings together with other sources of information. For example, you can use Nursing Home Compare to search and compare nursing homes by city, state, or zip code. Choosing a nursing home that’s near family and friends can be very important to your quality of life in the nursing home. Having family and friends nearby allows for m ore frequent visits and opportunities for outings. Family members and friends can also talk to the nursing home staff about your care needs, preferences, and gaps in care. Therefore, you may wish to start your search by considering how close you want to be to family and friends, and then use the rating system to compare nursing homes in the area you are considering. A technical manual containing additional information can be found on the CMS Website. |
Page Last Updated: December 17, 2008 |