![]() However, within months of the system's launch, members of a Medicare advisory board warned federal officials that-in an industry with razor-thin margins-the system incentivized nursing homes to misreport their metrics.Īs a precaution, board members and former regulators called for more auditing of self-reported data-but audits remained rare, according to the Times.įor its part, CMS in a statement said that the star-rating system is "intended to serve as one tool" for people to select nursing homes, and that "verall scores should be considered in light of a potential resident's unique care needs." An agency spokesperson added that HHS "takes reports of fraud seriously," and that "CMS deploys enforcement and accountability measures swiftly if fraud is detected." About the NYT investigation The long-term care leader’s guide to the Covid-19 vaccineĪccording to the Times, the system when rolled out drew praise from senior-care groups, who said it provided an easily comprehensible snapshot of nursing homes. In an industry with thin profit margins, critics warn nursing homes could misreport metrics Once calculated, the overall star rating-as well the individual scores for in-person inspections, staffing, and care quality-are posted to CMS' Care Compare website. The staffing score is based on how many hours staff spend with residents, while the care quality score is based on 15 care-based metrics, such as residents' medications and wounds. The overall star rating for each nursing home is based on three components: a grade from in-person inspections, which accounts for the majority of the ranking, plus two other ratings-staffing and care quality-that are determined largely by self-reported data. ![]() In 2008, lawmakers created a new nursing home rating system that aimed to streamline information about resident safety, staffing, and "dozens of other metrics" into a star rating system with a high score of five stars and a low score of one star. Hospital scorecards for post-acute providers About the CMS star rating system for nursing homes CMS' ubiquitous star rating system for nursing homes-which originally aimed to simplify "reams of information" about nursing homes' quality and safety into "objective, government-blessed metrics"-provides "a badly distorted picture of the quality of care at the nation's nursing homes," according to a New York Times investigation. ![]()
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