![]() ![]() A new assisted living facility is a home, a social community and a place where seniors can get the care and attention they need to live safely and comfortably. ![]() Jason Bloome is founder of Connections – Care Home Referral, an agency that specializes in information and referral to care homes for the elderly.When it comes to choosing a nursing home for yourself or for your loved ones, it is so important to take the time to really research a potential first before seriously considering it. In the three rating subcategories, 47% of SNFs lost one star in Quality Measure, 33% lost one star in Staffing Levels, and 23% lost one star in Health Inspections. As new components that reflect long-stay hospitalization and emergency department transfers have been added, duplicative and less meaningful measures have been removed, and new separate rate categories for short-term and long-term SNF stays are now part of the update.Īccording to the American Health Care Association, a trade group representing nursing homes, the CMS changes have resulted in 37% of SNFs nationwide losing one or more stars, 16% gaining one star, and 47% having no changes in their overall Five-Star Quality Rating System. ![]() Improvements to Nursing Home Compare also include measures that make it easier to identify differences in quality between SNFs, with the hope that increasing the visibility of quality measures will raise the expectation for care and promote continuous quality improvement by SNF operators. As a result of subsequent investigations, CMS lowered the rating of 1,400 SNFs to one star. Staffing levels in particular have been a focus of the federal government’s overhaul of the SNF rating system, spurred in part by a 2018 New York Times investigation that showed-using data analyzed by Kaiser Health News-the systematic overstating of nurse staffing by nursing home operators. (The previous standard was “no registered staff on-site” for seven days each quarter.) In the past, SNFs were able to game the system by self-reporting their staffing levels two weeks prior to inspection, but now CMS uses mandated daily payroll records to more accurately determine staffing levels. CMS now automatically gives a one-star rating to SNFs where data reflect that “no registered staff is on-site” for four days of each quarter. Using staffing levels and quality outcomes, CMS found that more staff correlates with higher-quality care. ![]()
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