Centers for Medicare and Medicaid Services has recently created the Five-Star Quality Rating System to assess the level of care given at nursing home facilities, allowing consumers, caregivers, and their families to quickly compare options and choose the right home for their loved ones. Each nursing home is given a quality rating between 1 and 5 stars. Nursing homes who receive 5 stars are considered to have much above average quality of care and those with 1 star are considered to have quality much below average.
The Nursing Home Compare Web site features one overall 5-star rating for each nursing home, and a separate rating for health inspections, staffing, and quality measures. The health inspection rating considers information collected from on-site surveys at each location in the last three years. These Life Safety Code (LSC) surveys and Standard surveys are not announced to the facilities and can occur on any day of the week and at any time in a 24 hour period. The CMS regional office determines a facility’s eligibility to participate in the Medicare or Medicaid program and receive payment based on these on-site survey results and their compliance with the requirements in 42 CFR Part 483, Subpart B.
The staffing rating reflects the number of hours of care provided on average to each resident each day by the nursing staff, taking into consideration the differences in the levels of residents’ care need in each nursing home. Nursing homes with residents who have more severe needs would be expected to have more nursing staff than a nursing home where the resident needs were not as high.
The quality measure rating contains eleven different physical and clinical measures for nursing home residents to assess how well nursing homes are caring for their residents’ physical and clinical needs. More than twelve million assessments of the conditions of nursing home residents are used in the Five-Star rating system, allowing the system to be a thorough evaluation and reliable resource for consumers and caregivers.
Every nursing home facility resident has the right to receive proper care. If you feel that your loved one is a resident in a nursing home facility that has not been properly evaluated by CMS and the Five-Star Quality Rating System, contact Thomas Law Offices for more information.
Interested in more information on keeping your family safe? Subscribe to our newsletters here.