Nursing Homes Rated

CMS released quality ratings for all of the country’s almost 16,000 nursing homes that participate in the Medicare or Medicaid programs. Facilities are assigned star ratings from a low of one star to a high of five stars based on health inspection surveys, staffing information and quality of care measures. CMS developed the rating system based on each nursing home’s performance in three critical areas:

  • Health inspection surveys. These surveys are designed to help protect the health and safety of residents, including a resident’s rights and general quality of life. Surveyors also conduct about 50,000 complaint investigations each year. The most recent three years of survey findings were used to develop the ratings.
  • Quality measures. The quality rating system uses 10 key quality measures. Areas analyzed include the percentage of at-risk residents who have pressure ulcers (bedsores) after their first 90 days in the nursing home, the number of residents whose mobility worsened after admission and whether residents received the proper medical care.
  • Staffing information. This measure reports the number of hours of nursing and other staff care per patient per day. This measure is adjusted to account for the level of illness and services required by each facility’s residents.

In this first round of quality ratings, approximately 12 percent of the nation’s nursing homes received a full five star rating, while 22 percent scored at the low end with one star. The remaining 66 percent of facilities were distributed fairly evenly among the two, three and four star rankings. You can find more information here.