Measuring the quality of a nursing home is not always clear-cut. More that 1.5 million people live in 15,000 nursing homes throughout the country. Each facility is inspected annually and must meet federal standards in order to participate in Medicaid and Medicare. The Centers for Medicare & Medicaid Services has established the site to give the public a better understanding of how nursing homes compare to others.

The site rates three criteria – health inspection, nursing home staff and quality measures. Those three criteria make up the nursing home’s overall rating. The “health inspection” criteria is the data from the last three standard health inspections and all complaint inspections that have been conducted in the last three years. “Nursing home staffing” criteria is gathered from the most recent health inspection and ranks homes based on overall staffing hours and the type of staff employed. “Quality measures” criteria is reported by each nursing home and is based on 19 quality measures collected from residents.

Five stars indicate a nursing home that is “much above average,” and one star indicates a nursing home is “much below average.” An orange icon indicates homes that are considered Special Focus Facilities (SFF), or homes that have a history of persistent poor quality of care.

Those who visit the site can look up nursing home by name, zip code, state or county. Those listings can be further refined into subsets such as “nursing homes within a continuing care retirement community,” “nursing homes within a hospital,” and “nursing homes with resident and family councils.”

While the Nursing Home Compare site offers valuable information, the Centers for Medicare & Medicaid Services recommends that family members visit nursing homes they are considering; talk with doctors or other healthcare practitioners, family and friends about their choices; and contact the long-term care ombudsman or State Survey Agency before making a decision.

SOURCE: Nursing Home Abuse › Web site lists ratings of all nursing homes in country

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However, of the 37,150 complaints inspectors received in 2007 about the condition of nursing homes, only 39 percent were substantiated and about 20 percent of those verified complaints involved patient neglect.

Measuring the quality of a nursing home is not always clear-cut. More that 1.5 million people live in 15,000 nursing homes throughout the country. Each facility is inspected annually and must meet federal standards in order to participate in Medicaid and Medicare. Unfortunately, while the standards are the same from state to state, deficiency rates vary.

“Inspectors are subjective and inconsistent. They interpret federal standards in different ways,” the Times quotes Bruce A. Yarwood, president of trade group American Health Care Association. Thus, some states show much higher percentages of deficient nursing homes than others, in what may not necessarily indicate a vast difference in quality of service.

In December, the Bush administration will institute a five-star system to rate overall quality of care in nursing facilities. The rankings will be published on a federal Web site, according to the New York Times report.

SOURCE: Nursing Home Abuse › Gauging nursing home care quality can be tricky

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CMS is the federal agency that manages Medicare, the health insurance program for the elderly and disabled, and Medicaid, the health program for the poor.

On its web site, CMS says the new system is being designed as an easy way for the public to understand their assessment of nursing home quality, and will provide the public with a way to make meaningful distinctions between high-performing and low-performing homes. The rankings will be posted on the agency’s Nursing Home Compare Web Site, with plans to launch the program in December.

In June and July, the CMS is asking the public to visit its site and provide feedback about the new star rating system. A sample screen shot of the proposed star ratings also is available.

A press release on the agency web site quotes Kerry Weems, CMS acting administrator, as saying, “More than three million Americans rely on services provided by a nursing home at some point during the year. The new ‘five star’ rating system will provide a composite view of the quality and safety information currently on Nursing Home Compare to help beneficiaries, their families, and caregivers compare nursing homes more easily.”

According to CMS, this will be the first time the agency has offered a rating system for the fee-for-service, or traditional Medicare progra. Currently, the Compare web site assists beneficiaries and their families in making nursing home choices by providing information on individual measure of quality of care, staffing, and survey inspection information.

Medicare already lists troubled nursing homes in its online database, but that system can be hard for the general public to understand or to navigate. It is hoped that the new system will be easier to use, and therefore more effective for decision making.

Another hope is that by being listed as low performers with the easily identifiable star system, nursing homes that are below par will be motivated to improve, CMS officials say.

Descriptive information about the quality rating system and its progress may be obtained after June 22 on the CMS Hot Topics web page.

Comments and suggestions about the new nursing home rating system should be sent to BetterCare@cms.hhs.gov.

SOURCE: Nursing Home Abuse › Five-star care

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