![]() ![]() When we’re looking at the place they will spend their last years of life, the most important factor isn’t whether or not they will be in a nursing home with high staffing or a nursing home with few regulatory deficiencies, but rather, the question is, will they be in a nursing home that makes the people who live there, as well as their families, happy? The nursing home compare “5-star Rating” system does not measure this. But we also know they are getting older and will continue to decline. Of course we want our loved ones safe and healthy, that’s a given. Aren’t you looking for a place that will provide the best possible quality of life for your loved one? A 2014 study, published in the Journal of the American Medical Directors, reported that quality of life elements of nursing home living, such as privacy, autonomy, and relationships with support workers, was not associated with the CMS star rating of a facility. What’s missing is the measure of quality of life for residents in the nursing home – this is what creates happy residents and families. This solution does not fix a broken rating system that is based on information from biased providers and regulators and not from the consumers they serve. In addition, there are already complex but easy to use tools available to providers to calculate their 5-star rating based on certain changes in staffing patterns. However, this part and the quality measures will ultimately still remain self-reported and highly complex. This will make the rating system slightly less vulnerable to manipulation by providers. Mandatory payroll data submission will become the new standard for all nursing homes beginning summer of 2016. The major concerns being that 1) much of the data is self-reported by the nursing homes and can be manipulated by savvy companies and administrators and 2) that the measures that go into the rating are highly complex in how they are calculated and not accurately comparable between facilities – overall giving an inaccurate/misleading picture of the quality of the nursing home.Ī controversial New York Times article from 2014 did lead to limited changes in the rating system to make it more difficult to manipulate self-reported data from one part of the 3 part rating – the staffing measure, which was discussed in length in the article. NursingHomeCompare has received recent negative publicity and academic scrutiny about the quality of their rating system in measuring nursing home quality accurately. The Controversial History of NursingHomeCompare Isn’t this what we get from other popular sites that provide “5-star Ratings”? Such as Yelp, AngiesList, Amazon, TripAdvisor, and every major website out there that sells or advertises just about anything? It has become the modern standard for consumers to read online reviews of the product you’re considering buying. There is no measure in Medicare’s “5-star Rating” system that directly incorporates resident or family satisfaction with the nursing home. There is one major, and arguably more important than all three parts of the rating system combined, missing piece from this “go-to” resource – customer satisfaction. ![]() If it requires this much explanation, is it really a good rating system for consumers? What’s Missing from Medicare’s Rating? #CMS NURSING HOME COMPARE FIVE STAR RATINGS OF NURSING HOMES FULL#This is despite Medicare’s attempts at providing explanatory links to each of the 3 sub-sections of the rating and a full website with multiple subpages explaining each aspect of the rating system. Both sides – nursing home administration and consumers alike – struggle to understand what these highly complicated ratings really mean. ![]() Medicare’s rating system for nursing homes has been controversial since its launch in 2008 to industry leaders, nursing home administrators and marketing staff, and of course, to nursing home consumers. A Complicated and Hard to Interpret Rating System This website was billed as the “go-to” resource for many American families looking for a nursing home for a loved one. The rating system was launched officially in 2008. Medicare intends for this website to be a comprehensive resource for families and elders who are searching for a nursing home. Many of you have likely visited the other major rating system available for nursing home options –. NursingHomeCompare – Reasons You Shouldn’t Use Medicare’s ‘5-Star Rating’ System ![]()
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