Five Star Report

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 Earlier this month, the Kaiser Foundation released a new report "Reading the Stars: Nursing Home Quality Star Ratings Nationally, and by State." The report draws attention to the five-star rating system and makes some findings on a national and state-by-state basis.

Among, the findings, nationally 42 percent of nursing homes have an overall rating of 4 or 5 stars as compared to 36 percent with 1 or 2 stars. In Indiana, the percentages are better than the national average, with 46 percent of nursing homes rated with an overall 4 or 5 stars and 33 percent with an overall 1 or 2 star rating.

The report also finds that not-for-profit nursing homes had higher ratings than for-profits, with 33% of non-profits receiving a 5 star rating, and 18% of for-profits receiving such a rating.  On the other end of the scale, 8 percent of non-profits received 1 star compared to 20% of for-profit homes.  The report does not speak to the validity or reliability of the 5-Star System, but does show how the ratings vary nationally, by state, and by nursing home characteristics and raises some discussion questions about the oversight role for CMS related to quality in the future.   


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