National Nursing Home Rankings
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The nursing home rankings are computed using publicly reported data downloaded from the Centers for Medicare & Medicaid Services (CMS) website (last accessed 5/15/2018). On this web-site CMS displays facility-specific, risk adjusted, performance on 21 quality measures for over 15,000 nursing homes nationwide. In these data, CMS suppresses reporting for agencies with small numbers of cases (less than 30). Fifteen measures that focus on care for long-stay residents were used in the rankings.1
The charts on the ranking pages have been updated
Please review the image below to find out more about the features and functionality of the rankings charts.
Results for these quality measures are averaged over the four quarters, representing the time period 1/1/2017 – 12/31/2017). We ranked all facilities on their average performance for each of the 15 measures with reportable scores, with the ranks then standardized to range from 0 to 1 (higher ranks indicating better performance). We computed an average for each facility of these standardized ranks, with all measures weighted equally, as an overall measure of quality performance. For the 15,088 nursing homes with at least six measures reported we computed national rankings of overall performance. These rankings are presented as percentiles in the results tables.
The data displayed focuses on 15 long-stay measures related to a resident's condition and reflect only a portion of the nursing home resident's care experience. Patient satisfaction measures are not reported. We advise interpreting this information cautiously and supplementing it with information from the ombudsman's office, the state survey agency, and other sources.
1This data only reflects quality of care on 15 of the 21 quality measures. For information on the full set of quality measures and regulatory compliance, please visit Nursing Home Compare at www.medicare.gov.
These measures are:
- Percent of long-stay residents with pressure ulcers
- Percent of long-stay residents who lose control of their bowels or bladder
- Percent of long-stay residents who were assessed and given, appropriately, the pneumococcal vaccine
- Percent of long-stay residents given, appropriately, the seasonal influenza vaccine
- Percent of long-stay residents experiencing one or more falls with major injury
- Percent of long-stay residents who have depressive symptoms
- Percent of long-stay residents who have/had a catheter inserted and left in their bladder
- Percent of long-stay residents who lose too much weight
- Percent of long-stay residents who received an antipsychotic medication
- Percent of long-stay residents who self-report moderate to severe pain
- Percent of long-stay residents who were physically restrained
- Percent of long-stay residents whose need for help with daily activities has increased
- Percent of long-stay residents with a urinary tract infection
- Percent of long-stay residents whose ability to move independently worsened
- Percent of long-stay residents who received an antianxiety or hypnotic medication
These rankings are based on data from CMS's Nursing Home Compare. HealthInsight used the data to calculate the statistics that are presented here. The analysis, and the display of the resulting rankings, was not paid for by CMS contract funds and do not reflect CMS policy.