Skip navigation links
AHCA/NCAL Gazette
Press Releases
Publications
Social Media
LTC Leader Blog

AHCA Urges Congress To Delay CMS “Five-Star” Rating System   

Collaboration Needed To Ensure Accurate Quality Index
Susan Feeney, 202-898-6333
FOR IMMEDIATE RELEASE
11/21/2008 

Washington, DC – The American Health Care Association (AHCA) recently called on Congressional leaders to urge the Centers for Medicare and Medicaid Services (CMS) to delay the implementation of the Five Star nursing facility rating system, stressing that working together will be necessary to ensure the new quality index accurately represents the high-level care provided in our nation’s nearly 16,000 nursing facilities.

“A quality index based on the broken survey system does not give the public an accurate representation of the care our profession provides every day for millions of frail, elderly and disabled individuals,” state Bruce Yarwood, President & CEO of AHCA. “We, along with many Congressional leaders, want to ensure that the tools and resources measuring care in our nation’s nursing facilities provide accurate and timely information that will benefit the consumer. The dramatic inconsistency of our current survey system prevents it from being an accurate representation of actual care quality.” 

The nation’s largest long term care organization recently sent a letter to key Congressional leaders requesting that they urge CMS to analyze and delay the implementation of the Five Star rating system. The letter states, in part,

“The three primary components -  survey & certification results including complaint surveys, staffing data, and quality measures  - that will be used to rate nursing homes for the Five Star Program are flawed and do not provide useful information to the public. The survey process is broken and does not accurately reflect the care that is provided the residents/patients of nursing homes... self-reported staffing ratios from the Online Survey, Certification and Reporting (OSCAR) data network are known to include questionable data and may be unrepresentative of the entire year… [and] CMS’s measurement of quality relies on measures that do not adequately adjust for patient/resident acuity.”

“We urge our Congressional friends to recognize the need to work together with CMS and other willing partners to influence development of the program to create a system that is fair to facilities and appropriate for consumers,” Yarwood concluded. “The millions of patients and families who rely upon our nation’s nursing facilities every day for the long term care and services they need deserve accurate and useful data, instead of a flawed information that reaches an equally flawed conclusion.”

As the nation’s largest association of long term and post-acute care providers, the American Health Care Association (AHCA) advocates for quality care and services for frail, elderly and disabled Americans. Compassionate and caring employees provide essential care to one million individuals in our 11,000 not-for-profit and proprietary member facilities.

© 2012 American Health Care Association