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National Report: Satisfaction Surges Among Skilled Nursing’s Fastest Growing Class of Patients  
National Report: Satisfaction Surges Among Skilled Nursing’s Fastest Growing Class of Patients
Nearly 90 percent of short-stay patients recommend their skilled nursing center
Michael Cowden (202) 898-3165


Washington, DC –  Approval rankings for skilled nursing centers jumped nine percentage points in three years for those receiving care for 30 days or less, according to a new national quality report released today.  The satisfaction data, collected from more than 96,000 short-stay patients and analyzed by My InnerView, revealed that 87 percent of those respondents would recommend their facility – up from 78 percent in 2008. 

“What we’ve seen in recent years with the patient mix are skilled nursing centers treating more patients in need of rehabilitation or to complete their course of care following an acute illness, rather than long term stays,” said AHCA Senior Vice President of Quality & Regulatory Services Dr. David Gifford, MD, MPH.  “To continue to call them ‘nursing homes’ misses this important function and can sometimes be, frankly, misleading. What’s encouraging is that, as these centers evolve to meet new patient demands, more individuals are happy with the care they received.”

The 2012 AHCA Quality Report is the most comprehensive collection of data available on the standard of care in America’s skilled nursing and rehabilitation centers. In addition to customer satisfaction, the annual report found that these centers have improved in a variety of other quality indicators while also preparing for changing payment models based on quality outcomes.

“The Quality Report puts concrete data behind what we’ve been seeing in centers around the country,” said AHCA Chair Neil Pruitt, Jr. “Accountability and metrics matter in this profession.  And we’re going to keep pushing forward by reaching our goals established in the AHCA Quality Initiative and in monitoring the development of value-based purchasing arrangements.”

The 2012 Quality Report found that skilled nursing centers are improving standards of care in a range of areas:

  • Over the last five years, skilled nursing centers have improved in 12 out of the 15 total Quality Measures as computed by CMS.
  • The number of facilities receiving a rating of four or five stars through CMS’ Five-Star Rating System has steadily increased to a combined 43 percent.  The number of facilities receiving a one or two star rating has correspondingly decreased.
  • On average, the amount of direct care nursing time per resident day has shown a steady increase for all levels of nursing staff. From 2009 to 2010, turnover decreased for all nursing staff by 5 percentage points.
  • Also, customer satisfaction remains high among long-stay residents at 89 percent as well as among families at 87 percent.

To read the full report and download the one-page highlights, please visit


The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) represent more than 13,000 non-profit and proprietary skilled nursing centers, assisted living communities, sub-acute centers and homes for individuals with intellectual and developmental disabilities. By delivering solutions for quality care, AHCA/NCAL aims to improve the lives of the millions of frail, elderly and individuals with disabilities who receive long term or post-acute care in our member facilities each day. For more information, please visit or