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​​Changes to Five-Star

On February 12, CMS announced changes to the Five-Star Quality Rating System that will impact how CMS assigns stars for both the Staffing and Quality Measure components, which may impact a skilled nursing center's Overall rating. CMS also will add two new measures to the Quality Measure component: the short-stay antipsychotic measure and the long-stay antipsychotic measure that CMS has been using on Nursing Home Compare for the past several years.

Following is a summary of the changes to the Five-Star components:

Overall Five-Star rating
 - No changes to methodology but changes to Staffing and Quality Measure (QM) components will impact your overall rating

Survey component
 - No changes

Staffing component
 - Changed how 3- and 4-Star ratings are determined on Staffing component.

Quality Measure component
Added two new Quality Measures to the current nine QMs

 - Short-Stay use of antipsychoticsShort-Stay use of antipsychotics
 - Long-Stay use of antipsychotics

Rescaled the cut points for each star level on the Quality Measure component. CMS did not provide the new cut points on the call but will release this information shortly in the new technical user's manual.
 - This will result in many members losing one or two stars on the Quality Measure component. Since the QM component contributes to the Overall rating, a sizable number of centers may also lose a star on their Overall rating.

The Five-Star Quality Rating System is a tool to help consumers select and compare skilled nursing care centers.  Created by the Centers for Medicare & Medicaid Services (CMS) in 2008, the rating system uses information from Health Care Surveys (both standard and complaint), Quality Measures, and Staffing. The Nursing Home Compare website features the rating system.  For additional information, visit the CMS website.