![]() The Downloads section below contains the Five-Star Quality Rating System Technical Users' Guide that provides in-depth descriptions of the ratings and the methods used to calculate them. Consumers should therefore use the Web site together with other sources of information for the nursing homes (including a visit to the nursing home) and State or local organizations (such as local advocacy groups and the State Ombudsman program). Visits can improve both the residents' quality of life and quality of care, it may be better to select a nursing home that is very close over one that may be, rated higher but far away. Examples include the extent to which specialty care is provided (such as specialized rehabilitation or dementia care) or how easy it will be for family members to visit. There is one Overall 5-star rating for each nursing home, and separate ratings for health inspections, staffing and quality measures.Ĭaution : No rating system can address all of the important considerations that go into a decision about which nursing home may be best for a particular person. Nursing homes with 5 stars are considered to have much above average quality and nursing homes with 1 star are considered to have quality much below average. The Nursing Home Care Compare web site features a quality rating system that gives each nursing home a rating of between 1 and 5 stars. It also noted that it’s already begun working on corrective steps with a limited number of providers with repeat serious deficiencies.CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily and to help identify areas about which you may want to ask questions. The agency, however, did not agree with a fourth recommendation: that CMS develop a plan in conjunction with state survey agencies to address issues preventing more frequent surveys at facilities with a history of high-risk deficiencies.ĬMS said it will consider the suggestions when proposing new regulations. ![]() It specifically recommended CMS propose regulations requiring nursing homes and inspection contractors to notify state survey agencies when fire alarm and sprinkler systems aren’t working or at risk of not working, and carbon monoxide detectors to be installed for all nursing homes that use fuel-burning appliances or have an attached garage.ĬMS agreed with those two recommendations, as well as the suggestion that CMS work with state survey agencies to require mandatory participation in standardized life safety training for nursing home staff. The federal watchdog said it also identified several opportunities for CMS to expand on its life safety requirements for nursing homes. “As a result, residents, visitors, and staff at the nursing homes were at increased risk of injury or death during a fire or other emergency.” “These deficiencies occurred because of several factors, including inadequate oversight by management, staff turnover, inadequate oversight by State survey agencies, and a lack of any requirement for mandatory participation in standardized life safety training programs,” the OIG report said. ![]() The watchdog also found 1,139 areas of noncompliance with emergency preparedness requirements, which ranged from issues with emergency plans, emergency supplies and power and emergency plan training and testing. They included problems with building exits, fire barriers, carbon monoxide detectors, smoking policies and fire drills. The OIG specifically found 1,094 areas of noncompliance with life safety requirements.
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