The Centers for Medicare and Medicaid Services (CMS) on November 20, 2025, shared with LeadingAge its update of Nursing Home Care Compare. The agency’s action follows our November 13, 2025 letter to the agency  requesting consideration of specific priorities following the end of the federal government shutdown.

The Health Inspection domain and rating had been frozen since August and was scheduled to update on October 29, along with the Staffing and Quality Measures domains and the overall Five Star rating as part of the quarterly refresh; however, the quarterly refresh could not take place during the shutdown.

LeadingAge requested CMS to consider an off-cycle refresh rather than wait for the next quarterly refresh in January 2026.

We are pleased with this update that includes updates to all three domains and the overall Five Star rating.

The next quarterly refresh is scheduled for January and will include a revised long-stay antipsychotics measure that incorporates claims data in the measure calculations. Read more on that change here.

Providers that note any errors in their Five Star Rating or domain ratings should reach out to CMS using the Care Compare HelpDesk email bettercare@cms.hhs.gov.