5-Star Nursing Home Quality Rating System Revisions Announced by CMS

Members | February 19, 2015

On February 12, 2015 The Centers for Medicare and Medicaid Services (CMS) announced revisions and expansion of the CMS Nursing Home 5-Star Quality Rating System.

On Feb. 12, the Centers for Medicare and Medicaid Services (CMS) announced revisions and expansion of the CMS Nursing Home 5-Star Quality Rating System.

In its memo, CMS reviews the rating system domains and basic scoring methodology, and details the revisions and expansion, which include:  

  • Addition of 2 antipsychotic measures. 
  • Revisions to the Quality Measure (QM) standards/cut point.
  • Adjustment of the staffing algorithm to include that nursing homes must have 4 stars in either or both of the RN and Total Staffing categories for an overall 4-star rating in the staffing domain.

CMS reiterates the expectation that these changes may result in rating declines of 1 or more stars in the QM and Overall Rating domains, but that these declines “do not necessarily represent a sudden decline in quality.”