Two weeks ago, in part 1 of the three-part exposé “Medicare Nursing Home Compare Five-Star Rating System: A Fraud on the Public?,” Elder Abuse revealed four of 16 secrets that the Centers for Medicare and Medicaid Services (CMS) and “five-star” nursing homes, especially in California, will not tell you about Medicare’s nationally promoted, frequently visited Nursing Home Compare website:
(Photo credit: Harris & Ewing Collection at the Library of Congress, Prints & Photographs Division, circa 1916) Blowing the lid off 12 more troubling secrets about the Medicare Nursing Home Compare five-star rating system Consequently, the quality measure star rating will not be held constant.Updated, October 21, 2013, 11:00 p.m. 31, 2019 for the April 2020 quarterly refresh will be updated.
Measures whose data collection period ended prior to Dec. Measures whose data collection period included quarter 4 (October to December) 2019 for the April 2020 quarterly refresh will remain constant. Some measures will stay the same, and some will be updated based on the data collection periods for each quality measure. Calculation of the quality measures will be based on data ending Dec. 1, 2020 and therefore affecting the calculation of some quality measures for the July 2020 quarterly refresh. That data will be used to calculate the staffing domain for the October 2020 quarterly refresh.ĭuring the PHE, CMS also issued waivers related to the completion and submission of Minimum Data Set (MDS) information impacting assessments after Jan. The blanket waiver for PBJ submission has been lifted, and facilities must resume their PBJ submissions beginning with the April to June 2020 quarterly data, with a submission deadline of Aug. Because these facilities do not have the opportunity to correct or improve their star rating, CMS is removing the rating downgrade for these facilities and temporarily suppressing their staffing measures and star rating. This could negatively impact nursing homes assigned the one-star penalty from the April 2020 quarterly refresh. Therefore, the staffing measures and star rating will not be updated and will be held constant based on data from quarter 4 (October to December) 2019. Because of the waiver, staffing data that would have been used to calculate the staffing domain for the July 2020 quarterly refresh has been affected. During the Public Health Emergency (PHE), CMS waived the requirement for nursing homes to submit staffing data through the Payroll-Based Journal (PBJ) system. The freeze has been expanded to include the staffing measures and star rating. Currently, there is no plan to lift the health inspection freeze. This freeze has been extended for the July 2020 quarterly refresh. As of the April 2020 quarterly refresh, the health inspection domain star rating was held constant and based on inspections prior to March 4, 2020. In a memo released on June 25 th, the Centers for Medicare and Medicaid Services (CMS) announced changes to the Five-Star Quality Rating System calculation methodology for the staffing and quality measure domains.ĬMS suspended standard inspections to focus on preventing the spread of COVID-19. CMS Extends and Expands Nursing Home Compare Freeze
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