The Centers for Medicare & Medicaid Services (CMS) performs a range of quality measures on nursing home. The quality of the nursing home is graded on a 5-tiered scale based on a nursing home's performance on these measures.
Star Rating
Quality Level
5 stars
highest
4 stars
above average
3 stars
average
2 stars
below average
1 stars
lowest
Separate star ratings may be given for:
(1) short-term stays
(2) long-term stays
(3) overall performance
Quality measures include:
(1) staffing levels
(2) turnover in staff and management
(3) claim-based quality measures (QMs)
(4) state health inspections
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