Comparative Reports on Nursing Homes
The following reports are examples of comparative information on the quality of care provided by nursing homes.
Report Title: Nursing Home Compare
Web Site: https://www.medicare.gov/nursinghomecompare/search.html. Accessed June 15, 2016.
Developer: Centers for Medicare & Medicaid Services (CMS)
Developer type: Federal government
Synopsis: Nursing Home Compare presents information on the quality of care provided by more than 15, 000 Medicare and Medicaid-participating nursing homes. Information presented on the Web site includes five-star quality ratings of overall and individual performance on health inspections, quality measures, and hours of care provided. Users can also find detailed information on health and fire-safety inspections; staffing information on the number of registered nurses, licensed practical or vocational nurses, physical therapists and nursing assistants in each nursing home; and a set of nursing home quality measures, such as the percent of residents with pressure sores and the percent with urinary incontinence. The Web site also has information on any penalties against the nursing home. Performance scores are displayed using star ratings, with five stars for the best performance and one star for the worst performance. Scores are also available in percent form, and are displayed in tables and graphs.
Report Title: Minnesota Nursing Home Report Card
Web Site: http://nhreportcard.dhs.mn.gov/. Accessed December 16, 2015.
Developer: Minnesota Department of Health (MDH) and the Minnesota Department of Human Services (DHS)
Developer type: State agencies
Synopsis: The Minnesota Nursing Home Report Card provides information on the performance of nursing homes that participate in the Medical Assistance Program in Minnesota. Nursing homes are assigned scores on the following quality measures: resident satisfaction and quality of life, clinical quality, hours of direct care, staff retention, use of temporary nursing staff, proportion of beds in single bedrooms, and state inspection results. The Minnesota Nursing Home Report Card also uses star ratings to summarize the performance of nursing homes on the seven quality measures, with one star as the lowest score and five stars as the highest. More detailed information is available for the exact scores that underlie the star ratings, as well as tables showing results for quality of life and clinical quality indicators. Performance information can be printed or downloaded in Excel.
Report Title: Nursing Home Summary Report
Web Site: http://www.health.ri.gov/nursinghomes/about/quality/. Accessed June 15, 2016.
Developer: State of Rhode Island Department of Health
Developer type: State agency
Location: Rhode Island
Synopsis: The Nursing Home Summary Report contains information about the quality of care provided by nursing homes in Rhode Island, including information on resident satisfaction, family satisfaction and care outcomes. The report summarizes information from the Rhode Island Department of Health and Medicare. The measures that are reported include facility measures, such as number of beds and skilled beds, secure dementia unit, and Medicare and Medicaid certifications; and quality measures, such as staffing, health inspections, resident and family satisfaction, and health care workers who received influenza vaccination. Performance on quality measures is scored using a five-star rating, with one star for much below average performance and five stars for much above average performance. The report is available online in PDF form.
Report Title: Maryland Health Care Quality Reports
Web Site: https://www.marylandqmdc.org/MarylandHospitalCompare/index.html#/nursing-homes/location. Accessed June 15, 2016.
Developer: Maryland Health Care Commission
Developer type: State agency
Synopsis: The Maryland Health Care Quality Reports include a searchable report on the performance of nursing homes in the state, with information on quality, health and safety, and staffing. The information in this report is obtained from yearly health and safety inspections done by the state, as well as monthly information submitted by nursing homes to the federal government. Nursing home performance is rated using a five-star rating system, with one star for much below average performance and five stars for much above average performance. Each rating in the report is shown as a simple image along with words explaining the star rating. The words indicate how a particular nursing home compares to the average rating of the other facilities in the area.
Report Title: CalQualityCare.org
Web Site: http://www.calqualitycare.org/. Accessed June 16, 2016.
Developer: California HealthCare Foundation
Developer Type: Foundation
Synopsis: The CalQualityCare.org Web site provides ratings of the quality of California nursing homes. The information provided on the Web site includes staffing, quality of facility, quality of care, and costs and finances. The staff performance measures are registered nurse staffing levels, total nursing hours, and nursing staff turnover rates. The quality of a nursing home’s performance is based on federal deficiencies, state citations, and complaints and incident reports. A nursing home’s quality of care rating is based on measures that indicate how well the nursing home cares for residents’ needs. Performance scores are reported on the Web site using word icons, with each facility’s performance compared to the state average. The Web site has tips and checklists on how to choose a health care provider, questions to ask, how to pay for care, and what to do if something goes wrong. It also offers comparative information on home health agencies, medical groups, hospitals, assisted living, hospice services, services for people with developmentally disabilities, and adult day care.
Report Title: Care Pathways
Web Site: http://www.carepathways.com/NHx1.cfm. Accessed June 15, 2016.
Developer type: Small business
Synopsis: Care Pathways has developed a tool called Nursing Home Inspector that reports on the performance of every Medicare/Medicaid certified nursing home in the United States. Information reported on nursing homes includes number of beds, type of ownership, inspection definciency details, staffing details such as average hours worked per day per residents for RNs, LPNs, LVNs and CNAs, and quality measures for residents, including percent of residents with pressure sores, behavioral symptoms, and physical restraints. The Web site uses star ratings to summarize the overall performance of nursing homes, with one star as the lowest score and five stars as the highest. Users can see a facility’s performance as compared to county and state averages. The performance of nursing homes is displayed on the Web site using numeric data, bar graphs, and symbols.