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National Rankings for Nursing Homes

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National Rankings for Nursing Homes

We computed nursing home rankings using publicly reported data that appear on the Centers for Medicare & Medicaid Services (CMS) website (www.medicare.gov). On this web-site CMS displays facility-specific, risk adjusted, performance on 19 quality measures for over 15,000 nursing homes nationwide. In these data, CMS suppresses reporting for agencies with small numbers of cases (less than 30). Ten measures that focus on care for long-stay residents were used in the rankings.¹Results on these quality measures were averaged over the last two quarterly updates to the Nursing Home Compare to provide more stable and reliable indicators of facility performance. The most recent update of Nursing Home compare occurred in April, 2008. We ranked all facilities on their average performance for each of the ten measures with reportable scores, with the ranks then standardized to range from 0 to 1 (higher ranks indicating better performance). We computed an average for each facility of these standardized ranks, with all measures weighted equally, as an overall measure of quality performance. For the 13,631 nursing homes with at least 6 measures reported for both quarters we computed national rankings of overall performance. These rankings are presented as percentiles in the results tables.

The data displayed focus on ten long-stay measures related to a resident’s condition and reflect only a portion of the nursing home resident’s care experience. Patient satisfaction measures are not reported. We advise interpreting this information cautiously and supplementing it with information from the ombudsman's office, the State survey agency, or other sources.

Please select your state's initials and how you wish to sort the results from the list and press the Show Results button. You can display the results for every listing type by changing the sorting type and selecting the Show Results button again. Results will be displayed in a new window

These data have limitations that people should be aware of when interpreting the data. For more information click here.

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*Disclaimer: These rankings are based on data from CMS's Nursing Home Compare. HealthInsight used the data to calculate the statistics that are presented here. The analysis, and the display of the resulting rankings, were not paid for by CMS contract funds and do not reflect CMS policy.

Analytic considerations:

Each measure used in the rankings was given the equal weight in the analysis regardless of the eligible number of residents for each nursing home or any assessment of the relative importance of the measure.
While percentile scores, by definition, always range from 0-100, reported performance on a given measure may cluster very tightly.
A single composite performance score or ranking can mask either strong or weak performance in specific measures.

¹This data only reflects quality of care on ten of the 19 quality measures. For information on the full set of quality measures and regulatory compliance, please visit Nursing Home Compare at www.medicare.gov.

These measures are:

Percent of Long-Stay Residents Who Have Moderate to Severe Pain
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
Percent of Long-Stay Residents Who Lose Too Much Weight
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair
Percent of Long-Stay Residents Who Were Physically Restrained
Percent of Long-Stay Residents Who are More Depressed or Anxious
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse
Percent of Long-Stay Residents Whose Need for Help With Daily Activities Has Increased
Percent of Long-Stay Residents With a Urinary Tract Infection
Percent of Long-Stay Residents Who Lose Control of Their Bowels or Bladder


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