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Help Guide for Nursing Home Ratings – Three Steps to Begin (READ ME)

1. Check the federal government’s Nursing Home Compare site, and compare the star ratings (and details) for the nursing homes you’re interested in. 2. Visit your state’s web site to see inspection reports and complaints on nursing homes in your county and county-wide averages. 3. Go to HealthInsight for national rankings of nursing homes. Do the reports consistently suggest this is a nursing home to use, or to avoid? See what options you have and plan to visit the facilities you’re interested in, before you decide

Nursing Home Compare (all states) www.medicare.gov 2019 Editor's Pick

Free 5-star ratings from Nursing Home Compare for nursing homes that are Medicare or Medicaid certified and provide skilled nursing care. Quality ratings, nursing staffing and CNA hours per resident day, and results from survey inspection reports are updated with 2019 data. If you cannot find the nursing home you’re interested in, the facility might not accept Medicare and Medicaid patients. New feature (red “hand” icon) shows if the nursing home was cited for abuse. Federal fines are listed, but no details available. Check your state reports for additional information. Consumers can also ask the nursing facility to share their reports on resident and family satisfaction. Good nursing homes welcome your inquiry

HealthInsight: National Rankings for Nursing Homes (all states)

Overall composite nursing home quality ratings based on a summary of 15 quality measures on over 15,000 nursing homes in 2018. Health Insight, developed by Utah, Nevada, and New Mexico, used the national CMS measures and data to develop a composite ranking. Easier to use than the federal CMS website, but less detail.

CMS Public List of Nursing Homes with Serious Quality Problems – SFF (2019) Editor's Pick

CMS lists nursing homes in any state and District of Columbia that have a history of serious quality problems. These Special Focus Facilities (SFF) have been officially entered into the federal government’s SFF program to monitor care. Homes on the list may have a history of “yo-yo” compliance, with a good survey followed by substandard quality on the next, thus unable to sustain good care. Some nursing homes are listed as Showing Improvement or having graduated out of the program. In addition, CMS has now added hundreds of nursing homes that are candidates for the SFF program, based on quality issues over the prior 3 years. Up to 30 nursing homes per state are on the Special Focus Facility Candidate list. Updated June 26, 2019

Long Term Care Hospitals – Compare Quality Editor's Pick

Compare quality at long-term care hospitals for inpatient rehab in the US. Site is called Long Term Care Hospital (LTCH) Compare. These hospitals may also be referred to as long term acute care (LTAC) facilities. Compare 3 hospitals at one time on quality measures for each hospital. Graph view will show the actual performance results. Most data are from 2017 or 2018. Provided by Medicare.gov.

Other Helpful Listings

Accredited Healthcare Facilities – Joint Commission Accreditation (all states) Editor's Pick

The Joint Commission (formerly JCAHO – Joint Commission on Accreditation of Healthcare Organizations) accredits hospitals and other healthcare organizations. Quality Check provides accreditation and comparison information for hospitals, behavioral health care, home health/hospice, laboratories, some nursing homes (called nursing care centers) & assisted living centers, and other health care services. A few actual scores for acute care hospitals  and behavioral health (mental health) programs may be available for 2018.  For nursing homes, consumers are advised also to check state inspection reports . We recently discovered a 1-star Florida nursing home (the lowest possible rating in the state) had been accredited by the Joint Commission. Consumers are always advised to check multiple sources and ratings when researching quality of care. Conflicts in scores may suggest quality is not consistent.

Eldercare Locator – Search services for independent living Editor's Pick

US Department of Health and Human Services provides a free public service through the US Administration on Aging, to help seniors and caregivers find resources anywhere in the country. In addition to the website, you may call 1-800-677-1116 on weekdays to speak with someone who can help (English or Spanish). Very easy to use, by putting in your zip code.

List of Excluded Individuals/Entities (LEIE) – See Who is Excluded from Medicare Editor's Pick

The List of Excluded Individuals and Entities (LEIE) is a Medicare fraud prevention site by the HHS Office of Inspector General. It allows consumer to search for a specific name of a person or business to see if they have been excluded from receiving payment from Medicare and Medicaid, due to license revocation, suspension or surrender; program-related fraud; patient abuse or neglect, and other reasons such as default on Health Education Assistance Loans. Exclusions Database contains physicians, nurses, nurses’ aides, hospital employees, pharmacists, nursing home operators and more. More than 72,000 names on the list as of October 2019.

Long-Term Care Insurance Premiums, AHIP (pdf)

Guide book by America’s Health Insurance Plans provides a ball-park idea of what long term care insurance cost in 2010. Back then, a 65-year old could purchase long term care insurance for under $3000 per year. Consumers should check current prices with their insurance broker, as prices may have increased substantially. Published Feb. 2014

Resources for Caregivers of Seniors

Aging Life Care Association (formerly the National Association of Professional Geriatric Care Managers) has compiled an extensive list of resources for seniors and their caregivers. Categories include associations, community/social services, government and care management. Consumers can also search for an Aging Life Care Expert

See Also: More Senior Resources at Consumer Health Ratings
Skilled Nursing Facility Characteristics – AHCA, 2015 (pdf)

Fast Facts by American Health Care Association (AHCA) shows a few characteristics in aggregate on 15,655 skilled nursing homes US (June 2015). Brief sketch only.

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