The Nursing Home Five Star Rating: How Does It Compare to Resident and Family Views of Care?

In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented a five-star rating system of nursing homes in the United States. These star ratings have been widely publicized both by CMS and the national and state media. Although the components of the star rating system take into account...

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Bibliographic Details
Published inThe Gerontologist Vol. 56; no. 2; p. 234
Main Authors Williams, Anthony, Straker, Jane K, Applebaum, Robert
Format Journal Article
LanguageEnglish
Published United States 01.04.2016
Subjects
Aged
Consumer Behavior
Humans
Nursing Homes - standards
Physicians - standards
Quality Indicators, Health Care
Retrospective Studies
United States
Nursing homes
CMS data sets (OSCAR
MDS
Long-term care
Quality of care
Quality of life
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Summary:In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented a five-star rating system of nursing homes in the United States. These star ratings have been widely publicized both by CMS and the national and state media. Although the components of the star rating system take into account various dimensions of quality, satisfaction of nursing home residents and their families is not taken into consideration. The current study compares the CMS star rating system to nursing home satisfaction data reported by residents and their families in Ohio. Findings indicate that the star rating system does not adequately reflect consumer satisfaction. We recommend that the star system be refined to include a consumer component.
ISSN:1758-5341
DOI:10.1093/geront/gnu043