CMS Memo on Five Star Quality Rating System

The Centers for Medicare and Medicaid Services (CMS) has distributed a memo to State Survey Agency Directors (S&C: 13-44-N) announcing the Public Release of the Five-Star Quality Rating System Three-Year Report.   The report contains results of an analysis that examined trends in the first three years of the Five-Star Quality Rating System. (2009-2011). According to the analysis, “Since implementation of the Five-Star Quality Rating System, there have been improvements in nursing facility performance in all three domains of quality that the system utilizes: health inspection surveys, quality measures (QMs) and staffing levels.”  Also discussed in the report is the distribution of star ratings in each domain (health inspections, staffing, and quality measures) and in the overall domain of the Five Star Quality Rating System during the first three years (2009 -2011) of the system, overall and stratified by facility characteristics. Variation in ratings across time is additionally reviewed.  

The report is now available under the downloads section of the web page.