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Health & Fit FAQ: How We Rate Nursing Homes

09:40  27 october  2020
09:40  27 october  2020 Source:   usnews.com

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This FAQ explains how nursing homes were evaluated and responds to questions that nursing home patients, residents and families The U . S . News Best Nursing Homes assigns each eligible nursing home an Overall rating from 1 to 5. This rating evaluates a wide range of the care in the

US News rates nearly 16,000 nursing homes across America. How can a nursing home keep my loved one safe during Coronavirus? In June 2020, the CDC issued new guidelines and Some families may consider bringing a nursing home resident home , if they are able to provide care for them.

Nursing home care can be as short as a few days or weeks after a hospitalization or it can be years if aging family members can no longer live on their own. To help find the best match for a loved one, U.S. News evaluated more than 15,000 facilities throughout the country and rated most of them in two different areas, short-term rehabilitation and long-term care. This FAQ explains how nursing homes were evaluated and responds to questions that nursing home patients, residents, and families may have about the U.S. News ratings.

For more detailed information on how U.S. News Best Nursing Homes ratings were determined, the methodology report can be found here.

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Nursing Home Facts and Statistics. Understanding more about what nursing homes are may help you find the right fit in long-term care for a loved one. Nurse staffing, health inspections, quality measures and other data determined each facility's ratings. Greta Martin and Ben HarderOct.

Nurse staffing, health inspections, quality measures and other data determined each facility's ratings. Greta Martin and Ben Harder Oct. 30, 2018. 7 Red Flags to Watch for When Choosing a Nursing Home . Visiting the prospects can help you make a decision. Here's what you don't want to find.

Where can I find the ratings?

Best Nursing Homes allows you to search for a nursing facility by name, state, city or ZIP code and filter based on ratings, size, and certain capabilities, such as memory care.

Nursing Homes by Location allows you to search by state or local area.

Why does U.S. News rate nursing homes?

On any given morning this year, over 1.3 million individuals, including 1 in 10 individuals age 85 and above, will wake up in a U.S. nursing home. The quality of care provided at the more than 15,000 U.S. nursing homes, also sometimes called skilled nursing facilities, varies widely. U.S. News wants to help families research facilities and find a nursing home that excels in the type of care they need. The U.S. News Best Nursing Homes Short-Term Rehabilitation, Long-Term Care and Overall ratings offer individuals and families a starting point in their search for a nursing home, whether they are in need of short-term rehabilitation care, long-term care, or are interested in a facility’s overall care.

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2. Questions for the nursing staff. Speaking with nurses who work in a home can provide important insight into what their workload is like and whether they enjoy FAQ : How We Rate Nursing Homes . Nurse staffing, health inspections, quality measures and other data determined each facility's ratings.

Because nursing home residents have unique personalities, tastes, abilities and needs, best practices for their visitors will vary. FAQ : How We Rate Nursing Homes . Nurse staffing, health inspections, quality measures and other data determined each facility's ratings.

When did U.S. News begin rating nursing homes?

Since their inception in 2009, the U.S. News Best Nursing Home ratings have relied on data from Nursing Home Compare, a program run by the Centers for Medicare & Medicaid Services, the federal agency that sets and enforces standards for nursing homes.

In 2018, U.S. News added a Short-Term Rehabilitation rating evaluating the care delivered to patients after a hospitalization for surgery, heart attack, stroke, injury or similar condition. In 2019, U.S. News added a Long-Term Care rating evaluating the care delivered to residents who are no longer able to live independently and need help with daily activities such as eating, getting in or out of bed or wheelchair, using stairs, or getting dressed, as well as administering needed medical care.

Which nursing homes were eligible for rating?

All Medicare- and Medicaid-certified nursing homes that were part of the July 2020 CMS nursing home provider census that was made available in July 2020 were evaluated by U.S. News. Nursing homes did not apply nor did they provide any data or materials to U.S. News.

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Choosing the right nursing home is challenging. How long do nurses and aides spend with residents each day? This is a critical component to getting the best care for your elderly or disabled loved one, says Mitzi McFatrich, executive director of Kansas Advocates for Better Care, a statewide

A nursing home may truly be the best option. [See America's Best Nursing Homes and search for one near you.] You may be able to push back the A consultation typically costs several hundred dollars; as-needed help generally costs from to 0 per hour, depending on prevailing rates in the area.

To be eligible for a Short-Term Rehabilitation, Long-Term Care or Overall rating, a home must have met the following inclusion criteria:

  • Received reimbursement from CMS in July of 2020
  • Had sufficient data to evaluate quality in that rating

What makes a facility a Best Nursing Home?

Facilities were considered U.S. News Best Nursing Homes if they were rated ‘high performing’ in either Short-Term Rehabilitation or Long-Term Care. A total of 3,277 facilities were recognized by U.S. News in 2020 as Best Nursing Homes – 2,362 in Short-Term Rehabilitation and 1,623 in Long-Term Care. This year, 708 nursing homes received this designation for both stay types.


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Does U.S. News’ Overall rating methodology use measures from CMS’ star ratings methodology?

Because U.S. News calculates both a Short-Term Rehabilitation Rating and Long-Term Care Rating for each nursing home, beginning in 2019, we chose to use these as the foundation for the summary Overall score, rather than CMS-issued domain-specific star ratings. The U.S. News methodology does not incorporate any CMS-issued, domain-specific ratings, or the overall rating from the CMS five-star quality rating system. Furthermore, some measures used in the analysis for both Short-Term Rehabilitation and Long-Term Care ratings are not used in the CMS approach.

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In contrast, many nursing homes and assisted living facilities are much larger, providing care for dozens or hundreds of people at a time. Adult foster care is also much less expensive than nursing homes or assisted living. Typically, adult foster care prices range between ,500 and ,500 a

This Nursing Home 's Performance. Because this facility did not have enough data to assess staffing levels, U . S . News could not evaluate quality. A government-assigned rating based on results of state health inspections. Shows how well this home met health and safety standards for food preparation

How did U.S. News determine its Short-Term Rehabilitation rating?

The Short-Term Rehabilitation rating is based on ten quality measures focusing on staffing, outcomes, resident complaints and processes of care. U.S. News used scientific literature review, expert consultation and statistical modeling to select these measures. This rating designates nursing homes as high-performing, average or below average in the care they provided to patients who spent 100 days or less at a skilled nursing facility.

For more detailed information on how this rating was determined, our methodology report can be found here.

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How did U.S. News determine its Long-Term Care rating?

The Long-Term Care rating is based on U.S. News’s assessment of nine quality measures focusing on staffing, outcomes, resident complaints and processes of care. U.S. News used scientific literature review, discussions with industry experts and statistical modeling to select these measures. This rating designates nursing homes as high-performing, average or below average in the care they provided to residents who spent more than 100 days at a nursing home.

For more detailed information on how this rating was determined, our methodology report can be found here.

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How did U.S. News determine its Overall Rating?

The U.S. News Best Nursing Homes assigns each eligible nursing home an Overall rating from 1 to 5. This rating evaluates a wide range of the care in the home, including both long-term residents with chronic needs and short-term patients who may receive rehabilitation following a hospital stay.

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Each nursing home that was rated in Short-Term Rehabilitation, Long-Term Care, or both, received a U.S. News Overall rating. The Overall rating is based on a 5-point scale that averages the short- and long-term scores, weighting each equally, where High Performing receives a value of 5, Average receives a value of 3, and Below Average receives a value of 1. If a home was only eligible for one of the two component ratings, the Overall score reflected that rating.

For more detailed information on how this rating was determined, our methodology report can be found here.

How, if at all, has the coronavirus pandemic impacted U.S. News’ Best Nursing Homes methodology this year?

New this year, a Patient Safety Summary panel was added to each nursing homes’ U.S. News profile pages, intended to aid families in assessing a home’s efforts around patient safety. U. S. News does ot issue a patient safety rating, although some of the highlighted metrics do appear in the short and long term ratings methodologies. The patient safety summary rather serves to highlight the home’s performance on a number of measures compared to the local and national averages. Measures include vaccination rates, numbers of COVID-19 cases in both the resident and staff populations reported to date and for that home’s most recently reported week (updated regularly), as well as preventable patient falls, whether or not there have been infection violations in the most recent inspection cycle, and if a home is a Special Focus Facility or Candidate.

Where did the data come from?

All data used in the U.S. News Best Nursing Home ratings came from publicly available sources published by CMS. Data used in the Short and Long-Term ratings analysis were evaluated over time intervals that vary based on the particular component being measured. Data sources and time intervals are listed in Appendix A of the methodology report.

How can a nursing home's U.S. News rating be different from the rating on Nursing Home Compare?

The two rating systems use completely different methodologies. The CMS rating is based on CMS-assigned star ratings in several domains such as health inspections and quality measures. By contrast, the U.S. News Best Nursing Home ratings are based on the methods described above and do not use the CMS star ratings. Staffing data and performance on key outcome measures are more important in determining a nursing home’s U.S. News Best Nursing Homes rating than in the CMS star rating.

Are the highest-rated nursing homes necessarily the best choices?

No. In any industry there are multiple organizations that conduct ratings. These ratings organizations often differ on the criteria and the weighting of that criteria when assessing quality. Consumers of these ratings do, and should, consult multiple sources and conduct in-person evaluations before making decisions. The senior care industry is no different.

All ratings, whether good or bad, are just a starting point for healthcare consumers who are choosing where to receive care. Nothing takes the place of in-depth visits. You can ask questions, observe residents and their families and caregivers, and get a feel of a home that ratings can't communicate. CMS says on its website that "no resident should be moved solely on the basis of a nursing home's ratings ... (Transferring) your loved one to a facility that has a higher rating should be balanced with the possible challenges of adjusting to a new nursing home." That is one of many hard truths about finding a home where someone you hold dear can find good care.

Copyright 2020 U.S. News & World Report

Keeping the Pandemic at Bay in Small Group Nursing Homes .
NIAID Director Dr. Anthony Fauci said vaccine doses will likely start to be distributed, on a priority basis, by the end of this year or early next year.

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