CMS’ Five-Star Quality Rating System for Nursing Homes

Despite continued concerns from the long term care community, the Centers for Medicare & Medicaid Services (“CMS”) recently implemented its Five-Star Quality Rating System, which provides ratings for the 15,800 nursing facilities that participate in the Medicare or Medicaid programs. The system assigns nursing facilities ratings from one to five stars based on health inspection surveys, staffing information, and quality of care measures. Nursing facilities with five stars are regarded as having above average quality, while nursing facilities with one star are regarded as having below average quality. The ratings are provided on CMS’ Nursing Home Compare Web site at

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