Nonprofit nursing homes tend to earn higher ratings on the Centers for Medicare and Medicaid Services (CMS) Nursing Home 5-Star Rating System than their for-profit counterparts, according to a recent report by the Kaiser Family Foundation.
The Issue Brief, Reading the Stars: Nursing Home Quality Star Ratings, Nationally and by State, presents national and state-level analyses based on CMS Nursing Home Compare, using data from the February 2015 posting.
Additional findings included that smaller nursing homes tend to have higher ratings than larger homes, and that nursing homes affiliated with continuing care retirement communities (CCRC) are likely to have higher overall star ratings than homes not affiliated with CCRCs.
Overall results indicated that 45% of Medicare and/or Medicaid certified homes had ratings of 4 or 5 stars for the time period used, and that more than 1/3 of the participating homes were at the lower end of the scale, with ratings of 1 or 2 stars.
Nursing Home Quality Star Rating Report: Key Findings
For-profit nursing homes tended to have lower star ratings than nonprofit nursing homes. More than 1/3 (36%) of Medicare and/or Medicaid-certified nursing homes had overall star ratings of 1 or 2 stars, accounting for 39% of all residents, and 42% of for-profit nursing homes received 1 or 2 stars, double the rate among nonprofit homes. Less than 1 in 10 nonprofit homes received 1 star; 1 in 5 for-profit homes had a 1 star rating, and 45% of nursing homes had overall ratings of 4 or 5 stars, accounting for 41% of all nursing home residents.
One third (33%) of nonprofit nursing homes had overall star ratings of 5 stars vs. 18% of for-profit homes. Little difference was noted in overall scores between different types of nonprofit nursing homes. Smaller nursing homes (with fewer beds) tend to have higher star ratings than larger nursing homes. Among homes with fewer than 60 beds, 39% had overall ratings of 5 stars, compared to 14% of homes with more than 120 beds. Sixty Four percent of nursing homes affiliated with CCRCS (10% of all participating homes) had 4 or 5 star ratings. Ratings tended to be higher for self-reported measures (Quality Measures and staffing) than for measures based on survey. In 11 states, at least 40% of nursing homes in the state had relatively low ratings (1 or 2 stars); In 22 states and the District of Columbia, at least 50% of the homes had relatively high overall ratings (4 or 5 stars).