5 Star Rating to Be Investigated
On August 6, 2015 “U.S. Senators Bob Casey (D-PA) and Ron Wyden (D-OR) called for a GAO Report on the federal government’s nursing home rating system. Recent news reports have raised questions about the integrity of the federal government’s ‘Five-Star’ rating system that millions of families rely on when selecting a nursing home for their loved one. Casey and Wyden released a new letter to Gene Dodaro, Comptroller General of the United States, requesting that the Government Accountability Office (GAO) conduct an assessment of the general accuracy and reliability of the Five-Star Quality Rating System for nursing homes and its usefulness as a consumer tool. Casey and Wyden are both members of the Senate Finance Committee. Senator Wyden serves as Ranking Member.”
Casey specifically asked that the GAO and stakeholders
- examine the steps CMS takes to make sure the data used in the Five-Star system is reliable and timely
- if there are meaningful differences between the star levels and how the number and types of complaints a nursing home receives align with the rating system
- what stakeholders see as the strengths and weaknesses of the Five-Star system
- insights into how residents and their families use the Nursing Home Compare tool.
5 Star is also critical in determining facility participation in many ACOs and bundling projects especially when it comes to the 3 Midnight Stay waiver.
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