Things to Keep in Mind for the Overall Star Rating If those residents require more than 100 days for healing, those residents will be counted in the numerator of the “Pressure Ulcer among High Risk Long Stay Residents” measure, even if their care in the CLC was entirely appropriate and met medical standards. For example, a CLC that specializes in complex skin and wound care may admit Veterans with severe pressure ulcers that occurred at home or another hospital. The measures also may not take into account the special populations that are served by a facility, which may cause higher rates of certain conditions. They are snapshot, at a point in time, of the average condition of residents. Quality Measures are not the same as Quality StandardsĪccording to CMS Care Compare the quality of resident care measures aren’t benchmarks, thresholds, guidelines, or standards of care. Long-stay residents - those who spent over 100 days in a nursing home.Short-stay residents - those who spent 100 days or less in a nursing home.Information is listed for 2 groups of residents: Medicare Skilled Nursing Facilities and VA CLCs use the quality measures to review and improve the quality of the care they give to residents. The information collected includes the residents' health, physical functioning, mental status, and general well-being and offer information about the progress of resident’s physical and clinical needs. This information is collected by VA CLCs as well as by Medicare Skilled Nursing Facilities for all residents using the latest version of the Resident Assessment Instrument - Minimum Data Set. The quality measure rating has information on different physical and clinical measures for CLC residents. Star ratings are assigned based on how the CLC performs compared with Medicare nursing homes across the nation. For example, a Community Nursing Home with residents who had more severe needs would be expected to have more nursing staff than one where the residents do not need as much care. Total care hours are adjusted for the fact that some residents are sicker and therefore have greater care needs. Care hours are derived from automated systems that track staff assignments and care. The staffing rating has information about the number of hours of care provided on average to each resident each day by nursing staff, which include registered nurses (RN), licensed practical/vocational nurses (LPN/LVN), and nurse aides (NA). Star ratings are assigned based on how the CLC scores compare with Medicare nursing homes in the same state. The survey star rating is based on the last 3 years of onsite surveys, with the greatest weight given to the most recent survey. Surveyors also review the residents' clinical records, interview residents and family members, as well as caregivers and administrative staff. Protecting residents from physical and mental abuse.Hiring enough quality staff to provide adequate care.Medicare Certified Skilled Nursing Facilities as well as VA CLCs must meet standards set by the federal government to protect residents. What goes into the CLC Compare Report Health Surveys The Medicare Guide to Choosing a Nursing Home (PDF) and Nursing Home Checklist (PDF) may help with questions to ask when visiting a facility. Residents and families should use the star ratings, together with other sources of information such as a personal visit or a discussion with a clinical provider that understands the resident’s needs and the capabilities of a facility. Using the star rating with other information These CLC ratings are based on:Įach of these 3 domains are assigned a star rating, and, in addition, an overall 5-Star rating calculated to allow as close of a comparison to community nursing homes as possible. VA's Community Living Center (CLC) Compare Report features a star rating system adapted from Medicare's Five Star Rating Methodology that gives each facility a rating between 1 and 5 stars.
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