Nursing Home Compare “3.0” - Five Star Quality Rating System - Expanded and Strengthened
February 20, 2015 Improvements to Nursing Home Compare include:
• Including Quality Measures (QMs) for nursing homes’ use of antipsychotic medication in residents without diagnoses of schizophrenia,
Huntington’s disease, or Tourette syndrome in the Five Star calculations. One measure is for the new use of these medications
in short-stay residents. A second measure reflects continued use of such medications in long-stay nursing home residents.
• Raising the threshold for nursing homes to achieve a high rating on all measures publicly reported in the QM dimension on
• Updating expectations for State Survey Agencies to conduct specialized, onsite surveys of a sample of nursing homes across
the U.S. that assess adequacy of resident assessments and the accuracy of information reported to CMS that is used in calculating
quality measures used in the rating system.