{"id":7886,"date":"2016-01-11T09:20:56","date_gmt":"2016-01-11T15:20:56","guid":{"rendered":"https:\/\/www.senioradvisor.com\/blog\/?p=7886"},"modified":"2020-10-26T14:15:36","modified_gmt":"2020-10-26T19:15:36","slug":"nursinghomecompare-reasons-you-shouldnt-use-medicares-5-star-rating-system","status":"publish","type":"post","link":"https:\/\/d30braiqprupoq.cloudfront.net\/blog\/2016\/01\/nursinghomecompare-reasons-you-shouldnt-use-medicares-5-star-rating-system\/","title":{"rendered":"Reasons You Shouldn&#8217;t Use Medicare&#8217;s &#8216;5-Star Rating&#8217; System"},"content":{"rendered":"<h1>NursingHomeCompare &#8211; Reasons You Shouldn&#8217;t Use Medicare&#8217;s &#8216;5-Star Rating&#8217; System<img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-7892\" src=\"https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/01\/NursingHomeCompare-Reasons-You-Shouldnt-Use-Medicares-5-Star-Rating-System-350x293.png\" alt=\"NursingHomeCompare - Reasons You Shouldn't Use Medicare's '5-Star Rating' System\" width=\"350\" height=\"293\" srcset=\"https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/01\/NursingHomeCompare-Reasons-You-Shouldnt-Use-Medicares-5-Star-Rating-System-350x293.png 350w, https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/01\/NursingHomeCompare-Reasons-You-Shouldnt-Use-Medicares-5-Star-Rating-System-768x644.png 768w, https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/01\/NursingHomeCompare-Reasons-You-Shouldnt-Use-Medicares-5-Star-Rating-System.png 940w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/h1>\n<p><span style=\"font-weight: 400;\">Many of you have likely visited the other major rating system available for nursing home options &#8211; <strong>NursingHomeCompare.gov<\/strong>.\u00a0 Medicare intends for this website to be a comprehensive resource for families and elders who are searching for a nursing home. \u00a0The rating system was launched officially in 2008. \u00a0This website was billed as\u00a0the &#8220;go-to&#8221; resource for many American families looking for a nursing home for a loved one. <\/span><\/p>\n<h2><span style=\"font-weight: 400;\">A Complicated and Hard to Interpret Rating System<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Medicare&#8217;s rating system for nursing homes has been controversial since its launch in 2008 to\u00a0industry leaders, nursing home administrators and marketing staff, and of course, to nursing home consumers. \u00a0Both sides &#8211; nursing home administration and consumers alike &#8211; struggle to understand what these highly complicated ratings really mean. This is despite Medicare&#8217;s attempts at providing explanatory links to each of the 3 sub-sections of the rating and a <strong><a href=\"https:\/\/www.medicare.gov\/NursingHomeCompare\/About\/What-Is-NHC.html\" target=\"_blank\">full website with multiple subpages<\/a><\/strong> explaining each aspect of the rating system<\/span><span style=\"font-weight: 400;\">. \u00a0\u00a0<em><strong>If it requires this much explanation, is it really a good rating system for consumers?<\/strong><\/em><\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What&#8217;s Missing from Medicare&#8217;s Rating?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There is one major, and arguably more important than all three parts of the rating system combined, missing piece from this &#8220;go-to&#8221; resource &#8211; customer satisfaction. There is no measure in Medicare&#8217;s &#8220;5-star Rating&#8221; system that directly incorporates resident or family satisfaction with the nursing home. \u00a0Isn&#8217;t this what we get from other popular sites that provide &#8220;5-star Ratings&#8221;? Such as Yelp, AngiesList, Amazon, TripAdvisor, and every major website out there that sells or advertises just about anything? \u00a0It has become the modern standard for consumers to read online reviews of the product you&#8217;re considering buying. \u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">The Controversial History of NursingHomeCompare<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">NursingHomeCompare has received recent negative publicity and academic scrutiny about the quality of their rating system in measuring nursing home quality accurately. The major concerns being that 1) <\/span><b>much of the data is self-reported<\/b><span style=\"font-weight: 400;\"> by the nursing homes and can be manipulated by savvy companies and administrators and 2) that the measures that go into the rating are <\/span><b>highly complex in how they are calculated and not accurately comparable between facilities &#8211; overall giving an inaccurate\/misleading picture<\/b><span style=\"font-weight: 400;\"> of the quality of the nursing home. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A\u00a0<strong><a href=\"http:\/\/www.nytimes.com\/2014\/08\/25\/business\/medicare-star-ratings-allow-nursing-homes-to-game-the-system.html\" target=\"_blank\">controversial <em>New York Times<\/em><\/a><\/strong> article from 2014\u00a0<\/span><span style=\"font-weight: 400;\">did lead to limited changes in the rating system to make it more difficult to manipulate self-reported data from one\u00a0part of the 3 part rating &#8211; the staffing measure, which was discussed in length in the article. Mandatory payroll data submission will become the new standard for all nursing homes beginning summer of 2016. This will make the rating system slightly less vulnerable to manipulation by providers. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, this part and the quality measures will ultimately still remain self-reported and highly complex. \u00a0In addition, there are already complex but easy to use tools available to providers to calculate their 5-star rating based on certain changes in staffing patterns. This solution does not fix a broken rating system that is based on information from biased providers and regulators and not from the consumers they serve.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">So What is NursingHomeCompare Missing?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">What&#8217;s missing is the measure of quality of life for residents in the nursing home &#8211; <strong>this is what creates happy residents and families.<\/strong> \u00a0Aren&#8217;t you looking for a place that will provide the best possible <\/span><b>quality of life<\/b><span style=\"font-weight: 400;\"> for your loved one? A 2014 study, published in the <em>Journal of the American Medical Directors<\/em>, reported that quality of life elements of nursing home living, such as privacy, autonomy, and relationships with support workers, was not associated with the CMS star rating of a facility. \u00a0Of course we want our loved ones safe and healthy, that&#8217;s a given. \u00a0But we also know they are getting older and will continue to decline. When we&#8217;re looking at the place they will spend their last years of life, the most important factor isn&#8217;t whether or not they will be in a nursing home with high staffing or a nursing home with few regulatory deficiencies, but rather, the question is, will they be in a nursing home that makes the people who live there, as well as their families, <strong>happy<\/strong>?\u00a0 The nursing home compare &#8220;5-star Rating&#8221; system does not measure this.<\/span><\/p>\n<h2>So How Do I Pick a Nursing Home if NHCompare is Not the Right Resource?<\/h2>\n<p><span style=\"font-weight: 400;\">While we wait for Medicare to fix their broken rating system, look to other people&#8217;s experiences and advice to help you select a nursing home, just like you likely do with other important decisions. \u00a0Find out which nursing homes people recommend from theirs or a loved one&#8217;s experience at that nursing home, this is how you will get the most accurate picture of whether or not it is the place you want your loved one in. \u00a0Another fantastic resource is websites that actually provide consumer reviews &#8211; like SeniorAdvisor.com.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NursingHomeCompare &#8211; Reasons You Shouldn&#8217;t Use Medicare&#8217;s &#8216;5-Star Rating&#8217; System Many of you have likely visited the other major rating system available for nursing home options &#8211; NursingHomeCompare.gov.\u00a0 Medicare intends for this website to be a comprehensive resource for families and elders who are searching for a nursing home. \u00a0The rating system was launched officially in 2008. \u00a0This website was [&hellip;]<\/p>\n","protected":false},"author":6706,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[200,29,5],"tags":[203,467,38],"class_list":{"0":"post-7886","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-families-caregivers","7":"category-caregiving","8":"category-nursing-home","9":"tag-medicare","10":"tag-nursing-homes","11":"tag-online-reviews-2"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Reasons You Shouldn&#039;t Use Medicare&#039;s &#039;5-Star Rating&#039; System - SeniorAdvisor.com Blog<\/title>\n<meta name=\"description\" content=\"Medicare&#039;s rating system for nursing homes has been controversial since its launch. 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