![]() CMS's Five-Star Rating System, which includes an overall and three component star ratings-health inspection, staffing, and quality measures-is a prominent source of information on Care Compare. Why GAO Did This StudyĬMS is responsible for ensuring that participating nursing homes meet federal standards, and provides information on nursing homes' quality on its web-based tool, Care Compare. According to CMS officials, the agency is exploring to what extent the agency will expand these audits to data that inform the quality measure rating. ![]() CMS recently proposed a validation process for some additional quality measure data represented on Care Compare, though not the rating. ![]() CMS may audit the nursing home's documentation supporting this measure. CMS has an automated process to check the completeness of the data nursing homes report that inform the measures.ĬMS also has processes to assess accuracy, and has recently taken additional steps for one of these measures related to antipsychotic drugs. CMS uses the Federal Monitoring Survey, which, among other things, replicates recent state inspections to check the completeness and accuracy of inspection results. CMS has an automated process to check the completeness of staffing data nursing homes report. For example, CMS officials told GAO they are exploring a way to include information on nursing home residents' experience, which Care Compare currently lacks.ĬMS takes various approaches to assess the completeness and accuracy of the sources for the staffing data, inspections, and quality measure information it provides on Care Compare. GAO has made recommendations in the past that apply to some of these characteristics, and for others, CMS told GAO about ongoing efforts to address some of the characteristics GAO identified. ![]() However, GAO also found Care Compare did not align with four of the characteristics. These characteristics include providing descriptions of key differences in clinical quality of care, enabling consumers to customize information, and comparing multiple nursing homes. GAO found that the nursing home quality information the Centers for Medicare & Medicaid Services (CMS) provides on Care Compare-which was developed to assist consumers in selecting a nursing home-at least partially aligns with 11 of 15 characteristics of understandability and relevancy for an effective transparency tool (see figure). ![]()
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