When did CMS implement the major additions to the staffing Five Star calculation? (Jul 2022)

REVISED Five Star Technical Users’ Guide: July 2022

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CMS announced a major change to the Five Star calculation for staffing, increasing from from 2 to 6 components to calculate the rating:

  • Case-mix adjusted total nurse levels: HPRD
  • Case-mix adjusted RN levels: HPRD
  • Case-mix adjusted total weekend nurse levels: HPRD
  • Total nurse turnover: % last 12 months
  • RN turnover: % last 12 months
  • Administrator turnover: # who left in last 12 months

In addition, CMS changed the bonus, such that only 5 star staffing levels earns a 1 star increase in the overall five star rating.  Before both 4 and 5 star staffing levels earned the increase.

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