When did CMS add more triggers to award a staffing One Star? (Jul 2018)

REVISED Five Star Technical Users’ Guide: July 2018

This Guide adds additional reasons why a nursing home may receive a one-star rating for Staffing and RN Staffing levels.

Additionally, the method of estimating the RUG-IV case-mix index – which is used in the calculation of adjusted nurse staffing and adjusted RN staffing – for assigning the star ratings has changed slightly.

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