Medicare Slashes Star Ratings for Staffing at 1 in 11 Nursing Homes

Medicare Slashes Star Ratings for Staffing at 1 in 11 Nursing Homes

For roughly half the homes, the downgrades lowered their whole star rankings, which might be the measures displayed most prominently on the positioning. Nonetheless among the many homes observed their whole rankings hold the similar and even rise, buoyed by their scores on completely different top quality measures. Seventy-nine are nonetheless rated with a coveted 5 stars.
Whereas the Kaiser Nicely being Info analysis found significantly lower widespread staffing of nurses and aides at for-profit providers than at nonprofits and government-owned homes, the number of downgraded nursing homes was roughly proportionally divided among the many many three lessons, indicating an industrywide problem with staffing by registered nurses particularly.
Medicare concedes that because of the payroll system is geared in the direction of reporting hourly work, salaried staff couldn’t always be mirrored precisely, notably within the occasion that they’ve been working extra time. Nonetheless Medicare had warned the nursing homes in April that the downgrades might be coming if providers continued to point no registered nurses on accountability. The corporate well-known it has been getting ready nursing homes since 2015 for the model new payroll system.
“We’ve merely begun to leverage this new knowledge to strengthen transparency and enforcement with the goals of improved affected individual safety and effectively being outcomes,” the Amenities for Medicare & Medicaid Firms talked about in a press launch.
The payroll info, analyzed by Kaiser Nicely being Info, confirmed that for-profit nursing homes averaged 16 p.c fewer staff than did nonprofits, even after accounting for variations inside the needs of residents. The biggest distinction was inside the number of registered nurses: On the widespread nonprofit, there was one RN for every 28 residents, nonetheless on the widespread for-profit, there was only one RN for every 43 residents. Researchers have repeatedly found lower staffing in for-profit providers, which make up 70 p.c of the enterprise.
The knowledge moreover revealed that nursing homes have big fluctuations in staffing. The everyday nursing residence had one licensed nurse caring for as few as 17 residents or as many as 33, counting on the day. On the best-staffed days, each licensed nursing assistant or completely different aide cared for 9 residents, nonetheless on the worst-staffed days, each aide was answerable for 16 residents.
Weekend staffing was considerably sparse. On weekends on widespread, there have been 11 p.c fewer nurses providing direct care and eight p.c fewer aides.

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