CMS adds staff turnover measures to Five Star Rating

The Centers for Medicare and Medicaid Services (CMS) posted QSO memo 22-08-NH last week indicating that it will begin posting staffing turnover and weekend staffing levels for each nursing home on the Care Compare website in January and add the measures to staffing domain of Five Star Rating system in July 2022. These measures will include:

Weekend Staffing:
  • The level of total nurse (RN, LPN & CNA) and registered nurse (RN) staffing on weekends provided by each nursing home over a quarter.  This will be reported as average hours worked per resident per day on weekends.
Staff Turnover: 
  • The percent of RN staff that left the facility over the last year.
  • The percent of total nurse staff that have left the facility over the last year. 
  • The number of administrators that have left the facility over the last year. 
The technical specifications for weekend staffing and staff turnover measures will be included in the Five Star Rating System Technical Users' Guide on January 14, 2022.

Facilities must link employee identifiers to ensure their turnover measures are accurate. Instructions and templates for linking employee identifiers are provided in the

Staff Contact: