Five Star Rating System

The Nursing Home Compare website features a quality rating system that gives each nursing home a rating of between 1 and 5 stars.  Nursing homes with 5 stars are considered to have much above average quality and nursing homes with 1 star are considered to have quality much below average. There is one Overall 5-star rating for each nursing home, and a separate rating for each of the following three sources of information:

Health Inspections – The health inspection rating contains the 2 most recent health inspections that occurred before implementation of the new Long-Term Care inspection process on November 28, 2017, and inspections due to complaints in the last 2 years occurring prior to November 28, 2017. This information is gathered by trained, objective inspectors who go onsite to the nursing home and follow a specific process to determine the extent to which a nursing home has met Medicaid and Medicare’s minimum quality requirements.  The most recent survey findings are weighted more than the prior year.

Staffing – The staffing rating has information about the number of hours of care provided on average to each resident each day by nursing staff. This rating considers differences in the levels of residents' care need in each nursing home. For example, a nursing home with residents who had more severe needs would be expected to have more nursing staff than a nursing home where the resident needs were not as high.

Quality Measures (QMs) – The quality measure rating has information on 16 different physical and clinical measures for nursing home residents. The QMs offer information about how well nursing homes are caring for their residents’ physical and clinical needs.

BFCC-QIO Transition Announcement 2019 - R110 With Contact Information
BFCC-QIO Transition Announcement 2019 - R110 Partner Newsletter Insert
Memorandum of Agreement Frequently Asked Questions 2019
State-Level Health Inspection Cut Point Table April 2019
AHCA NCAL Five Star Rating System Support Page
Nursing Home Compare and PBJ Update June 2018
APPENDIX New Claims Based Measures December 2018  
Nursing Home Compare Claims-based Measures Technical Specifications
Nursing Home Compare Technical User's Guide July 2018
Five Star Rating Users Guide April 2019
State Level Health Inspection Cut Points December 2018


Staff Contact:
Maureen Carland
Director of Quality Improvement &
Regulatory Affairs