Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

Skilled Nursing Facility

Changes to Nursing Home Compare and the Five Star Quality Rating System

Two-Thirds of Nursing Facilities Nationwide Will See Decline In their Quality Measures; One-Third of Facilities Will See Decline in Their Overall ScoreAs promised in October 2014,[1] the Centers for Medicare & Medicaid Services (CMS) has … [Read more...] about Changes to Nursing Home Compare and the Five Star Quality Rating System

CMS Tool for Assessing Civil Money Penalties Imposed Against Nursing Facilities Continues to Ensure that Penalties Will Remain Low

Civil Money Penalties for nursing facilities have historically been too low to provide meaningful incentive for most facilities to comply with federal standards of care implemented to ensure patient safety and well-being.  The new Civil Money Penalty … [Read more...] about CMS Tool for Assessing Civil Money Penalties Imposed Against Nursing Facilities Continues to Ensure that Penalties Will Remain Low

Twelfth Largest U.S. Nursing Home Company Sued for Inadequate Staffing

Inadequate nurse staffing is the most significant predictor of poor care in nursing facilities.  Despite the fact that understaffing is a pervasive and nationwide problem,[1] understaffing is rarely cited by state survey agencies.[2]  One … [Read more...] about Twelfth Largest U.S. Nursing Home Company Sued for Inadequate Staffing

No Site Neutral Payments for Inpatient Rehabilitation Facilities and Skilled Nursing Facilities

The Medicare Payment Advisory Commission (MedPAC), the nonpartisan government agency that advises Congress on Medicare policy, indicated at its November 7, 2014 public meeting that, at its next public meeting in December, it would recommend (1) … [Read more...] about No Site Neutral Payments for Inpatient Rehabilitation Facilities and Skilled Nursing Facilities

Nursing Facilities Owned by Private Equity Firms: Fewer Nurses, More Deficiencies

A recent study in the Journal of Health Care Finance finds that Florida nursing facilities owned by private equity firms have fewer registered nurses and more deficiencies than chain-owned for-profit facilities and that the longer the facilities are … [Read more...] about Nursing Facilities Owned by Private Equity Firms: Fewer Nurses, More Deficiencies

Inpatient Rehabilitation Facilities and Skilled Nursing facilities: Vive La Difference!

A study assessing the outcomes of patients who were treated in inpatient rehabilitation facilities (IRFs) with clinically and demographically similar patients who received their post-acute rehabilitation in skilled nursing facilities (SNFs) finds … [Read more...] about Inpatient Rehabilitation Facilities and Skilled Nursing facilities: Vive La Difference!

Quality Assessment and Performance Improvement (QAPI) In Nursing Homes: Diverting CMS Attention from Enforcement

June 12, 2014Quality Assessment and Performance Improvement (QAPI) In Nursing Homes: Diverting CMS Attention from EnforcementIn the past few years, the Centers for Medicare & Medicaid Services (CMS) has focused considerable attention on … [Read more...] about Quality Assessment and Performance Improvement (QAPI) In Nursing Homes: Diverting CMS Attention from Enforcement

Harm from Medicare’s Hospital Observation Status Debated In Congressional Hearing – Center for Medicare Advocacy Presents Beneficiary Perspective

May 21, 2014The May 20, 2014 hearing on "Current Hospital Issues in the Medicare Program," held by the Health Subcommittee of the House Committee on Ways and Means, was the first Congressional hearing to consider the impact of … [Read more...] about Harm from Medicare’s Hospital Observation Status Debated In Congressional Hearing – Center for Medicare Advocacy Presents Beneficiary Perspective

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