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Enter your current values below. We'll score your facility 0–100 and show you where you stand against national benchmarks.
Top-performing facilities score 85 or above. Facilities in the bottom quartile often score below 55.
The CMS Five-Star Quality Rating System incorporates these indicators into public-facing scores that influence referrals, occupancy, and regulatory risk.
CMS's minimum staffing rule (effective 2024) set thresholds for RN and total nurse hours per resident day. Facilities below 3.48 HPRD face deficiency citations and Star deductions.
Short-stay and long-stay quality scores aggregate dozens of clinical data points — pressure injuries, falls, functional status, hospitalizations — into composite measures tracked publicly.
The overall 5-Star rating is a weighted composite of inspection history, staffing levels, and quality measures. A 4- or 5-star rating drives referrals, census, and revenue.
CMS's composite public rating (1–5 stars). Anything below 3 is a red flag for referral partners and triggers additional scrutiny. Top facilities maintain 4–5 stars.
Based on the last 3 years of standard surveys plus complaint investigations. Deficiency counts, scope/severity, and revisits all factor in. The inspection component alone can tank an overall star.
Determined by RN hours and total staffing relative to case-mix adjusted expectations. Weekend staffing now reported separately; CMS increased scrutiny post the 2024 minimum staffing rule.
National average is 0.55 HPRD. CMS minimum rule requires an RN on-site 24/7. High-performers exceed 0.75 HPRD. This is the single most scrutinized staffing metric.
Includes RN, LPN/LVN, and CNA hours. The 2024 CMS rule set a 3.48 HPRD total floor. Facilities below this risk citations and are flagged in the Care Compare database.
Weekend HPRD is now separately reported by CMS. Many facilities have lower weekend coverage — this is a key differentiator for top-tier operators and is increasingly visible to the public.
Composite of short-stay MDS quality measures: functional improvement, successful discharge, new pressure injuries, and medication management. Drives post-acute referral volumes.
Composite of long-stay measures: falls, pressure ulcers, depression screening, weight loss, antipsychotic use, and ADL decline. High scores protect census and reduce regulatory exposure.
The percentage of short-stay residents rehospitalized within 30 days. National avg is ~18–22%. High rehospitalization hurts value-based purchasing contracts and referral relationships.
ER visits without hospitalization — tracked as a quality indicator. High ER use signals clinical instability or gaps in care coordination. Top facilities run below 8–10%.
CMS has flagged inappropriate antipsychotic use as a priority concern since the National Partnership to Improve Dementia Care. Rates above 15% draw scrutiny; top facilities stay under 10%.
Occupancy below 70% signals census instability. Top-performing facilities average 85%+. Occupancy is both a financial health metric and a market-position indicator for operators.
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