Harmony Healthcare International (HHI) Blog

8 Things All Five-Star Technical Users Should Know

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The latest Five-Star Technical User’s Guide (July 2022) was released on July 7th, 2022.
There are multiple changes that providers must review.

 

Top 8 Things You Need to Know
 
 

1.)  The significant staffing domain changes will be effective with the July 2022 refresh.

 

2.)  The new methodology for calculating the Five-Star Staffing Domain rating is based on six separate staffing measures:

 

Case Mix adjusted total nurse (RN, LPN/LVN, aide) staffing levels (hours per resident per day).

Case Mix adjusted RN staffing levels (hours per resident per day).

Case Mix adjusted total nurse (RN, LPN/LVN, aide) staffing levels (hours per resident per day) on the weekend.

• Total nurse turnover, defined as: The percentage of nursing staff that left the nursing home over a twelve-month period.

Registered Nurse (RN) turnover, defined as: The percentage of RN staff that left the nursing

home over a twelve-month period.

Administrator turnover, defined as: The number of administrators who left the nursing home

over a twelve-month period.

 
 

3.)  Each provider’s performance on these staffing measures are:

Converted to points, then

Summed and compared to thresholds to determine the staffing star rating.

 
 

4.)  The cut points for each of the staffing measures:

Based on the national distribution of the measures.

Includes data through the first calendar quarter of 2022.

Cut points are listed in Appendix Table A2 (page 26 -27).

 

5.)  CMS will no longer add one star to the overall rating of nursing homes that have a four-star staffing rating.
 
 

6.)  Only nursing homes with a five-star staffing rating will be rewarded with an increase in their overall star rating.


7.) Changes are italicized in red in the Five-Star Technical User’s Guide - July 2022.


8.) Download the Five-Star Technical User’s Guide - July 2022 guide here:

Download the Five-Star Technical User's Guide - July 2022

Topics: CMS, Five-Star, Regulatory


Kris Mastrangelo, OTR/L, LNHA, MBA

WRITTEN BY

Kris Mastrangelo, OTR/L, LNHA, MBA
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