Jul 2022 | When did CMS implement the major additions to the staffing Five Star calculation?

Five Star Technical Users’ Guide: Revised July 2022
Replaced by: October 2022

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CMS announced a major change to the Five Star calculation for staffing, increasing from from 2 to 6 components to calculate the rating:

• Case-mix adjusted total nurse levels: HPRD

• Case-mix adjusted RN levels: HPRD

• Case-mix adjusted total weekend nurse levels: HPRD

• Total nurse turnover: % last 12 months

• RN turnover: % last 12 months

• Administrator turnover: # who left in last 12 months

In addition, CMS changed the bonus, such that only 5 star staffing levels earns a 1 star increase in the overall five star rating.  Before both 4 and 5 star staffing levels earned the increase.

NEW Five Star cut points for staffing measures based on Point Range system.

Click to open the PDF Guide: