Five-Star insights: Will those stars ever illuminate your path?
By
Steven Littlehale
May 16, 2012
I recently asked a hospital discharge planner how she chooses which nursing home to discharge to. “Five-Star” was the reply. Was I surprised? Not at all. Once again, it demonstrates just how...
Redefining the role of agency staff in nursing homes: Unveiling new realities
By
Steven Littlehale
Jan 05, 2024
In the ever-evolving landscape of nursing home care, the use of agency staff has long been a topic of scrutiny, historically linked to concerns about inferior outcomes. However, as we navigate the aftermath...
Fasten your seatbelts: It MIGHT be a bumpy ride
By
Steven Littlehale
Oct 13, 2023
It’s been a flurry of activity leading up to the implementation of the “new MDS.” For months our industry has been doing what we do best — rising to the occasion. Countless MDS training sessions,...
Where were YOU when CMS changed the Five-Star rating system?
By
Steven Littlehale
Mar 20, 2015
Some things will always stay etched in our mind. Where were you on February 12, when CMS publicly announced immediate changes to the Five Star Quality Rating System for Nursing Homes?
Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
The beauty of bad publicity
By
Gary Tetz
Aug 28, 2014
When I saw the New York Times article illuminating the clever ways devious operators could inflate their Medicare star ratings, I had mixed emotions ranging from fury to rage.
Three stars will be the new one star
By
Betsy Rust
Dec 07, 2016
Nursing home operators call it low occupancy. Medicare insiders call it a declining census. Economists call it excess capacity.
Additional staffing metrics point to organizational stability
By
Steven Littlehale
Mar 04, 2022
The Centers for Medicare & Medicaid Services, through its consumer‐facing website, has made additional nursing home staffing data available. Doing so during a public health emergency, when the industry...
Stars upon thars
By
Gary Tetz
Apr 23, 2015
It’s notoriously difficult, not to mention foolish, to try to predict the future of long-term care in America. In all of our nation’s recorded history, only one man can lay claim to true prescience...
Which matters most: Social media or Five-Star?
By
Steven Littlehale
May 27, 2022
Recently my colleague Ken Kelley, MS, OTR/L, RAC-CT, a clinical consultant/reimbursement specialist, posited something about Five-Star ratings that I hadn’t considered. He suggested that, in general,...