![]() For facilities changing employee identifiers, please refer to the linking methodology document to prevent this from happening. Per Linking Methodology, if a facility does not follow proper steps, “it will artificially increase its staff turnover measures (i.e., viewed as worse performance)”. ![]() The same employee with two different employee ID’s appears to CMS as two different employees, not one. CMS warns that when an employee identifier (employee ID) is changed in Payroll Based Journal (PBJ) it influences turnover calculations. Organization’s turnover rates are now being publicly reported on Nursing Home Compare/Care Compare but are not currently used in the Five-Star Quality Rating System. According to the April 2022 Nursing Home Compare Five-Star Quality Rating System: Technical Users’ Guide State-Level Health Inspection Cut Point Table (released April 27, 2022), “ the cut points for the staffing ratings and for the QM ratings have been fixed and do not vary monthly.” Having the most current technical user’s guide will assist the organization’s leadership in identifying what has to happen based on the “cut points” to improve the domain star rating. The State-Level Health Inspection Cut Point table was recently updated. Health Inspections – Five-Star Quality Rating System Recently CMS upgraded and renamed Nursing Home Compare to Care Compare – but many places still refer to Nursing Home Compare. The Nursing Home Compare Five-Star Quality Rating System was developed by the Centers for Medicare & Medicaid Services (CMS) to assist residents and their families with information to “ understand assessment of nursing home quality.” The domains of the Five-Star Quality Rating System are What’s up with the Five-Star and Care Compare?
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