What happens if a facility receives four stars in Quality Measures?
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What happens if a facility receives four stars in Quality Measures?
One star is added to the survey rating for the overall rating.
One star is subtracted from the survey rating for the overall rating.
There is no effect on the overall rating.
One star is added if the survey rating is three stars or less.
What is a recommended approach to improving a facility’s Five-Star rating over the long run?
Focus efforts proactively on bottom-line care issues up front rather than chasing down problems after the fact.
Assign the bulk of available resources to analyze each domain line by line, to identify possible problems after receiving each Five-Star rating update.
Contact the state automation coordinator and review each component of each domain to ensure the accuracy of the information that underlies the rating.
Since the ratings are retrospective, no action is required.
A Special Focus Facility (SFF) that has not graduated can earn a maximum of how many stars?
One stars
Two stars
Three stars
None, no ratings are assigned
Happy Valley Nursing Home has the following rating:
Survey: three stars
Staffing: four stars
Quality Measures: one star.
What is the overall Five-Star rating for this facility?
Two stars
Three stars
Four stars
Five stars
What would the overall quality score be for a skilled nursing facility with the following star ratings? Health Inspection score of two stars, Quality Measures score of four stars, RN staffing of four stars, and Total Nursing staffing score of three stars. (Hint: Calculate the staffing star before calculating the overall star rating.)
One star
Two stars
Three stars
Four stars
Which of the following is an effective strategy to help a facility manage its Five-Star rating?
Wait for the annual survey to identify systems for improvement
Continuously monitor clinical systems to foster high-quality resident care
Correct facility systems when the overall Five-Star rating goes below three stars
Monitor clinical systems when problem trends occur
Which of the following describes the scoring for the majority of the measures in the Quality Measures (QM) domain?
Points are assigned to each QM based on the percentage of residents who have the QM condition; the higher the percentile, the better the care, the more points, and the more stars the facility receives.
Points are assigned to each QM based on the percentage of residents who have the QM condition; the lower the percentile, the better the care, the more points, and the more stars the facility receives.
Points are assigned based on the risk adjustments; the more risk adjustments, the better the care, the higher the star rating.
Points are assigned based on the number of residents affected by the QM. The more residents included, the higher the score.
Which of the following Quality Measures is used for computation in the Five-Star Quality Rating System?
Percentage of low-risk residents who lose control of their bowels or bladder
Percentage of residents who had a urinary tract infection
Percentage of residents who lose too much weight
Percentage of residents who are more depressed or anxious
Previous Next Review
Ratings for the Quality Measures domain are calculated using what time period specification?
The most recent quarter for which data is available
The two most recent quarters for which data is available
The three most recent quarters for which data is available
The four most recent quarters for which data is available
For the short-stay antipsychotic Quality Measure, how many points are awarded for nursing homes with a QM value of zero?
20 points
40 points
60 points
100 points
In the calculation of a facility’s Staffing star rating, how are the nursing hours reported?
Number of licensed staff scheduled to work in a pay period
Nursing staffing hours per resident day as reported in the Payroll-Based Journal system
Staffing hours per resident day based on the mix of RUG-IV groups from the most recent MDS
The average across all facilities of the reported hours per resident day
Happy Valley Nursing Facility obtained an RN case-mix adjusted hours rating of 0.887 hours during their latest annual survey (Adjusted Hours = [Hours Reported/Hours Case-Mix] * Hours National Average). How many RN staffing stars did the facility earn?
Two stars
Three stars
Four stars
Five stars
How can a facility earn five stars for the Staffing measure?
Meet or exceed the CMS staffing study thresholds for both RN and total nursing staffing
Maintain a 3.2 HPPD ratio at all times
Ensure a ratio of one nurse aide for every 10 residents
Maintain staffing hours at or above the national averag
In the Survey domain, what are nursing facilities compared to?
Other nursing facilities in the nation.
Other nursing facilities in the region.
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