REVISED Five Star Technical Users’ Guide: July 2022
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.