Published: August 11, 2017

Nursing Home Compare (NHC) publishes composite quality ratings of nursing homes based on a five-star rating system, a system that has been subject to controversy about its validity. Using in-depth interviews, this study assesses the views of nursing home administrators and staff on NHC and unearth strategies used to improve ratings. Respondents revealed conflicting goals and strategies. Although nursing home managers monitor the ratings and expend effort to improve scores, competing goals of revenue maximization and avoidance of litigation often overshadow desire to score well on NHC…

Perraillon, Marcelo Coca, et al. “Nursing Home Response to Nursing Home Compare: The Provider Perspective.” Medical Care Research and Review, vol. 76, no. 4, Aug. 2019, pp. 425–443, doi:10.1177/1077558717725165.