The Five-Star Quality Rating System is used to help consumers select and compare skilled nursing care centers. The rating system uses information from Health Care Surveys (both standard and complaint), Quality Measures, and Staffing. The Nursing Home Compare website features this rating system.

In 2019, Centers for Medicare & Medicaid Services (CMS) published a new Five-Star ranking on it’s Nursing Home Compare (NHC) website that reflects several significant updates to all three components of the system – Survey, Staffing, and Quality. A summary of the changes can be found here.

Nursing Home Compare 5-Star Rating Help Desk for Providers 1-800-839-9290


Tools and Resources

National Nursing Home

The National Nursing Home Quality Improvement (NNHQI) Campaign exists to provide long term care providers, consumers and their advocates, and quality improvement professionals with free, easy access to evidence-based and model-practice resources to support continuous quality improvement.

The LTC TrendTracker allows facilities to track their data to see how they are doing and by how much they need to improve to increase their star ratings. AHCA/NCAL member login required.

LTC Trend Tracker