Nursing Home Compare Medicare Claims Quality Measures

$179 / year

This dataset contains a list of the quality measures displayed on Nursing Home Compare, that are based on Medicare claims data. Each row contains a specific quality measure for a specific nursing home and includes the risk-adjusted score.

Complexity

Nursing Home Compare allows consumers to compare information about nursing homes. It contains quality of care and staffing information for all 15,000 plus Medicare- and Medicaid-participating nursing homes. Nursing homes aren’t included in Nursing Home Compare if they aren’t Medicare- or Medicaid-certified. These Nursing Homes can be licensed by the state.

The nursing homes that are shown in Nursing Home Compare provide a level of care called “skilled” care. Skilled care is care given when you need skilled nursing or rehabilitation staff to manage, observe, or evaluate your care. Examples of skilled care include intravenous (IV) injections and physical therapy.

Nursing Home Compare includes information on:
– 5-star quality ratings of individual or overall performance on health inspections, quality measures, and hours of care provided per resident by staff performing nursing care tasks.
– Health and fire-safety inspections with detailed and summary information about deficiencies found during the 3 most recent comprehensive inspections (conducted annually) and the last 3 years of complaint investigations.
– Nursing home staffing information about the number of registered nurses, licensed practical or vocational nurses, physical therapists and nursing assistants in each nursing home.
– A set of quality measures that describe the quality of care in nursing homes including percentage of residents with pressure sore, percentage of residents with urinary incontinence and more.
– Penalties against a nursing home.

Date Created

2016-04-13

Last Modified

2020-06-24

Version

2020-06

Update Frequency

Monthly

Temporal Coverage

2019

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Medicare Claims Data, Nursing Quality of Care, Nursing Home Compare Information, Nursing Staffing Information, Nursing Quality Measures, Nursing Home Compare, Quality Measures, Risk-Adjusted Score Data, Five Star Quality Measures

Other Titles

Nursing Home Compare Medicare Claims Data, Medicare Claims Quality Measures For Nursing Quality of Care, Quality Nursing Facilities

NameDescriptionTypeConstraints
Federal_Provider_NumberIdentification number of the facility within the CMS dataset.string-
Provider_NameThe name of the Facility or Nursing Home center.string-
AddressThe address of the Nursing Home center or facility.string-
CityThe city name in the location address of the facility being identified.string-
State_AbbreviationThe two-letter abbreviations of the state in the mailing address of the facility. This includes information on hospitals in the U.S states.string-
Zip_CodeThe postal code in the mailing address of the hospital.integerlevel : Nominal
Measure_CodeIndicates the numeric code assigned to each quality measure.integerlevel : Nominal
Measure_DescriptionDescribes the detailed description of the measure.string-
Resident_TypeIndicates the type of resident.string-
Adjusted_ScoreIndicates the adjusted score of the quality measure.numberlevel : Ratio
Observed_ScoreIndicates the observed score of the quality measure.numberlevel : Ratio
Expected_ScoreIndicates the expected score of the quality measure.numberlevel : Ratio
Footnote_Value_For_ScoreThe Footnote describes an additional piece of information given separately for the compiled data for the average measure score of all four quarters.string-
Is_Used_In_Quality_Measure_Five_Star_RatingIdentifies whether the quality measure is used in the calculation of the quality measure rating in the Five-Star Quality Rating System.boolean-
Federal Provider NumberProvider NameAddressCityState AbbreviationZip CodeMeasure CodeMeasure DescriptionResident TypeAdjusted ScoreObserved ScoreExpected ScoreFootnote Value For ScoreIs Used In Quality Measure Five Star Rating
15009BURNS NURSING HOME, INC.701 MONROE STREET NWRUSSELLVILLEAL35653521Percentage of short-stay residents who were rehospitalized after a nursing home admissionShort Stay16.62130400000000219.35483925.529307True
15009BURNS NURSING HOME, INC.701 MONROE STREET NWRUSSELLVILLEAL35653522Percentage of short-stay residents who had an outpatient emergency department visitShort Stay4.96394400000000155.376344000000000510.825158True
15009BURNS NURSING HOME, INC.701 MONROE STREET NWRUSSELLVILLEAL35653551Number of hospitalizations per 1000 long-stay resident daysLong Stay2.3914032.42222400000000041.7755299999999998True
15009BURNS NURSING HOME, INC.701 MONROE STREET NWRUSSELLVILLEAL35653552Number of outpatient emergency department visits per 1000 long-stay resident daysLong Stay0.4795130.681252.074839True
15010COOSA VALLEY HEALTHCARE CENTER260 WEST WALNUT STREETSYLACAUGAAL35150521Percentage of short-stay residents who were rehospitalized after a nursing home admissionShort Stay22.42518320.3703719.914871True
15010COOSA VALLEY HEALTHCARE CENTER260 WEST WALNUT STREETSYLACAUGAAL35150522Percentage of short-stay residents who had an outpatient emergency department visitShort Stay8.6267638.0246919.29725True
15010COOSA VALLEY HEALTHCARE CENTER260 WEST WALNUT STREETSYLACAUGAAL35150551Number of hospitalizations per 1000 long-stay resident daysLong Stay1.6817751.7119291.7843669999999998True
15010COOSA VALLEY HEALTHCARE CENTER260 WEST WALNUT STREETSYLACAUGAAL35150552Number of outpatient emergency department visits per 1000 long-stay resident daysLong Stay1.0581771.78974399999999982.470077True
15012HIGHLANDS HEALTH AND REHAB380 WOODS COVE ROADSCOTTSBOROAL35768521Percentage of short-stay residents who were rehospitalized after a nursing home admissionShort Stay26.44522000000000621.7391318.022272True
15012HIGHLANDS HEALTH AND REHAB380 WOODS COVE ROADSCOTTSBOROAL35768522Percentage of short-stay residents who had an outpatient emergency department visitShort Stay12.8490312.422369.662908True