Medicare Star Ratings Allow Nursing Homes to Game the System

“The Medicare ratings, which have become the gold standard across the industry, are based in large part on self-reported data by the nursing homes that the government does not verify. Only one of the three criteria used to determine the star ratings – the results of annual health inspections – relies on assessments from independent reviewers. The other measures – staff levels and quality statistics – are reported by the nursing homes and accepted by Medicare, with limited exceptions, at face value.”

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