CMS Posts Updated Five-Star Users’ Guide

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

Late on Thursday afternoon, October 13, 2022, CMS posted the updated Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users’ Guide_October 2022.

The 36-page Guide contains these revisions:

Quality Measure Rating Threshold changes

Effective with the October 2022 refresh, CMS is implementing the planned, regular increases to the Quality Measure (QM) rating thresholds, increasing each rating threshold by one-half of the average improvement in QM scores since the last time the thresholds were set. For the October 2022 refresh, the average improvement was determined from the period of January 2022 – July 2022. The new rating thresholds are shown in Table 5 of this document. Note that the point thresholds for individual QMs did not change. CMS plans to implement these regular increases every six months.

Here’s Table 5 – referenced in the QM Rating Threshold changes. It’s found on page 21:

Compare the October point thresholds to April 2022 (found in the July 2022 Five-Star Technical Users’ Guide):

Here’s the Table of Contents for the October Users’ Guide: