According to the Times, nearly half of the nation’s nursing homes had either a 4 or 5-star rating. More shockingly, two-thirds of facilities on federal watch list received high ratings. The reason: the system requires self-reporting of data used to determine a nursing home’s rating – data that Medicare does not verify before issuing a final rating. The star rating system does not take into account state data of violations or complaints, which is the level that most violations are reported.
With such a microscope focused on the five-star system, there is likely to be a huge push to reform the rating system. Consumers should not rely on the Medicare rating system when determining which nursing home is best for a loved one. When evaluating a nursing home, it is recommended that a family look at the facility, talk to other residents when possible, and look at state reports about operational or health code violations.
Certified Medicaid Planners™ are often very helpful in assisting their clients with nursing home placement. As an experienced long-term care planner, a CMP™ will have a plethora of anecdotal evidence of past clients’ experiences in local facilities.
Patients often do not get to choose their initial nursing home. Hospital discharge units are forced to place patients in the first beds available at the time of discharge. That leaves the family facing a facility that may or may not be in the best interest of the patient overall. Most people think that a Medicaid patient has no choice in facilities; however, a Medicaid patient can transition from one facility to another provided that the new facility accepts Medicaid. A CMP™ can help families get a patient on a waiting list and transition the patient to a better facility.
Questions? Call JIM C.Manuel CFEd® today at 805-415-2287