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Nursing Home Report Card

Families for Better Care created a nursing home report card to grade each of the 50 states based on the quality of care provided at nursing homes. The report card can serve as an informational resource for identifying the deficiencies of nursing homes in your state. In addition, the interactive map (below) allows you to check your state’s grade or ranking in comparison to other states across the country.

Overall State Grades

Nursing Home Compare

This online tool will locate the nursing homes in any specified area and tell you how they rate on quality of care, staffing and health inspections. You can also download data for nursing homes in a specific location to determine the types of deficiencies the nursing homes received, scope and severity of the deficiencies, status of the deficiencies and the correction dates.  The Nursing Home Compare website is the official U.S. government site for Medicare.

Nursing Home Staffing Tool

A study by the Center for Public Integrity found widespread discrepancies in staffing levels reported by U.S. nursing homes. More than 80 percent of nursing homes reported higher levels of RN care to Nursing Home Compare, a government-run website for consumers, than reflected in their reports to Medicare. From the study, the Center for Public Integrity created a tool to track the discrepancies in nursing home staff levels. Consumers can use the tool to see how the self-reported data provided by nursing homes compares to the staffing levels computed through the Center’s analysis of  facilities’ reports to Medicare.

Nursing Home Quality Star Ratings, Nationally and by State

The Kaiser Family Foundation analyzed the ratings of U.S. nursing homes certified by Medicare, Medicaid or both. The study  found that more than one-third of nursing homes received low ratings of 1 or 2 stars under the federal government’s recently revamped Five-star Quality Rating System. The five-star rating system calculates an overall star rating – with one star being the lowest possible score and five being the highest – based on performance in three types of measures: state health inspections, staffing measures and quality measures. In 11 states, more than 40 percent of nursing homes had overall ratings of 1 or 2 stars, according to the study (click on image below). Read more

Map of State Star Ratings

Advocacy and Governmental Organizations

Administration on Aging

The Administration on Aging is the principal agency of the U.S. Department of Health and Human Services designated to carry out the provisions of legislation designed to promote the well-being of older individuals. The AoA is composed of programs, such as the Office of Supportive and Caregiver Services, Office of Elder Rights Protection and the Office of Long-term Care Ombudsman Programs, among others.

National Center on Elder Abuse

The National Center on Elder Abuse is one of 27 resource centers funded by the U.S. Administration on Aging. The NCEA website offers a wealth of information about elder abuse, including Frequently Asked Questions, data and statistics, links to state and tribal resources, and other information.

The National Consumer Voice for Quality Long-Term Care

The Consumer Voice is the leading national voice representing consumers in issues related to long-term care, helping to ensure that consumers are empowered to advocate for themselves. The organization was formed  in 1975 because of public concern about substandard care in nursing homes.

Other Online Resources

Guide to Senior Living: State-by-State Options

Red Flags of Abuse

AARP Health Library

Senior Care Resource Guide

Prevent Medicare Fraud: How to Avoid Abuse and Medical Billing