CMS Updates Skilled Nursing QRP, VBP, NHQI & Five-Star Data Sets

Announcement: January 2023: Data have been refreshed for January 2023. Because of COVID-19 reporting exceptions, the claims-based measures were calculated excluding Q1 and Q2 2020.  For additional information, visit the Skilled Nursing Facility Center and view the SNF QRP COVID-19 Public Reporting Tip Sheet in the Downloads section of the SNF Quality Reporting Training webpage and the SNF QRP Section of the FY 2022 SNF Final Rule.

Data sets:

Provider Information

General information on currently active nursing homes, including number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System. Data are presented as one row per nursing home.

Last updated: Jan 1, 2023


Skilled Nursing Facility Quality Reporting Program – National Data

Skilled Nursing Facilities (SNFs) provide Medicare Part A SNF services to beneficiaries and must report data on certain measures of quality to Medicare through the Skilled Nursing Facility Quality Reporting Program (SNF QRP). This file…

Last updated: Jan 1, 2023


Note: The January 2023 refresh of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC) (above and below).

The data are based on quality assessment data submitted by SNFs to Centers for Medicare & Medicaid Services (CMS) from Quarter 2, 2021 through Quarter 1, 2022. The data for the claims-based measures will display data from Quarter 3, 2019 through Quarter 4, 2019 and Quarter 3, 2020 through Quarter 2, 2021 for this refresh, and for the SNF Healthcare-Associated Infections (HAI) Requiring Hospitalization measure, Quarter 4, 2020 through Quarter 3, 2021. Lastly, the Centers for Disease Control and Prevention (CDC) measure (COVID-19 Vaccination Coverage among Healthcare Personnel (HCP)) reflect data from Quarter 1, 2022 for this refresh.

Please visit Care Compare and PDC to view the updated quality data. For questions about SNF QRP Public Reporting, please email [email protected].

Skilled Nursing Facility Quality Reporting Program – Swing Beds – Provider Data

Non-Critical Access Hospitals (CAHs) with swing beds are hospitals that provide Medicare Part A Skilled Nursing Facility (SNF) services to beneficiaries and must report data on certain measures of quality to Medicare through the Skilled…

Last updated: Jan 1, 2023


MDS Quality Measures

Quality measures that are based on the resident assessments that make up the nursing home Minimum Data Set (MDS). Each row contains a specific quality measure for a specific nursing home and includes the 4-quarter…

Last updated: Jan 1, 2023


Skilled Nursing Facility Quality Reporting Program – Provider Data

Skilled Nursing Facilities (SNFs) provide Medicare Part A SNF services to beneficiaries and must report data on certain measures of quality to Medicare through the Skilled Nursing Facility Quality Reporting Program (SNF QRP). This file…

Last updated: Jan 1, 2023


Penalties

A list of the fines and payment denials received by nursing homes in the last three years.

Last updated: Jan 1, 2023


State-Level Health Inspection Cut Points

State-specific ranges for the weighted health inspection score for each health inspection star rating category. Data are presented as one row per state or territory.

Last updated: Jan 1, 2023


Fire Safety Deficiencies

A list of nursing home fire safety citations in the last three years, including the nursing home that received the citation, the associated inspection date, citation tag number and description, scope and severity, the current…

Last updated: Jan 1, 2023


Medicare Claims Quality Measures

Quality measures 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.

Last updated: Jan 1, 2023


Nursing Home Data Collection Intervals

This table lists the data collection periods for the quality measures displayed for Nursing Homes including Rehab Services as well as the intervals for complaint citations and citations on focused infection control inspections. It also…

Last updated: Jan 1, 2023


Health Deficiencies

A list of nursing home health citations in the last three years, including the nursing home that received the citation, the associated inspection date, citation tag number and description, scope and severity, the current status…

Last updated: Jan 1, 2023


Inspection Dates

A list of nursing home inspection dates in the past three years, including health inspections, fire safety inspections, complaint inspections and infection control inspections

Last updated: Jan 1, 2023


Citation Code Look-up

This is a look-up table for nursing home inspection citations, providing a text description for each citation or tag code.

Last updated: Jan 1, 2023


Survey Summary

Nursing home summary information for nursing home health and fire safety inspections in the last three years, including dates of the three most recent inspections (including those with no citations), and counts of citations, overall…

Last updated: Jan 1, 2023


State US Averages

A list of a variety of averages for each state or territory as well as the national average, including each quality measure, staffing, fine amount and number of deficiencies. Each row displays a specific state…

Last updated: Jan 1, 2023


Ownership

A list of ownership information for currently active nursing homes.

Last updated: Jan 1, 2023


FY 2023 SNF VBP Facility-Level Dataset

This dataset contains facility-specific performance results for the fiscal year (FY) 2023 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. Included are baseline period (FY 2019) and performance period (FY 2021) risk-standardized readmission rates (RSRRs)…

Last updated: Nov 1, 2022


FY 2023 SNF VBP Aggregate Performance

This table contains aggregate-level results for the fiscal year (FY) 2023 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. Included are unadjusted national average readmission rates for the baseline period (FY 2019) and performance period…

Last updated: Nov 1, 2022

more insights

CMS Releases Final Rule VBP, QRP

PROSPECTIVE PAYMENT SYSTEM AND CONSOLIDATED BILLING FOR SKILLED NURSING FACILITIES; UPDATES TO THE QUALITY REPORTING PROGRAM AND VALUE-BASED PURCHASING PROGRAM FOR FEDERAL FISCAL YEAR 2024

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