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San Diego Region Nursing Homes
California’s San Diego County and its surrounding region are home to more than 80 nursing homes and skilled care facilities licensed by the Centers for Medicare and Medicaid Services, or CMS. As the greatest generation ages, that number is expected to grow substantially. CMS conducts period inspections of all nursing home and skilled care facilities under its authority, and publishes the results of those inspections for public consumption on its website. Every nursing home and skilled care facility receives a profile describing its three most recent inspections, with information including:
- Investigations of recent complaints;
- Any penalties issued as a result of those investigations;
- Any citations issued to the facilities for violations of public health laws;
- Outcomes of followup inspections;
- Health inspection data;
- Staffing data, including Registered Nurse staffing;
- Quality of resident care;
- Resident census data;
- Fire and safety inspections;
- Ownership information.
CMS makes this data freely available to the public. That said, CMS is not the only source of data used to create the Nursing Home Compare tool. Other databases include:
- Payroll-Based Journal System: this system allows nursing homes to report staffing data in connection to the resident census.
- Minimum Data Set National Database: data found here are entered by the nursing homes themselves. They use this data to manage residents’ health collectively and individually.
- Medicare Claims Database: these data describe care from the perspective of billing. Discharges and readmissions are indicators of the care given to a resident.
CMS used these data to create a grading system in which each facility receives an overall star rating as well as a star rating in multiple subcategories. Each grade is out of five stars: ⅕ is “Much Below Average,” ⅖ is “Below Average,” ⅗ is “Average,” ⅘ is “Above Average,” and 5/5 is “Much Above Average.” The more stars a facility receives, in other words, the better the score.
It is important to note that none of the scores are intended to be an endorsement or condemnation by the CMS or Walton Law APC.
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