December 14, 2017, Kimberly Marselas, McKnight's Long-Term Care News - Investigators from the University of Connecticut report that at least 6% of nursing homes inflate their self-reported measures — “most often the larger and for-profit facilities that stand to gain most financially by improving their scores.”
Their study of 1,200 California nursing homes examined data from 2009 through 2013 and was published this week by the National Institute for Health Care Management Foundation. The Connecticut business professors reviewed measures included in facilities' Five-Star ratings and other information from Medicare files, as well as information on facility finances and resident complaints.
They also looked for correlations between standards-based inspection reports and the self-reported ratings to determine consistency.
One clue that some facilities have been overstating quality improvements they've made? The authors say the number of resident complaints is similar for nursing homes with the same objectively derived inspection rating, but it varies significantly between facilities with the same overall rating, suggesting inflation.
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