New Five-Star Ratings Live on Nursing Home Compare

Nancy Leveille and Lisa Volk in Clinical & Quality

CMS has released the new Five-Star rating results live Wednesday April 24, 2019 on Nursing Home Compare. NYSHFA suggests that all members review your facility’s results as soon as possible to assess how the changes affected your individual rating. AHCA’s announcement and press release are below to assist you in evaluating your outcomes and also responding to any media request. If you need assistance, feel free to contact Lisa or Nancy. 

AHCA Announcement 

Today, the Centers for Medicare & Medicaid Services (CMS) published new Five-Star rankings on its Nursing Home Compare (NHC) website that reflect several significant updates to all three components of the system - survey, staffing and quality. A summary of the changes can be found here

On April 8, AHCA hosted a webinar that walked through these new changes. Members can access the recorded webinar and the following resources on the Five-Star ahcancalED website here:

  • Q&As from the AHCA Five-Star Webinar 
  • Member toolkit containing the following items:
    • Suggested talking points
    • Template media statement 
    • Template letter to families 
    • Sample letter to payors/referral sources
  • Five-Star Technical Users' Guide
  • CMS QSO Memo

State Affiliates can download suggested talking points here

In addition, AHCA has several tools to help members continue to improve. AHCA/NCAL's LTC Trend Tracker here is a one-stop-shop that allows members to gain timely information and valuable insight about their own performance as well as the entire profession's, including reports that capture Five-Star and Quality Measure (QM) rates.  

For any additional questions on the new Five-Star ratings, please email

AHCA Press Release 

AHCA Response to New Five-Star Ratings on Nursing Home Compare

Washington, D.C. — The American Health Care Association (AHCA) Senior Vice President of Quality and Regulatory Affairs Dr. David Gifford today issued the following statement in response to new Five-Star ratings on the Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare website:

“The abrupt change in star ratings for nursing centers may be confusing to consumers, residents, and their families. By moving the scoring ‘goal posts’ for two components of the Five-Star system, CMS will cause more than 30 percent of nursing centers nationwide to lose one or more stars overnight—even though nothing changed in staffing levels and in quality of care, which is still being practiced and delivered every day. Since the launch of the profession’s metric-based Quality Initiative in 2012, nursing centers have made significant improvements in the quality of care residents receive. While the Five-Star system can be a helpful tool, consumers should not rely on it exclusively when choosing a nursing center for themselves or a loved one. As changes are made in the future, we look forward to continuing to work with CMS to ensure that additional Five-Star changes are less confusing.”


Nancy Leveille, RN, MS
Executive Director
518-461-4800 x20

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15