Data were analyzed using panel data linear regression with facility and year fixed effects. Secondary data sources included the Online Survey Certification and Reporting (OSCAR), Certification and Survey Provider Enhanced Reporting (CASPER), Medicare Cost Reports, Minimum Data Set (MDS 2.0), Area Resource File (ARF), and LTCFocus for all free-standing, nongovernment nursing homes for 2000 to 2014. This study examines the relationship between nursing home quality and financial performance to assess whether there is a business case for quality. As Medicare Advantage enrollment continues to increase, our results highlight the importance of measuring performance among Medicare Advantage patients and assessing disparities in quality of post-acute care among patients in Puerto Rico and the United States. Currently, Medicare does not measure readmission rates for Medicare Advantage patientsdeven though some states, including Puerto Rico, have a high proportion of Medicare Advantage beneficiaries. Conclusions and Implications: SNFs in the United States and Puerto Rico are now receiving financial penalties for high readmission rates. These differences were consistent even when comparing these quality outcomes among Puerto Ricans to US Hispanics only. Finally, Puerto Ricans had higher rates of successful discharge to the community, but higher 30-day rehospitalization rates compared with US patients (11.2, 95% CI 6.2-16.3).
Puerto Ricans were also more likely to be admitted to lower quality nursing homes than US patients (2.5 vs 3.4). Results: Medicare patients in Puerto Rico were physically and cognitively healthier than patients in the United States. We also described 2 quality indicators among these groups: (1) 30-day rehospitalization rates and (2) successful discharge from the facility to the community. We compared demographic, clinical, and facility-level characteristics among patients in Puerto Rico and the United States. Methods: Our final cohort included 4,732,222 beneficiaries from Puerto Rico and the United States enrolled in Medicare fee-for-service or Medicare Advantage programs admitted to an SNF (N ¼ 15,197) following an acute hospital stay. Setting and Participants: Post-acute care patients admitted to SNFs in Puerto Rico and the United States.
Design: Medicare data from 2015 to 2017 was used to identify new discharges to skilled nursing facilities (SNFs) using the Minimum Data Set and the Medicare Provider Analysis and Review. The Federal Centers for Medicare and Medicaid Services also publishes a Nursing Home Compare web site that provides additional information to compare nursing homes in Florida and the nation.Medicare beneficiaries in Puerto Rico post-acute care in Puerto Rico Medicare Advantage beneficiaries post-ace care among Medicare Advantage beneficiaries a b s t r a c t Objectives: The purpose of the study is to contribute to the literature regarding post-acute nursing home utilization and quality indicators among Medicare beneficiaries in Puerto Rico compared with the US mainland. Health Care Facility and Provider Inspection Reports links to copies of regular inspection and complaint inspection reports and Florida Health Finder provides basic information and maps for nursing homes and other health care facilities and providers regulated by the Agency. Nursing Home Guide/Watch List Posting Instructions.Electronic Watch List data is updated daily. Watch List information is subject to change as appeals are processed information is updated regularly on this web site.
#Medicare gov nursing home compare license#
Facilities challenging a conditional license are noted as under Appeal. Under Florida law, nursing homes have a right to challenge state sanctions.
Immediate action is taken if a facility poses a threat to resident health or safety. A conditional status indicates that a facility did not meet, or correct upon follow-up, minimum standards at the time of an inspection. The Nursing Home Guide includes a Watch List which identifies nursing homes that are operating under bankruptcy protection or met the criteria for a conditional status during the past 30 months. The electronic version of the Guide is updated quarterly and posted on the Agency's web site approximately 45 days after the end of the calendar quarter (by the 15th calendar day of the second month following the end of the calendar quarter). The Guide also includes facility-specific comparative information including a star ranking based upon deficiencies cited during inspections. The Nursing Home Guide lists nursing homes by region and county.
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