Cut points for the health inspection ratings by state for the month of February 2022 are shown in Cut Point Table 1 (CP Table 1). In the rare case that a State or territory has fewer than 5 facilities upon which to generate the cut points, the national distribution is used. Incur a Penalty Star - 1 if the facility is 1 star in Quality. Earn a Bonus Star + 1 if the facility is 5 stars in Quality. The cut points are recalibrated each month so that the distribution of star ratings within States remains relatively constant over time in an effort to reduce the likelihood that the rating process affects the health inspection process. The Quality star rating is based on a facility's performance in more than a dozen measures of patient health and well being, covering both long-stay and short-stay (rehab) residents. This distribution is based on CMS experience and input from the Project’s TEP. The bottom 20 percent receive a one-star rating.The middle 70 percent of facilities receive a rating of two, three, or four stars, with an equal number (approximately 23.33 percent) in each rating category.
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