Title

Meaning of a 5-Star Rating for Nursing Homes Differs by State

Published In

Journal of the American Medical Directors Association

Document Type

Letter to the Editor

Publication Date

2019

Subjects

Nursing Homes

Abstract

Owing to the increasing availability and accessibility of national data, the last decade witnessed growing interest in identifying racial/ethnic, socioeconomic, and spatial inequalities in access to high-quality nursing homes.

However, caution is warranted when empirical studies that use overall quality rating or domain ratings from the Five-Star Quality Rating System make comparisons across state boundaries. Such studies implicitly assume that these ratings are state-invariant—that is, the same underlying construct is measured across states given a specific rating (eg, 5-star). Yet the nonlinear and state-dependent way in which these ratings are constructed violates this assumption.

Description

Copyright © 2020 Elsevier Inc.

DOI

10.1016/j.jamda.2018.11.024

Persistent Identifier

https://archives.pdx.edu/ds/psu/33496

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