Meaning of a 5-Star Rating for Nursing Homes Differs by State
Journal of the American Medical Directors Association
Letter to the Editor
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.
Locate the Document
Tunalilar, O. (2019). Meaning of a 5-star rating for nursing homes differs by state. Journal of the American Medical Directors Association, 20(5), 645-646.