On September 30, 2019, the Centers for Medicare & Medicaid Services (CMS) released this technical user's guide for the design for the Nursing Home Compare five-star quality rating system. The guide provides information on the October revisions for the five-star quality rating system which will affect the health inspection and quality measure domains. The guide also addresses the methodology of the changes, changes to staffing, quality rating domains, and overall nursing ratings . . .
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