About Our Data

Our data is provided by the Centers for Medicare and Medicaid Services (CMS). The data, including star ratings, should not be construed as an endorsement by the U.S. Department of Health and Human Services of any health care provider’s products or services or by repisodic. Star ratings and other quality metrics are limited in scope to the data sources they are derived from. A provider’s star rating on an individual measure or domain may not be reflective of that provider’s overall star rating. 

Skilled Nursing Data

CMS uses a star rating system that gives each facility a rating between 1 and 5 stars. The star ratings come from: health inspections, staffing, and quality of resident care measures. The Centers for Medicare & Medicaid Services (CMS) calculates a star rating for each of these 3 sources, along with an overall rating and a separate registered nurse rating.

Home Health Care Data

CMS uses a star rating between 1 and 5 to show people how a home health agency compares to other home health agencies on measurements of their performance. The star ratings are based on 9 measures of quality that give a general overview of performance. Across the country, most agencies fall “in the middle” with 3 or 3½ stars being the average rating across the 9 measures. A star rating higher than 3½ means that an agency performed better than average compared to other agencies. A star rating lower than 3 means that an agency’s performance was below average compared to other home health agencies. These star ratings are different from the consumer ratings that you see on websites for products like books, restaurants, or hotels that reflect averages of consumers’ opinions. Since the star rating ranks all agencies from lowest to highest, some agencies will be ranked below others even though they're providing good quality care.

Using the star rating with other information

The CMS data and star rating system can give you important information and help you compare post-acute care providers by topics you consider most important, but isn't a substitute for personal choice and preference. This data is meant to enable and empower patients to choose the best facility for them. For example, some patients and families prefer to visit facilities in person, and this is encouraged when feasible. We encourage patients, families, and healthcare providers to use the star ratings together with other sources of information, such as consumer reviews that we have aggregated from Google, Facebook, and Yelp. Please visit our blog to find more advice on how to choose the best post-acute care facility.

For more information on data sources and a more detailed explanation of the ratings and quality methodologies, please refer to: www.cms.gov and  data.medicare.gov