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HealthCare6.com is providing parts of dataset from Medicare data (past and current) which we consider most important to normal patients. If you found out that we lacks of some information, please drop us an email at contact@healthcare6.com. However, our data is provided as-is, as a reference without any warranty, guarantee (read more in our privacy policy). You have to considered and use HealthCare6.com data at your own risks.

OR you can REACH MEDICARE by


Phone

1-800-MEDICARE (1-800-633-4227)

For specific billing questions and questions about your claims, medical records, or expenses, visit MyMedicare.gov, or call 1-800-MEDICARE.

If you want someone to be able to call 1-800-MEDICARE on your behalf or you want Medicare to give your personal information to someone other than you, you need to fill out a "Medicare Authorization to Disclose Personal Health Information."


TTY

1-877-486-2048


Mailing address

Centers for Medicare and Medicaid Services
7500 Security Boulevard
Baltimore, Maryland 21244-1850

HINTS
The 5-star rating for each nursing home provider is provided using MEDICARE rating (at https://data.medicare.gov). However, it is as-is without any guarantee or warranty. It should be looked at carefully. Use it with the other information you gather.
MEDICARE This nursing home provider is certified by Medicare or Medicaid programs.
CLOSED The nursing home provider's business has been closed.

About the data

Nursing Home data allows consumers to compare information about nursing homes. It contains quality of care information on every Medicare and Medicaid-certified nursing home in the country, including over 15,000 nationwide.

Information on Nursing Home data isn't an endorsement or advertisement for any nursing home and should be considered carefully. Use it with other information you gather about nursing homes facilities. Talk to your doctor or other health care provider about the information.

Update Data

Update Data

  • If the information about your nursing home is incorrect or has changed, please contact your State Survey Agency to have it updated.
  • If you are a Medicare or Medicaid-certified nursing home, but are not listed in this database, please contact your State Survey Agency to have them correct your information in CMS's database.

For corrections to your agency's administrative data (name, address, phone number) e-mail or call your state agency CASPER/ASPEN coordinator.




Glossary

Glossary Terms Glossary Definitions
Assessment

The gathering of information to rate or evaluate your health and needs.

Automatic Sprinkler Systems

One way to make nursing homes safe is to install a water sprinkler system in case of fire. These systems are called 'automatic sprinkler systems.'


Currently, newly constructed and recently remodeled nursing homes must have automatic sprinkler systems to put out fires. Federal Rules require that by late 2013, ALL nursing homes will have an automatic sprinkler system installed throughout the nursing home.


Since March 2005, Federal rules also require that nursing homes install battery-operated smoke alarms in all resident rooms and public areas.

Certified (Certification)

State government agencies inspect health care providers, including home health agencies, hospitals, nursing homes, dialysis facilities and other providers. These providers are certified if they pass inspection. Being certified is not the same as being accredited. Medicare or Medicaid only covers care by certified providers or in a certified facility or program. Inspections can also be referred to as surveys.

Complaints and Facility-Reported Incidents

A complaint is a problem reported by residents, their families, and nursing home staff. A facility-reported incident is a problem reported by the nursing home staff. Some complaints can lead to enforcement actions because the nursing home isn't complying with regulations.

Continuing Care Retirement Community (CCRC)

A Continuing Care Retirement Community is a housing community that offers different levels of care based on what each resident needs over time. This is sometimes called "life care" and can range from independent living in an apartment to assisted living to full-time care in a nursing home. Residents move from one setting to another based on their needs but continue to live as part of the community.

Dementia

Dementia refers to a group of symptoms that are caused by changes in brain function. Signs of dementia include changes in memory, personality, and behavior. Dementia makes it hard for a person to carry out normal daily activities.

Fire Safety Deficiency

Fire Safety Deficiency is a finding that a nursing home failed to meet one or more Federal fire safety requirements.

Health Deficiency

A Health Deficiency is a finding that a nursing home failed to meet one or more Federal health requirements during an annual health inspection or a complaint inspection. Inspectors identify health deficiencies by observing the nursing home's performance, its practices, or the conditions in the facility.

Long Term Care

Long Term Care is a 'variety' of services that help people with health or personal needs and activities of daily living over a period of time. Long-term care can be provided at home, in the community, or in various types of facilities, including nursing homes and assisted living facilities. Most long-term care services help with activities of daily living, such as eating, bathing, dressing or moving about. Medicare doesn't pay for such care unless it's part of certain short-term stays following hospitalization.


Get more information about different kinds of long term care.
Medicare

Medicare is the federal health insurance program for people 65 years of age or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure with dialysis or a transplant, sometimes called ESRD).

Multi-nursing home (chain) ownership

Multi-nursing home chains have two or more homes under one ownership or operations.

Number of Certified Beds

Some nursing homes can have a combination of Medicare, Medicaid, and/or private pay beds. Certified beds represent the number of Medicare and/or Medicaid beds. Please check with the nursing home to find out what types of beds are available.

Nursing Home

Nursing home is a term that includes both skilled nursing facilities and nursing facilities. Skilled nursing facilities (SNF) are those that participate in both Medicare and Medicaid. Nursing facilities (NF) are those that participate in Medicaid only.


Nursing homes primarily engage in providing residents skilled nursing care and related services for residents who require medical or nursing care and rehabilitation services for the rehabilitation of injured, disabled, or sick persons.

Participates in Medicaid

This nursing home participates in the Medicaid program and can care for people with Medicaid. If a nursing home doesn't participate in the Medicaid program or no longer participates in the Medicaid program, and the resident runs out of other funds/coverage, the resident will have to move to another nursing home if he/she wants to have their nursing home stay paid by Medicaid.

Participates in Medicare

This nursing home participates in the Medicare program and can care for people with Medicare who meet certain requirements for skilled care. Generally Medicare covers short stays.

Quality Indicator Survey process

The Quality Indicator Survey (QIS) process and the traditional standard survey are the two types of surveys approved by CMS to determine compliance with Medicare/Medicaid requirements. The QIS is a two staged process that uses a resident centered approach to systematically review specific nursing home requirements and provides guidance to the surveyors to objectively investigate any regulatory areas that are triggered. The QIS uses Quality of Care and Quality of Life Indicators (QCLI's) to improve consistency and accuracy of the identification of quality of care concerns. The QIS uses a structured process of resident, family and staff interviews as well as structured and focused record reviews. The QIS also uses customized software to guide surveyors through the investigations.

Quality Measures

The nursing home quality measures come from resident assessment data that nursing homes routinely collect on all residents at specified intervals during their stay. These data are converted into quality measures that give you another source of information about how well nursing homes are caring for their residents' physical and clinical needs. The quality measures have 4 intended purposes:

  1. To give you information about the care at nursing homes to help you choose a nursing home for yourself or others
  2. To give you information about the care at nursing homes where you or family members already live
  3. To get you to talk to nursing home staff about the quality of care
  4. To give data to the nursing home to help them with their quality improvement efforts

The current quality measures aren't benchmarks, thresholds, guidelines, or standards of care. They are based on care provided to the population of residents in a facility, not to any individual resident, and aren't appropriate for use in a lawsuit.

Resident and Family Councils

Resident and family councils can facilitate communications with staff. The law requires nursing homes to allow councils to be set up by residents and families. If a nursing home doesn't have a resident and family council, ask the administrator why. Ask to talk with a council president to get a sense of how the nursing home has acted on their concerns.

Special Focus Facility (SFF)

A Special Focus Facility (SFF) is a nursing home with a recent history of persistent poor quality of care, as indicated by the findings of state or Federal inspection teams. Based on inspection findings for the most recent three-year period, CMS selects a group of nursing homes with the worst repeated inspections as SFFs.


Sometimes a nursing home will fix a sufficient number of problems in order to pass one inspection, only to fail the next one. Often, many of these same problems show up in inspections again and again. This is a sign that the nursing home didn't address the underlying problems that were causing these repeated serious deficiencies.


Many SFFs respond to the recognition of their past poor performance by making concerted efforts to improve. CMS records indicate that approximately 50% of SFFs significantly improve their quality of care within the subsequent 30 months.

Total Number of Residents

The total number of residents is the number of residents in the nursing home during the most recent inspection.

Type of Ownership

Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities. Quality can vary in nursing homes within each of the different types of ownership. Each nursing home needs to be judged on its own merits.