The data on this website come from various state and federal government sources. The data on Cal Long Term Care Compare are updated bi-annually with the most current information that is publicly available.
For detailed information about a measure, its data source, and the measurement time period, please select the “?” button to access the a pop-up box with more information. The button is found next to the measure headings on every nursing home provider profile page.
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About the Ratings
Cal Long Term Care Compare provides performance ratings on some measures in the Staffing and Quality of Care (and repeated in the At-A-Glance) sections. When available, the ratings can help users better evaluate the quality of care available. The ratings are adjusted in ways that allow fair and accurate comparisons between facilities and can be a helpful guide when comparing and choosing nursing homes, particularly where basic percentages do not account for important differences such as size of facility or residents with complex medical needs. Cal Long Term Care Compare ratings are dependent upon the accuracy of the state and federal publicly available data.
Not every measure that is reported is rated. A common reason for not having a rating is that nursing home scores are clustered too tightly together (facilities essentially all performed the same for those measures), so it is difficult to show meaningful differences between the nursing homes. Another reason for not rating a measure is that the total number of participating nursing homes for that measure is unavailable, in which case we are unable to calculate a rating.
Cal Long Term Care Compare rates nursing homes with five different labels or “badges” with the highest performing nursing homes labeled Superior to the lowest performing nursing home labeled Poor as follows:
- Superior: Facility scored in the top 10% of all California facilities
- Above Average: Facility scored in the 75 – 90% range of all California facilities
- Average: Facility scored in the 25.1 – 74.9% range of all California facilities
- Below Average: Facility scored in the 10.1 – 25% range of all California facilities
- Poor: Facility scored in the bottom 10% of all California facilities
Research shows that adequate staffing levels, lower staff turnover, and higher staff retention have a positive effect on the health of nursing home residents. The Cal Long Term Care Compare site publishes ratings for staff turnover and staff retention. This site reports nursing home staffing data exactly as reported by the nursing homes without any adjustment for the complexity of the residents in the nursing home. Facilities should adjust staffing levels to ensure adequate staff to meet the needs of all the residents living in a facility.
Quality of Care Measure Ratings
The Quality of Care measures are divided into three categories: Vaccinations, Short-stay Residents (admitted for post-hospitalization rehabilitation stays), and Long-stay Residents (living in the nursing home for extended periods of time). The Overall, Short Stay and Long Stay ratings come directly from the Centers for Medicare and Medicaid Services (CMS). Cal Long Term Care Compare rates some of the short-stay Quality of Care measures with the same rating scale as above; five different labels or badges from a high of Superior to a low of Poor. None of the long-stay measures are rated because the total number of nursing homes that submitted data for those measures is unavailable.