Cal Long Term Care Compare is pleased to announce new results for the Measures that Matter quality measurement program, which seeks to help California recognize the better performing nursing homes. The program also encourages sharing of best practices with other nursing home providers that are working to improve their care quality. Here is a summary of the results with additional details and full list of nursing homes below.
- 47 nursing homes achieved Top Tier Status (i.e. Top 10%) for short stay residents
- 27 nursing homes achieved Top Tier Status (i.e. Top 10%) for long stay residents
- 1 nursing home achieved “double” Top Tier Status for both short and long stay residents
This program identifies nursing homes that are in the top 10% (Top Tier) of California nursing home providers in restoring or maintaining resident mobility (i.e. being able to move freely on one’s own) and function (an individual’s ability to perform the daily life activities required to satisfy basic needs and maintain health and well-being) in the short stay (i.e. temporary stay lasting fewer than 100 days and/or long stay settings (stays lasting more than 100 days days).
Improving (or maintaining) residents’ mobility and functional abilities are critical outcome measures of care for nursing homes. Short stay residents frequently need assistance to regain their mobility after a hospitalization for an illness or injury. Long stay residents require support to maintain their current level of mobility and function. There is strong evidence that good mobility and functional ability helps prevent future falls and improves quality of life (e.g., resident cognition, independence, and community participation).
2024 Results
The most recent analysis shows that just 47 of 933 nursing homes achieved Top Tier status (i.e. Top 10% of nursing homes included in analysis) for short stay residents and 27 of 928 nursing homes achieved the Top Tier status for the long stay residents. Only 1 nursing home achieved the “double” Top Tier status for both short and long stay residents. For additional details about the program and methodology, refer to the documents in the Methodology Resources section below. A printable list of the Top Tier nursing home performers can be viewed below.
Measures that Matter Program: Methodology Resources
Cal Long Term Care Compare used several steps to evaluate 11 publicly-reported long stay setting measures and 16 publicly-reported short stay setting measures to construct a composite measure for each setting and identify the Top Tier finalists for the nursing home resident mobility and function measures.
Please see the Measures that Matter Executive Summary for more information about the Measures that Matter program.
The Methodology Notes document details the initial performance measure evaluation process that informed the composites’ development. The long stay composite measure uses 8 mobility and function measures, and the short stay composite uses 5 mobility and function measures. The selection and application of guardrail exclusions (which are used to ensure that the Measures that Matter program identifies nursing homes without troublesome performance in other areas of care) on initial top tier finalists is also discussed.
2024 Measures that Matter Program Office Hours – slides from session: Slides_MTM Office Hours_07.09.2024
2023 Measures that Matter Program Resources:
Program Description_Measures that Matter_Mobility in Nursing Homes – a comprehensive overview of the program background, methodology, and results.
Fact Sheet_Measures that Matter – provides a high level overview of the Measures that Matter program, methodology, and results.
2023 Facility List_Measures that Matter_Tier 1 SS LS Only– a complete list of the top performers for SS, LS and both SS & LS skilled nursing facilities.