Article
Meaning of a 5-Star Rating for Nursing Homes Differs by State
Journal of the American Medical Directors Association
Document Type
Letter to the Editor
Publication Date
1-1-2019
Subjects
- Nursing Homes
Disciplines
Abstract
Owing to the increasing availability and accessibility of national data, the last decade witnessed growing interest in identifying racial/ethnic, socioeconomic, and spatial inequalities in access to high-quality nursing homes.
However, caution is warranted when empirical studies that use overall quality rating or domain ratings from the Five-Star Quality Rating System make comparisons across state boundaries. Such studies implicitly assume that these ratings are state-invariant—that is, the same underlying construct is measured across states given a specific rating (eg, 5-star). Yet the nonlinear and state-dependent way in which these ratings are constructed violates this assumption.
Locate the Document
DOI
10.1016/j.jamda.2018.11.024
Persistent Identifier
https://archives.pdx.edu/ds/psu/33496
Citation Information
Tunalilar, O. (2019). Meaning of a 5-star rating for nursing homes differs by state. Journal of the American Medical Directors Association, 20(5), 645-646.
Copyright © 2020 Elsevier Inc.