Comparison of Consumer Rankings With Centers for Medicare & Medicaid Services Five-Star Rankings of Nursing Homes

Key Points Question Are nursing homes’ performance rankings the same when measured by the CMS Five-Star, a measure reflecting experts’ opinion, and when measured according to consumers’ values? Findings In this national quality improvement study of 10 676 nursing homes, only approximately one-half of nursing homes had similar rankings with both measures. Meaning These findings suggest that complementing the CMS Five-Star performance measure with a measure based on consumers’ values offers consumers a more complete assessment of the quality of nursing home care.