The Nursing Home Compare Report Card: Perceptions of Residents and Caregivers Regarding Quality Ratings and Nursing Home Choice

In Health Services Research, Marilyn Schapira and colleagues, including Judy Shea and Rachel Werner, evaluate the perceived usefulness of publicly reported nursing home quality indicators. Shapira and colleagues interviewed a sample of individuals or family members recently admitted to or anticipating admission to a nursing home. Participants were asked about the understandability and relevance of information on the Nursing Home Compare website, which includes star ratings, clinical quality measures, and benchmarking of individual nursing home quality with state and national data. The researchers find that participants used star ratings, clinical quality measures, and benchmarking information to make decisions. Participants wanted additional information on the source of quality data, and on the relationship between domain-specific and overall star quality ratings. Increased awareness of the Nursing Home Compare and clarity regarding the definition of measures could further support informed decision making regarding nursing home choice.