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Nursing-home ratings

CMS rates short-stay (rehab / post-hospital) quality separately from the blended quality star, which leans on long-stay measures. Homes CMS has not rated for short stay are excluded when you set a short-stay floor.

Rehab: getting home & therapy

Got home and stayed home is CMS’s risk-adjusted rate of Medicare patients who left this home for the community and were still there 31 days later — the measure a rehab stay is actually for. It is the only one of these that separates homes much: on hospital readmission CMS calls almost every home in the country no different from the national rate. These rates cover Oct 2022–Sep 2024, so they describe how a home rehabbed people then, not who works there now. Most homes have well under 100 stays in that window, which makes a point estimate move several points on one patient — so the better-than-U.S. box uses CMS’s own call, which is the only place the difference is actually tested. A home CMS publishes no rate for is left out of both, because it is unmeasured, not low.

Therapist hours per resident per day, from the home’s own payroll (PBJ) filing for 2026Q1. Read it as therapy per resident in the building, not minutes per rehab patient: the denominator is everyone living there, long-stay residents included, so a small rehab wing inside a large custodial home reads low for reasons that have nothing to do with how it rehabs anyone. 595 homes filed no therapy hour at all, and we do not read that as no therapy — hundreds of them discharged 25 or more Medicare rehab patients in the same quarter, who plainly got therapy from someone. They are left out of these bands rather than scored at zero, so this filter cannot find them; ask any home directly how many therapist hours a rehab resident gets, and on which days. The bands are measured across the 13,892 homes that do report.

Nursing-home record

Clean record = no federal fines, no immediate-jeopardy or actual-harm (G–I) citations, no abuse citation, and neither a Special Focus facility nor a candidate. Absence of a citation is not proof a problem never happened.

The immediate-jeopardy, actual-harm and clean-record boxes all count a citation CMS marked past non-compliance — fixed and verified before the surveyor left — as a citation, because it is one and the home’s own page shows it. Homes are listed with it labelled that way rather than filtered out silently.

Payment

Both read CMS’s Provider Type field, which is the only source that answers this and does not say the same thing about every home: 247 homes are Medicaid-only and Medicare will not pay for a rehab stay at any of them, and 539 are Medicare-only and take no Medicaid at all. If you are being discharged from a hospital on Medicare, tick Medicare-certified — it is the gate, and a home that fails it cannot be on your list at any star rating. Certification is not a promise of an open bed, or of a bed for your payer: it means the home may bill that programme, not that it will admit you this week. Ask. Assisted living is licensed by the states and has no equivalent federal field, so both boxes narrow to nursing homes.

Ownership