SNF quality characteristics by ACO participation status

Generated 2026-10-28 10:40. Cost report rules: 360-370 day reports; FY-to-CY attribution OFF; gov't/territory exclusion ON; other income NA-to-zero ON; G-3 winsorized by year ON.

Table. SNF Quality Characteristics by ACO Participation Status
Table 1. SNF Quality Characteristics by ACO Participation Status
Characteristic Overall
N = 13,5421		 Never participated
N = 12,7651		 Exited before 2026
N = 2851		 Participating as of 2026
N = 4921		 p-value
Quality Measures
Overall star rating



<0.001
    1 2,651 (20.5%) 2,595 (21.3%) 42 (14.7%) 14 (2.9%)
    2 2,718 (21.0%) 2,591 (21.3%) 88 (30.9%) 39 (7.9%)
    3 2,587 (20.0%) 2,437 (20.0%) 62 (21.8%) 88 (17.9%)
    4 2,490 (19.2%) 2,287 (18.8%) 53 (18.6%) 150 (30.5%)
    5 2,514 (19.4%) 2,274 (18.7%) 40 (14.0%) 200 (40.7%)
Health inspection star rating



<0.001
    1 2,512 (19.4%) 2,440 (20.0%) 58 (20.4%) 14 (2.9%)
    2 3,296 (25.4%) 3,147 (25.8%) 87 (30.5%) 62 (12.6%)
    3 2,917 (22.5%) 2,715 (22.3%) 65 (22.8%) 137 (27.9%)
    4 3,002 (23.2%) 2,766 (22.7%) 54 (18.9%) 182 (37.1%)
    5 1,233 (9.5%) 1,116 (9.2%) 21 (7.4%) 96 (19.6%)
Quality measure star rating



<0.001
    1 859 (6.7%) 836 (6.9%) 18 (6.3%) 5 (1.0%)
    2 1,741 (13.5%) 1,681 (13.9%) 29 (10.2%) 31 (6.3%)
    3 2,550 (19.8%) 2,417 (19.9%) 51 (18.0%) 82 (16.8%)
    4 3,482 (27.0%) 3,246 (26.7%) 78 (27.5%) 158 (32.3%)
    5 4,277 (33.1%) 3,956 (32.6%) 108 (38.0%) 213 (43.6%)
Long-stay QM star rating



<0.001
    1 940 (7.4%) 908 (7.6%) 23 (8.3%) 9 (1.9%)
    2 1,593 (12.6%) 1,519 (12.7%) 24 (8.7%) 50 (10.7%)
    3 1,632 (12.9%) 1,547 (13.0%) 33 (12.0%) 52 (11.1%)
    4 2,732 (21.6%) 2,562 (21.5%) 56 (20.3%) 114 (24.4%)
    5 5,765 (45.5%) 5,382 (45.2%) 140 (50.7%) 243 (51.9%)
Short-stay QM star rating



<0.001
    1 1,638 (14.8%) 1,581 (15.3%) 37 (14.1%) 20 (4.3%)
    2 1,731 (15.7%) 1,656 (16.1%) 30 (11.5%) 45 (9.6%)
    3 2,594 (23.5%) 2,430 (23.6%) 57 (21.8%) 107 (22.9%)
    4 2,361 (21.4%) 2,172 (21.1%) 63 (24.0%) 126 (27.0%)
    5 2,708 (24.5%) 2,464 (23.9%) 75 (28.6%) 169 (36.2%)
Pressure ulcers, % long-stay residents 4.9 (3.0) 4.9 (3.0) 4.8 (3.3) 4.5 (3.0) 0.001
Falls with major injury, % long-stay residents 3.2 (2.4) 3.2 (2.4) 3.3 (2.4) 3.3 (2.3) 0.619
Urinary tract infection, % long-stay residents 1.5 (2.0) 1.5 (2.0) 1.6 (1.9) 1.8 (2.0) 0.007
Antipsychotic use, % long-stay residents 15.1 (10.5) 15.3 (10.6) 13.3 (8.7) 12.9 (7.7) <0.001
New antipsychotic use, % short-stay residents 1.6 (2.1) 1.6 (2.2) 1.4 (1.9) 1.1 (1.3) <0.001
1 n (%); Mean (SD)
Source: CMS Nursing Home Compare (April 2026); HCRIS multi-year mean 2021-2026 (nhcr_2021_2024_07). Continuous: mean (SD). Categorical: n (%). Star ratings: mean (SD), scale 1-5. Financial variables in dollars. p-values: Kruskal-Wallis (continuous), chi-square with simulation (categorical). Bold p < 0.05.