SNF mean star ratings 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 Average Star Ratings by ACO Participation Status
Table 1. SNF Average Star Ratings by ACO Participation Status1
Characteristic Overall
N = 13,5422		 Never participated
N = 12,7652		 Exited before 2026
N = 2852		 Participating as of 2026
N = 4922		 p-value
Star Ratings
Overall Star Rating 3.0 (1.4) 2.9 (1.4) 2.9 (1.3) 4.0 (1.1) <0.001
Health Inspection Rating 2.8 (1.3) 2.8 (1.3) 2.6 (1.2) 3.6 (1.0) <0.001
Staffing Rating 2.8 (1.3) 2.8 (1.3) 3.0 (1.2) 3.5 (1.2) <0.001
Quality Measure Rating 3.7 (1.2) 3.6 (1.3) 3.8 (1.2) 4.1 (1.0) <0.001
Long-Stay QM Rating 3.9 (1.3) 3.8 (1.3) 4.0 (1.3) 4.1 (1.1) <0.001
Short-Stay QM Rating 3.3 (1.4) 3.2 (1.4) 3.4 (1.4) 3.8 (1.2) <0.001
1 Star ratings from CMS Nursing Home Compare (April 2026). Scale 1-5; higher = better.
2 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.