Medicare-certified skilled nursing facilities, inpatient rehabilitation facilities and long-term care hospitals are required to report quality measure data to CMS under the Improving Medicare Post-Acute Care Transformation Act of 2014.
CMS collects and reports the care quality measure performance data on a national, state and provider level.
Healthcare-associated infection rates are measured as standardized infection ratios. A value less than 1.0 indicates fewer infections than expected and a value over 1.0 indicates more infections than expected.
A higher reported change in mobility score indicates a greater improvement between admission and discharge.
Provider-level performance scores for long-term care facilities can be found here, for inpatient rehabilitation facilities can be found here and for skilled nursing facilities can be found here.
Here are the national performance rates from 2023, as reported by CMS in December:
Long-term care hospitals
- Catheter-associated urinary tract infection rate: 0.717
- Central line-associated bloodstream infection rate: 0.715
- Clostridium difficile infection rate: 0.313
- Risk-adjusted change in mobility scores at discharge for patients admitted on a ventilator: 6
- Percentage of patients who experienced one or more falls with major injury during their stay: 0.1%
- Percentage of healthcare personnel who got a flu shot for the current season: 71.5%
Inpatient rehabilitation facilities
- Catheter-associated urinary tract infection rate: 1.107
- Clostridium difficile infection rate: 0.395
- Risk-adjusted change in mobility scores at discharge for patients admitted on a ventilator: 58.7
- Percentage of patients who experienced one or more falls with major injury during their stay: 0.2%
- Percentage of healthcare personnel who got a flu shot for the current season: 79.1%
Skilled nursing facilities
- National observed healthcare-associated infection rate: 7.05
- Number of facilities with HAI rates better than the national rate: 93
- Number of facilities with HAI rates no different from the national rate: 10,990
- Number of facilities with HAI rates worse than the national rate: 298
- Percentage of residents who experienced one or more falls with major injury during their stay: 0.8%
- Percentage of healthcare personnel who got a flu shot for the current season: 45%