Long-Term Nursing Home Rate
Identifying Attributes
Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
Guiding an Improved Dementia Experience (GUIDE) Model Performance Metrics
Type of Quality Indicator
Not Applicable
IOM Quality Dimension
Descriptive
Domain
Other
Defining Attributes
Definition
CMS will calculate a performance rate and benchmarks using CMS administrative data, which will allow CMS to incorporate this metric into the performance-based payment adjustment more quickly (i.e., in the first or second model performance year). Specifically, CMS will use the CMS Minimum Data Set file to identify beneficiaries residing in a nursing home whose stay is not covered under the Medicare skilled nursing facility benefit.
Numerator
Number of beneficiaries residing in a nursing home whose stay is not covered under the Medicare skilled nursing facility benefit.
Denominator
Number of beneficiaries residing in a nursing home
Exclusions
Use of Risk Adjustment
No
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Administrative data
Data Collection Methods
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No
Source and Reference Attributes
Evidence Source
Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025
Contents
Actions
Date Modified 02 December 2025