Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Public Reporting

Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Public Reporting

Now available! Our new Provider Data Catalog makes it easier for you to search and download publicly reported data. We have also improved Medicare’s Compare sites.

Background

The Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 modified the Social Security Act requiring that SNFs be required to submit data for public reporting. In response, the Centers for Medicare & Medicaid Services (CMS) established the SNF QRP and authorized the Secretary to report quality measures that relate to care provided by SNFs on a CMS website.

Care Compare

Care Compare formats the reported data to be readily used by the public, which provides a snapshot of the quality of care for each SNF. This tool helps families compare some key quality metrics, such as pressure ulcers and readmissions, for over 15,000 SNFs across the nation.

Quality Measures for SNF Public Reporting

  • Discharge to Community (DTC) - Post Acute Care (PAC) SNF QRP [CMIT Measure ID #00210 (CBE-endorsed)]
  • Potentially Preventable 30-Days Post-Discharge Readmission Measure (PPR) for SNF QRP [CMIT Measure ID #00575 (not endorsed)]
  • Medicare Spending Per Beneficiary (MSPB) – PAC SNF QRP [CMIT Measure ID #00434 (not endorsed)]
  • Skilled Nursing Facility Healthcare-Associated Infections (HAI) Requiring Hospitalization [CMIT Measure ID #00680 (not endorsed)]
  • Application of Percent of Long Term Care Hospital Patients (LTCH) with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function [CMIT Measure ID #00513 (not endorsed)]
  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) [CMIT Measure ID #00520 (CBE-endorsed)]
  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury [CMIT Measure ID #00121 (not endorsed)]
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues – PAC SNF QRP [CMIT Measure ID #00225 (not endorsed)]
  • Application of IRF Functional Outcome Measure: Change in Self-Care (Consensus Based Entity [CMIT Measure ID #00402 (not endorsed)]
  • Application of IRF Functional Outcome Measure: Change in Mobility  [CMIT Measure ID #00401 (not endorsed)]
  • Application of IRF Functional Outcome Measure: Discharge Self-Care Score [CMIT Measure ID #00404 (not endorsed)]Application of IRF Functional Outcome Measure: Discharge Mobility Score [CMIT Measure ID #00403 (not endorsed)]
  • COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) [CMIT Measure ID #00121 (not endorsed)]
  • Influenza Vaccination Coverage among Healthcare Personnel (HCP) [CMIT Measure ID #00390 (CBE-endorsed)] (beginning October 2023)

SNF Provider Preview Reports

Before Quality Measure (QM) data is publicly reported on Care Compare, SNFs have an opportunity to review and correct, as well as preview, their data. A Review and Correct Report is available for providers to access in the CMS reporting system, which will assist them in identifying whether there are any issues with the assessment data already collected and submitted before the applicable quarterly data submission deadlines. The data for the CDC/NHSN measures are not added to the Review and Correct Reports since they are stewarded by the CDC. In lieu of this, the CDC makes accessible to SNFs reports that are similar to the Review and Correct Reports that allow for real-time review of data submissions for all CDC NSHN measures. These are referred to as “CMS Reports” within the “Analysis Reports” page in the NHSN Application. Correction of any errors identified by the facility must be submitted by the final submission deadlines found in the Downloads section of the SNF QRP Data Submission Deadlines webpage.

Following the QRP data submission deadline, a quarterly Provider Preview Report issued by CMS displays the data that will be publicly reported. The purpose of these reports is to give SNFs the opportunity to review their quality measure results on each quality measure prior to public display on Care Compare. Reports are available in the SNF Internet Quality Improvement and Evaluation System (iQIES).

SNFs will have 30 days to preview their quality measure results beginning on the date the reports are available. SNFs reviewing their preview reports will not be able to correct any of the underlying data, as all data submission/correction deadlines for the targeted period will have passed.

A SNF may request CMS review of the data contained within their Provider Preview Report, should they believe the quality measure results to be inaccurate (numerator, denominator or quality metric). All such requests must be made during the 30-day preview period.

Procedures for requesting CMS’ Review during Preview Period:

We encourage SNFs to review their data as provided in the SNF Provider Preview Reports. If a SNF disagrees with their quality measure results (numerator, denominator or quality metric) contained within their Provider Preview Report, they will have an opportunity to request review of that assertion by CMS. In order to make such a request, SNFs must adhere to the process outlined below:

  • Requests for CMS review of data may be submitted to CMS beginning on the day the SNF Provider Preview Reports are available in the SNF Internet Quality Improvement and Evaluation System (iQIES) folders through 11:59:59 p.m. PST on day 30 of the preview period.
  • CMS will not accept any requests for review of data that are submitted after the posted deadline, which falls on the last day of the preview period.
  • SNFs are required to submit their request to CMS via email with the subject line: “[Provider Name] SNF Public Reporting Request for Review of Data” and include their CMS Certification Number (CCN) (e.g., ABC Skilled Nursing Facility Public Reporting Request for Review of Data, XXXXXX). The request must be sent to the following email address: SNFQRPPRquestions@cms.hhs.gov.

The email request must include the following information:

  • SNF CCN
  • SNF Business Name
  • SNF Business Address
  • CEO or CEO-designated representative contact information including: name, email address, telephone number, and physical mailing address, i.e. not a post-office box
  • Information supporting the SNF’s belief that the data contained within the SNF’s Provider Preview Report are erroneous, including, but not limited to quality measures affected and aspects of quality measures affected (numerator, denominator or quality metric)
  • After submitting a request, SNFs will receive an email confirming receipt of their request and may be asked to provide additional information to allow CMS to fully evaluate the request. Such requests from CMS will be sent to the contact person named above.
  • CMS will review all requests and provide a response outlining the decision via email. Please note that SNF-identified errors resulting from inaccurate data submissions that a SNF failed to correct prior to the applicable quarterly data submission deadline are not acceptable reasons for granting reconsideration. Also, CMS will not consider correcting quality measure calculations that providers find to be inaccurate due to missing data that was submitted beyond the applicable quarterly data submission deadline.
  • Data that CMS decides/agrees to correct will be displayed during the subsequent quarterly release of SNF quality data on Care Compare.
  • The data used to generate the SNF Provider Preview Reports are frozen for the upcoming Care Compare refresh, and corrections submitted after the generation of the SNF Provider Preview Report will not be reflected until the next quarterly preview report is generated.

Please note: The only method for submitting a request to CMS for review of your preview report data is via email (SNFQRPPRquestions@cms.hhs.gov). Requests submitted by any other means will not be reviewed. CMS will not review any requests that include protected health information (PHI) or other Health Insurance Portability and Accountability Act (HIPAA) violations in the request being submitted to CMS.

Resources

Sign up for SNF QRP updates today!

SNF Public Reporting helpdesk: SNFQRPPRquestions@cms.hhs.gov

Updates

October 30, 2024

Care Compare and Provider Data Catalog October 2024 Refresh of SNF QRP Data – Now Available

The October 2024 refresh of the SNF QRP is now available on Care Compare and Provider Data Catalog (PDC).

The data are based on quality assessment data submitted by SNFs to Centers for Medicare & Medicaid Services (CMS) from Quarter 1, 2023 through Quarter 4, 2023. Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 4, 2023 through Quarter 1, 2024 for the Influenza Vaccination Coverage Among Healthcare Personnel measure, and Quarter 4, 2023 for the COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure. Claims-based measures data have been updated for the October 2024 refresh and display data from Quarter 4, 2021 through Quarter 3, 2023, and for the SNF Healthcare-Associated Infections (HAI) Requiring Hospitalization measure data is from Quarter 4, 2022 through Quarter 3, 2023.

The October 2024 refresh also includes the initial public reporting of one new assessment-based measure, Discharge Function Score, and the removal of three assessment-based measures: (1) Application of Percent of Long-Term Care Hospital (LTCH) Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function, (2) SNF Functional Outcome Measure: Change in Self-Care Score for Skilled Nursing Facility Residents, and (3) SNF Functional Outcome Measure: Change in Mobility Score for Skilled Nursing Facility Residents. Historic publicly reported data for the removed measures will be available on the nursing homes including rehab services archived data snapshots webpage.

The following SNF QRP measures are displayed on Care Compare and PDC in the October 2024 refresh:

  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay)

    • Q1 2023 – Q4 2023 (01/01/2023-12/31/2023)

  • Drug Regimen Review Conducted with Follow-Up for Identified Issues—PAC SNF QRP

    • Q1 2023 – Q4 2023 (01/01/2023-12/31/2023)

  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury

    • Q1 2023 – Q4 2023 (01/01/2023-12/31/2023)

  • Discharge Function Score

    • Q1 2023 – Q4 2023 (01/01/2023-12/31/2023)

  • SNF Functional Outcome Measure: Discharge Self-Care Score for Skilled Nursing Facility Residents

    • Q1 2023 – Q4 2023 (01/01/2023-12/31/2023)

  • SNF Functional Outcome Measure: Discharge Mobility Score for Skilled Nursing Facility Residents

    • Q1 2023 – Q4 2023 (01/01/2023-12/31/2023)

  • National Healthcare Safety Network (NHSN) Influenza Vaccination Coverage among Healthcare Personnel (HCP)

    • Q4 2023 – Q1 2024 (10/01/2023 - 03/31/2024)

  • National Healthcare Safety Network (NHSN) COVID-19 Vaccination Coverage among Healthcare Personnel (HCP)

    • Q3 2024 (10/01/2023-12/31/2023)

  • Medicare Spending Per Beneficiary – Post-Acute Care (PAC) SNF QRP

    • Q4 2021 – Q3 2023 (10/01/2021 -09/30/2023)

  • Discharge to Community - PAC SNF QRP

    • Q4 2021 – Q3 2023 (10/01/2021 -09/30/2023)

  • Potentially Preventable 30-Day Post-Discharge Readmission Measure – SNF QRP

    • Q4 2021 – Q3 2023 (10/01/2021 -09/30/2023)

  • SNF Healthcare-Associated Infections (HAI) Requiring Hospitalization

    • Q4 2022 – Q3 2023 (10/01/2022 - 09/30/2023)

Please visit Care Compare and PDC to view the updated quality data. For questions about SNF QRP Public Reporting, please email SNFQRPPRQuestions@cms.hhs.gov.

October 15, 2024

SNF Provider Preview Reports – Now Available

The SNF Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the January 2025 refresh.

Data contained within the Provider Preview Reports are based on quality assessment data submitted by SNFs from Quarter 2, 2023 through Quarter 1, 2024. The Centers for Disease Control and Prevention (CDC) measures reflect Influenza Vaccination Coverage Among Healthcare Personnel measure data from Quarter 4, 2023 through Quarter 1, 2024, and COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure data from Quarter 1, 2024. The claims-based measures data was updated for the October 2024 refresh. This data from Quarter 4, 2021 through Quarter 3, 2023 will continue to display, as well as the SNF Healthcare-Associated Infections (HAI) measure data from Quarter 4, 2022 through Quarter 3, 2023.

Providers have until November 14, 2024 to review their performance data. Only updates/corrections to the underlying assessment data before the final data submission deadline will be reflected in the publicly reported data on Care Compare. If a provider updates assessment data after the final data submission deadline, the updated data will only be reflected in the Facility-Level Quality Measure (QM) report and Patient-Level QM report. Updates submitted after the final data submission deadline will not be reflected in the Provider Preview Reports or on Care Compare. However, providers can request a CMS review of their data during the preview period if they believe the displayed quality measure scores within their Provider Preview Reports are inaccurate.

For those users experiencing issues locating their agency’s SNF Provider Preview Report, follow the steps outlined below:

  1. Log into iQIES using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. (If you do not have a HARP account, you may register for a HARP ID.)
  2. From the Reports menu, select My Reports.
  3. From the My Reports page, locate the SNF Provider Preview Reports folder.  Select the SNF Provider Preview Reports link to open the folder.
  4. Displayed for you is a list of reports available for download.  The reports or files are listed in descending order with the newest displaying at the top of the list.
  5. Select the desired SNF Provider Preview Report name link and the report will display.

New Users

New users will automatically receive the latest Provider Preview Report in their SNF Provider Preview Report folder once their new IQIES user role is approved.  Follow the steps above to locate your agency’s report in the SNF Provider Preview Report folder.

For questions related to accessing your facility’s Provider Preview Report, please contact the iQIES Service Center by email at iqies@cms.hhs.gov or call 1-800-339-9313. For questions about SNF Quality Reporting Program (QRP) Public Reporting, please email SNFQRPPRQuestions@cms.hhs.gov.

August 22, 2024

Attention SNF Providers – New SNF Preview Reports - Now Available

CMS originally released the October 2024 SNF Preview Reports on July 15, 2024, with a preview period that continued through August 14, 2024.  We recently discovered that a technical glitch prevented the posting of SNF Preview Reports for Swing Bed providers.  Because of this, CMS has decided to allow a second preview period for all SNF providers.  The technical issue has been corrected and the October 2024 SNF Preview Reports are now available for all providers.  These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the October 2024 refresh.

Additionally, the Preview Reports have been updated to account for measure additions and removals that will be implemented during the October 2024 refresh. The new assessment-based measure added to the Preview Reports is: Discharge Function Score. The three assessment-based measures removed from the Preview Reports are: (1) Application of Percent of Long-Term Care Hospital (LTCH) Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function, (2) SNF Functional Outcome Measure: Change in Self-Care Score for Skilled Nursing Facility Residents, and (3) SNF Functional Outcome Measure: Change in Mobility Score for Skilled Nursing Facility Residents. Historic publicly reported data for the removed measures will continue to be available on the nursing homes including rehab services archived data snapshots webpage.

The data contained within the Preview Reports are based on quality assessment data submitted by SNFs from Quarter 1, 2023 through Quarter 4, 2023. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 4, 2023 through Quarter 1, 2024 for the Influenza Vaccination Coverage Among Healthcare Personnel measure, and Quarter 4, 2023 for the COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure. The data for the claims-based measures have been updated for the October 2024 refresh and will display data from Quarter 4, 2021 through Quarter 3, 2023, and for the SNF Healthcare-Associated Infections (HAI) measure, from Quarter 4, 2022 through Quarter 3, 2023.

Providers have until September 23, 2024, to review their performance data. Only updates/corrections to the underlying assessment data before the final data submission deadline will be reflected in the publicly reported data on Care Compare. If a provider updates assessment data after the final data submission deadline, the updated data will only be reflected in the Facility-Level Quality Measure (QM) report and Patient-Level QM report. Updates submitted after the final data submission deadline will not be reflected in the Provider Preview Reports or on the Care Compare website. However, providers can request Centers for Medicare & Medicaid Services (CMS) review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate.

For those users experiencing issues locating their agency’s SNF Provider Preview Report, follow the steps outlined below:

  1. Log into iQIES at https://iqies.cms.gov/ using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. (If you do not have a HARP account, you may register for a HARP ID.)
  2. From the Reports menu, select My Reports.
  3. From the My Reports page, locate the SNF Provider Preview Reports folder.  Select the SNF Provider Preview Reports link to open the folder.
  4. Displayed for you is a list of reports available for download.  The reports or files are listed in descending order with the newest displaying at the top of the list.
  5. Select the desired SNF Provider Preview report name link and the report will display.

New Users

New users will automatically receive the latest SNF Provider Preview report in their SNF Provider Preview Report folder once their new IQIES user role is approved.  Follow the steps above to locate your agency’s report in the SNF Provider Preview Report folder.

For questions related to accessing your facility’s provider preview report, please reach out to the iQIES Service Center by email at iqies@cms.hhs.gov or call 1-800-339-9313. For questions about SNF Quality Reporting Program (QRP) Public Reporting, please email SNFQRPPRQuestions@cms.hhs.gov.

August 1, 2024

Care Compare July Refresh of SNF QRP Data – Now Available

The July 2024 refresh of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

The data are based on quality assessment data submitted by SNFs to Centers for Medicare & Medicaid Services (CMS) from Quarter 4, 2022 through Quarter 3, 2023. Additionally, the Centers for Disease Control and Prevention (CDC) COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure reflects data from Quarter 3, 2023, and for the Influenza Vaccination Coverage among Healthcare Personnel (HCP) measure, Quarter 4, 2022 through Quarter 1, 2023. The data for the claims-based measures will display data from Quarter 4, 2020 through Quarter 3, 2022, and for the SNF Healthcare-Associated Infections (HAI) Requiring Hospitalization measure, Quarter 4, 2021 through Quarter 3, 2022.

In summary, the following SNF QRP measures will be displayed on Care Compare and PDC during the July 2024 refresh:

  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay)
    • Q4 2022 – Q3 2023 (10/1/2022 – 9/30/2023)
  • Application of Percent of Long Term Care Hospital (LTCH) Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function 
    • Q4 2022 – Q3 2023 (10/1/2022 – 9/30/2023)
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues—PAC SNF QRP
    • Q4 2022 – Q3 2023 (10/1/2022 – 9/30/2023)
  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
    • Q4 2022 – Q3 2023 (10/1/2022 – 9/30/2023)
  • SNF Functional Outcome Measure: Change in Self-Care Score for Skilled Nursing Facility Residents
    • Q4 2022 – Q3 2023 (10/1/2022 – 9/30/2023)
  • SNF Functional Outcome Measure: Change in Mobility Score for Skilled Nursing Facility Residents
    • Q4 2022 – Q3 2023 (10/1/2022 – 9/30/2023)
  • SNF Functional Outcome Measure: Discharge Self-Care Score for Skilled Nursing Facility Residents
    • Q4 2022 – Q3 2023 (10/1/2022 – 9/30/2023)
  • SNF Functional Outcome Measure: Discharge Mobility Score for Skilled Nursing Facility Residents
    • Q4 2022 – Q3 2023 (10/1/2022 – 9/30/2023)
  • Medicare Spending Per Beneficiary – Post-Acute Care (PAC) SNF QRP
    • Q4 2020 – Q3 2022 (10/1/2020 – 9/30/2022)
  • Discharge to Community - PAC SNF QRP
    • Q4 2020 – Q3 2022 (10/1/2020 – 9/30/2022)
  • Potentially Preventable 30-Day Post-Discharge Readmission Measure – SNF QRP
    • Q4 2020 – Q3 2022 (10/1/2020 – 9/30/2022)
  • SNF Healthcare-Associated Infections (HAI) Requiring Hospitalization
    • Q4 2021 – Q3 2022 (10/1/2021 – 9/30/2022)
  • National Healthcare Safety Network (NHSN) COVID-19 Vaccination Coverage among Healthcare Personnel (HCP)
    • Q3 2023 (7/1/2023 – 9/30/2023)
  • National Healthcare Safety Network (NHSN) Influenza Vaccination Coverage among Healthcare Personnel (HCP)
    • Q4 2022 – Q1 2023 (10/1/2022 – 3/31/2023)

Please visit Care Compare and PDC to view the updated quality data. For questions about SNF QRP Public Reporting, please email SNFQRPPRQuestions@cms.hhs.gov.

July 15, 2024

SNF Provider Preview Reports – Now Available

The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the October 2024 refresh.

Additionally, the Preview Reports have been updated to account for measure additions and removals that will be implemented during the October 2024 refresh. The new assessment-based measure added to the Preview Reports is: Discharge Function Score. The three assessment-based measures removed from the Preview Reports are: (1) Application of Percent of Long-Term Care Hospital (LTCH) Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function, (2) SNF Functional Outcome Measure: Change in Self-Care Score for Skilled Nursing Facility Residents, and (3) SNF Functional Outcome Measure: Change in Mobility Score for Skilled Nursing Facility Residents. Historic publicly reported data for the removed measures will continue to be available on the nursing homes including rehab services archived data snapshots webpage.

The data contained within the Preview Reports are based on quality assessment data submitted by SNFs from Quarter 1, 2023 through Quarter 4, 2023. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 4, 2023 through Quarter 1, 2024 for the Influenza Vaccination Coverage Among Healthcare Personnel measure, and Quarter 4, 2023 for the COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure. The data for the claims-based measures have been updated for the October 2024 refresh and will display data from Quarter 4, 2021 through Quarter 3, 2023, and for the SNF Healthcare-Associated Infections (HAI) measure, from Quarter 4, 2022 through Quarter 3, 2023.

Providers have until August 14, 2024 to review their performance data. Only updates/corrections to the underlying assessment data before the final data submission deadline will be reflected in the publicly reported data on Care Compare. If a provider updates assessment data after the final data submission deadline, the updated data will only be reflected in the Facility-Level Quality Measure (QM) report and Patient-Level QM report. Updates submitted after the final data submission deadline will not be reflected in the Provider Preview Reports or on the Care Compare website. However, providers can request Centers for Medicare & Medicaid Services (CMS) review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate.

For those users experiencing issues locating their agency’s SNF Provider Preview Report, follow the steps outlined below:

  1. Log into iQIES at https://iqies.cms.gov/ using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. (If you do not have a HARP account, you may register for a HARP ID.)
  2. From the Reports menu, select My Reports.
  3. From the My Reports page, locate the SNF Provider Preview Reports folder.  Select the SNF Provider Preview Reports link to open the folder.
  4. Displayed for you is a list of reports available for download.  The reports or files are listed in descending order with the newest displaying at the top of the list.
  5. Select the desired SNF Provider Preview report name link and the report will display.

New Users

New users will automatically receive the latest SNF Provider Preview report in their SNF Provider Preview Report folder once their new IQIES user role is approved.  Follow the steps above to locate your agency’s report in the SNF Provider Preview Report folder.

For questions related to accessing your facility’s provider preview report, please reach out to the iQIES Service Center by email at iqies@cms.hhs.gov or call 1-800-339-9313. For questions about SNF Quality Reporting Program (QRP) Public Reporting, please email SNFQRPPRQuestions@cms.hhs.gov.

April 24, 2024

Care Compare April Refresh of SNF QRP Data – Now Available

The April 2024 refresh of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

The data are based on quality assessment data submitted by SNFs to Centers for Medicare & Medicaid Services (CMS) from Quarter 3, 2022 through Quarter 2, 2023. Additionally, the Centers for Disease Control and Prevention (CDC) COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure reflects data from Quarter 2, 2023, and for the Influenza Vaccination Coverage among Healthcare Personnel (HCP) measure, Quarter 4, 2022 through Quarter 1, 2023. The data for the claims-based measures will display data from Quarter 4, 2020 through Quarter 3, 2022, and for the SNF Healthcare-Associated Infections (HAI) Requiring Hospitalization measure, Quarter 4, 2021 through Quarter 3, 2022.

In summary, the following SNF QRP measures will be displayed on Care Compare and PDC during the April 2024 refresh:

  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay)
    • Q3 2022 – Q2 2023 (7/1/2022 – 6/30/2023)
  • Application of Percent of Long Term Care Hospital (LTCH) Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function 
    • Q3 2022 – Q2 2023 (7/1/2022 – 6/30/2023)
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues—PAC SNF QRP
    • Q3 2022 – Q2 2023 (7/1/2022 – 6/30/2023)
  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
    • Q3 2022 – Q2 2023 (7/1/2022 – 6/30/2023)
  • SNF Functional Outcome Measure: Change in Self-Care Score for Skilled Nursing Facility Residents
    • Q3 2022 – Q2 2023 (7/1/2022 – 6/30/2023)
  • SNF Functional Outcome Measure: Change in Mobility Score for Skilled Nursing Facility Residents
    • Q3 2022 – Q2 2023 (7/1/2022 – 6/30/2023)
  • SNF Functional Outcome Measure: Discharge Self-Care Score for Skilled Nursing Facility Residents
    • Q3 2022 – Q2 2023 (7/1/2022 – 6/30/2023)
  • SNF Functional Outcome Measure: Discharge Mobility Score for Skilled Nursing Facility Residents
    • Q3 2022 – Q2 2023 (7/1/2022 – 6/30/2023)
  • Medicare Spending Per Beneficiary – Post-Acute Care (PAC) SNF QRP
    • Q4 2020 – Q3 2022 (10/1/2020 – 9/30/2022)
  • Discharge to Community - PAC SNF QRP
    • Q4 2020 – Q3 2022 (10/1/2020 – 9/30/2022)
  • Potentially Preventable 30-Day Post-Discharge Readmission Measure – SNF QRP
    • Q4 2020 – Q3 2022 (10/1/2020 – 9/30/2022)
  • SNF Healthcare-Associated Infections (HAI) Requiring Hospitalization
    • Q4 2021 – Q3 2022 (10/1/2021 – 9/30/2022)
  • National Healthcare Safety Network (NHSN) COVID-19 Vaccination Coverage among Healthcare Personnel (HCP)
    • Q2 2023 (4/1/2023 – 6/30/2023)
  • National Healthcare Safety Network (NHSN) Influenza Vaccination Coverage among Healthcare Personnel (HCP)
    • Q4 2022 – Q1 2023 (10/1/2022 – 3/31/2023)

Please visit Care Compare and PDC to view the updated quality data. For questions about SNF QRP Public Reporting, please email SNFQRPPRQuestions@cms.hhs.gov.

April 15, 2024

SNF Provider Preview Reports – Now Available

The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the July 2024 refresh.

The data contained within the Preview Reports are based on quality assessment data submitted by SNFs from Quarter 4, 2022 through Quarter 3, 2023. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 4, 2022 through Quarter 1, 2023 for the Influenza Vaccination Coverage Among Healthcare Personnel measure, and Quarter 3, 2023 for the COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure. The data for the claims-based measures will display data from Quarter 4, 2020 through Quarter 3, 2022 for this refresh, and for the SNF Healthcare-Associated Infections (HAI) measure, from Quarter 4, 2021 through Quarter 3, 2022.

Providers have until May 15, 2024 to review their performance data. Only updates/corrections to the underlying assessment data before the final data submission deadline will be reflected in the publicly reported data on Care Compare. If a provider updates assessment data after the final data submission deadline, the updated data will only be reflected in the Facility-Level Quality Measure (QM) report and Patient-Level QM report. Updates submitted after the final data submission deadline will not be reflected in the Provider Preview Reports or on the Care Compare website. However, providers can request Centers for Medicare & Medicaid Services (CMS) review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate.

For those users experiencing issues locating their agency’s SNF Provider Preview Report, follow the steps outlined below:

  1. Log into iQIES at https://iqies.cms.gov/ using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. (If you do not have a HARP account, you may register for a HARP ID.)
  2. From the Reports menu, select My Reports.
  3. From the My Reports page, locate the SNF Provider Preview Reports folder. Select the SNF Provider Preview Reports link to open the folder.
  4. Displayed for you is a list of reports available for download. The reports or files are listed in descending order with the newest displaying at the top of the list.
  5. Select the desired SNF Provider Preview report name link and the report will display.

New Users

New users will automatically receive the latest SNF Provider Preview report in their SNF Provider Preview Report folder once their new IQIES user role is approved. Follow the steps above to locate your agency’s report in the SNF Provider Preview Report folder.

For questions related to accessing your facility’s provider preview report, please reach out to the iQIES Service Center by email at iqies@cms.hhs.gov or call 1-800-339-9313. For questions about SNF Quality Reporting Program (QRP) Public Reporting, please email SNFQRPPRQuestions@cms.hhs.gov.

January 31, 2024

Care Compare January Refresh of SNF QRP Data – Now Available

The January 2024 refresh of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

The data are based on quality assessment data submitted by SNFs to Centers for Medicare & Medicaid Services (CMS) from Quarter 2, 2022 through Quarter 1, 2023. Additionally, the Centers for Disease Control and Prevention (CDC) COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure reflects data from Quarter 1, 2023, and for the Influenza Vaccination Coverage among Healthcare Personnel (HCP) measure, Quarter 4, 2022 through Quarter 1, 2023. The data for the claims-based measures will display data from Quarter 4, 2020 through Quarter 3, 2022, and for the SNF Healthcare-Associated Infections (HAI) Requiring Hospitalization measure, Quarter 4, 2021 through Quarter 3, 2022.

In summary, the following SNF QRP measures will be displayed on Care Compare and PDC during the January 2024 refresh:

  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay)
    • Q2 2022 – Q1 2023 (4/1/2022 – 3/31/2023)
  • Application of Percent of Long Term Care Hospital (LTCH) Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function 
    • Q2 2022 – Q1 2023 (4/1/2022 – 3/31/2023)
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues—PAC SNF QRP
    • Q2 2022 – Q1 2023 (4/1/2022 – 3/31/2023)
  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
    • Q2 2022 – Q1 2023 (4/1/2022 – 3/31/2023)
  • SNF Functional Outcome Measure: Change in Self-Care Score for Skilled Nursing Facility Residents
    • Q2 2022 – Q1 2023 (4/1/2022 – 3/31/2023)
  • SNF Functional Outcome Measure: Change in Mobility Score for Skilled Nursing Facility Residents
    • Q2 2022 – Q1 2023 (4/1/2022 – 3/31/2023)
  • SNF Functional Outcome Measure: Discharge Self-Care Score for Skilled Nursing Facility Residents
    • Q2 2022 – Q1 2023 (4/1/2022 – 3/31/2023)
  • SNF Functional Outcome Measure: Discharge Mobility Score for Skilled Nursing Facility Residents
    • Q2 2022 – Q1 2023 (4/1/2022 – 3/31/2023)
  • Medicare Spending Per Beneficiary – Post-Acute Care (PAC) SNF QRP
    • Q4 2020 – Q3 2022 (10/1/2020 – 9/30/2022)
  • Discharge to Community - PAC SNF QRP
    • Q4 2020 – Q3 2022 (10/1/2020 – 9/30/2022)
  • Potentially Preventable 30-Day Post-Discharge Readmission Measure – SNF QRP
    • Q4 2020 – Q3 2022 (10/1/2020 – 9/30/2022)
  • SNF Healthcare-Associated Infections (HAI) Requiring Hospitalization
    • Q4 2021 – Q3 2022 (10/1/2021 – 9/30/2022)
  • National Healthcare Safety Network (NHSN) COVID-19 Vaccination Coverage among Healthcare Personnel (HCP)
    • Q1 2023 (1/1/2023 – 3/31/2023)
  • National Healthcare Safety Network (NHSN) Influenza Vaccination Coverage among Healthcare Personnel (HCP)
    • Q4 2022 – Q1 2023 (10/1/2022 – 3/31/2023)

Please visit Care Compare and Provider Data Provider Data Catalog (PDC) to view the updated quality data. For questions about SNF QRP Public Reporting, please email SNFQRPPRQuestions@cms.hhs.gov.

January 16, 2024

SNF Provider Preview Reports – Now Available

The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the April 2024 refresh.

The data contained within the Preview Reports are based on quality assessment data submitted by SNFs from Quarter 3, 2022 through Quarter 2, 2023. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 4, 2022 through Quarter 1, 2023 for the Influenza Vaccination Coverage Among Healthcare Personnel measure, and Quarter 2, 2023 for the COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure. The data for the claims-based measures will display data from Quarter 4, 2020 through Quarter 3, 2022 for this refresh, and for the SNF Healthcare-Associated Infections (HAI) measure, from Quarter 4, 2021 through Quarter 3, 2022.

Providers have until February 15, 2024 to review their performance data. Only updates/corrections to the underlying assessment data before the final data submission deadline will be reflected in the publicly reported data on Care Compare. If a provider updates assessment data after the final data submission deadline, the updated data will only be reflected in the Facility-Level Quality Measure (QM) report and Patient-Level QM report. Updates submitted after the final data submission deadline will not be reflected in the Provider Preview Reports or on the Care Compare website. However, providers can request Centers for Medicare & Medicaid Services (CMS) review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate.

For those users experiencing issues locating their agency’s SNF Provider Preview Report, follow the steps outlined below:

  1. Log into iQIES at https://iqies.cms.gov/ using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. 
    1. If you do not have a HARP account, you may register for a HARP ID.
  2. From the Reports menu, select My Reports.
  3. From the My Reports page, locate the SNF Provider Preview Reports folder. Select the SNF Provider Preview Reports link to open the folder.
  4. Displayed for you is a list of reports available for download. The reports or files are listed in descending order with the newest displaying at the top of the list.
  5. Select the desired SNF Provider Preview report name link and the report will display.

New Users

New users will automatically receive the latest SNF Provider Preview report in their SNF Provider Preview Report folder once their new IQIES user role is approved.  Follow the steps above to locate your agency’s report in the SNF Provider Preview Report folder.

For questions related to accessing your facility’s provider preview report, please reach out to the iQIES Service Center by email at iqies@cms.hhs.gov or call 1-800-339-9313. For questions about SNF Quality Reporting Program (QRP) Public Reporting, please email SNFQRPPRQuestions@cms.hhs.gov.

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