Yesterday, the federal government rolled out a revamped and simplified approach to its evaluations of nursing homes, in order to make the onerous task of choosing the right one easier for families. Like the system the government uses for rating Medicare health and drug plans, the Nursing Home Compare site now gives nursing homes from 1 to 5 stars, overall and in each of three areas—performance in the latest three quarterly reports in 10 key quality measures, such as the percentage of residents with urinary tract infections; performance in the latest three annual health inspections; and adequacy of both overall staffing and staffing by registered nurses.
The following states have the highest percentages of nursing homes with the worst rating of 1 star for performance in the 10 quality measures.
| Rank | State | Total, all nursing homes | 1 star |
|---|---|---|---|
| 1 | Oregon | 137 | 38.0 percent |
| 2 | Washington | 234 | 35.0 percent |
| 3 | Louisiana | 283 | 33.2 percent |
| 4 | Oklahoma | 315 | 31.1 percent |
| 5 | Nevada | 46 | 30.4 percent |
| 6 | Utah | 90 | 30.0 percent |
| 7 | California | 1,234 | 29.2 percent |
| 8 | Wyoming | 39 | 28.2 percent |
| 9 | Ohio | 940 | 28.1 percent |
| 10 | West Virginia | 130 | 27.7 percent |
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