Virginia Health Information
 
Home > Long Term Care Introduction > Compare Nursing Home Facilities > Methodology

ABOUT NURSING FACILITY


Collecting and Updating Nursing Facility Data

Data Sources and Collection
The data on VHI's website describes nursing facility characteristics, inspection results, staffing information and quality measures.

The data comes from two sources:

  1. CMS's Online Survey, Certification and Reporting (OSCAR) database - Includes the nursing facility characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations. Click here for more information
  2. Nursing Facility inspections ensure that the nursing facility residents receive quality care and services in a safe and comfortable environment according to rules established by the Centers for Medicare & Medicaid Services (CMS). State Survey Agencies inspect nursing facilities.
    The inspections occur at least once during a 15-month period, or any time in between when the state receives a complaint. Complaints may be reported and nursing facilities inspected outside of the 9-15 month survey cycle.
    Inspections about a complaint that result in a health deficiency citation are reported to CMS and included on this website. Sometimes inspectors find a deficiency that the nursing facility already identified and corrected before the inspection was done. These prior deficiencies may be included in this website.
    The State Survey Agencies are then responsible for entering survey information into the OSCAR database and updating it as needed. Every attempt is made to assure the information is accurate and up-to-date; however, it should be interpreted carefully and used along with information from the Long Term Care Ombudsman's office, the State Survey Agency, or other sources.
  3. National database known as the Minimum Data Set (MDS) Repository
  4. The data for the quality measures come from the MDS Repository. The MDS is an assessment that is done at regular intervals on every resident in a Medicare or Medicaid-certified nursing facility. Information is collected about the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing facility to assess each residentís needs and develop a plan of care. Click here for more information
  5. Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.
    All of these data are reported by the nursing facilities themselves. It is reviewed by nursing facility inspectors, but not formally checked to ensure accuracy. Every attempt is made to assure the information is accurate and up-to-date. However, this information changes frequently as residents are discharged and admitted, or residentsí conditions change. The information should be interpreted cautiously and used along with information from the Long Term Care Ombudsman's office, the State Survey Agency, or other sources.
    Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these “observation” or “look back” time frames.

Quality Measures

MDS Observation Time Frame *

Long-Stay Measures

Percent of long-stay residents given influenza vaccination during the flu season October 1 thru March 31
Percent of long-stay residents who were assessed and given pneumococcal vaccination Looks back 5 years
Percent of long-stay residents whose need for help with daily activities has increased Looks back 7 days
Percent of long-stay residents who have moderate to severe pain Looks back 7 days
Percent of high-risk long-stay residents who have pressure sores Looks back 7 days
Percent of low-risk long-stay residents who have pressure sores Looks back 7 days
Percent of long-stay residents who were physically restrained Looks back 7 days
Percent of long-stay residents who are more depressed or anxious Looks back 30 days
Percent of low-risk long-stay residents who lose control of their bowels or bladder Looks back 14 days
Percent of long-stay residents who have/had a catheter inserted and left in their bladder Looks back 14 days
Percent of long-stay residents who spent most of their time in bed or in a chair Looks back 7 days
Percent of long-stay residents whose ability to move about in and around their room got worse Looks back 7 days
Percent of long-stay residents who had a urinary tract infection Looks back 30 days
Percent of long-stay residents who lose too much weight Looks back 30 days

Short-Stay Measures

Percent of short-stay residents given influenza vaccination during the flu season October 1 thru March 31
Percent of short-stay residents who were assessed and given pneumococcal vaccination Looks back 5 years
Percent of short-stay residents who have delirium Looks back 7 days
Percent of short-stay residents who had moderate to severe pain Looks back 7 days
Percent of short-stay residents who have pressure sores Looks back 7 days

*When multiple MDS items with more than one “look back” timeframes are used to calculate the measure, this table displays the longest “look back” timeframe.

Data Updates

The OSCAR data contained on this website is updated on a monthly basis and the MDS data is updated quarterly. However, there may be a lag time between the date of the survey and the date that the survey results are entered into the OSCAR database. Therefore, the OSCAR data on which these results are based may not necessarily reflect the results from the last survey completed.

Each nursing facility is also required by law to have the latest survey results on hand for the public to review. For the most recent survey results, contact the Office of Licensure and Certification at 804-367-2100.

Note To Nursing Facilities

  • If the information about your nursing facility is incorrect or has changed, please contact the Office of Licensure and Certification at 804-367-2100 to have it updated.
  • If you are Medicare or Medicaid-certified, but are not listed in this database, please contact the Office of Licensure and Certification at 804-367-2100 to have them correct your information in CMS's Online Survey, Certification, and Reporting (OSCAR).

Collecting and updating nursing facility data source from CMS website.



◊ ◊ ◊

Return to Nursing Facilities

Top of page