5-Star Quality Rating

January 29, 2021


This webinar will focus on the 3 components of the 5-Star Quality Rating System along with the final calculations of the facility’s overall star rating. The COVID-19 public health emergency has impacted the 5-Star Quality Ratings. The January 2021 refresh will include data from 2020 including infection control surveys. The survey process has restarted after being frozen for months. The PBJ data is again being calculated. Nursing Home Administrators and facility clinical teams are extremely interested in their 5-Star ratings and have many questions about how their rating is being calculated and updated. This webinar will explain the cut points, timeframes and which information is used to calculate the rating and which information is reported publicly. Learn how the MDS completion of OBRA discharge MDSs and Death in facility tracking form impacts the Staffing star rating, which Quality Measures impact the Quality Measure star and how infection control surveys and complaint surveys impact the survey score. On completion of this webinar, the attendee should be able to explain how the final star rating is determined from the individual stars for the 3 components of this system.



Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.

Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter & Co. P.C., providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).

Credit Hours

  • 1.5 credit hours for RNs
  • 1.5 credit hours for NABs

This pre-recorded webinar expires on June 5, 2021.


Hansen Hunter & Co. P.C. clients are invited to access any of our webinars for free by contacting Allison Johnson at our office at 503.244.2134 to receive your free registration code.