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Scoring Methodology - How to Calculate the Score The Maximum Possible Score that a facility can achieve is 132 points. The tool includes information from the 3 most recent standard surveys and information from all complaint surveys performed after or within one year of the most recent standard survey. Five categories (Administration, Nursing, Resident Rights, Kitchen/Food Services, and Environment) are reported and there are 132 items (3 surveys x 44 requirements). As part of the survey process, each deficiency (requirement not met) is assigned an alphabetic scope and severity rating (A through L). A numeric value has been assigned to each alphabetic scope and severity rating given. Each category is scored and these results are then summed to compute a total score for the nursing home. In order to enhance the scoring methodology, a new approach will be
applied to surveys which are completed after
The scoring begins with the Maximum Possible Score (132) from which points
are deducted based on the scope and severity of deficiencies that were
cited. The numeric value assigned to
each deficiency will depend on whether the survey was completed before or
after
The following is an example of how to calculate a score for each category. The category is Administration which has a maximum possible score of 39 points.
Step One:
Determine if the deficiencies were cited from surveys completed before or
after Step Two:
Locate the alphabetic S/S rating for the deficiencies listed under the Administration
category. Then, using the appropriate table, find its corresponding numeric
value. (When a nursing home has met all
of the key requirements in a category, no deficiencies are listed and there
is no further adjustment to the score. The home's score in that category is
equal to the Maximum Possible Score for the category.) Deficiency #2: Each
resident receives adequate supervision and assistance devices to prevent
accidents. (F 250) Deficiency #4: Each
resident receives adequate supervision and assistance devices to prevent
accidents. (F 324) Deficiency #5: The
facility ensures that residents and facility records are well maintained,
complete, and accessible for review by regulatory agencies. (F 514)
6/23/2007(G)The deficiency was cited on the 6/23/2007 survey. F 514 is not a Substandard Quality of Care
item. Thus, use S/S Table 2. S/S rating is "G" = numeric value of "2" Step Three: Add the numeric S/S values for the
deficiencies from surveys completed after
Deficiency #1 + Deficiency #3 + Deficency #5 = 1 + 3 +2 = 6 points Step Four: Compute an average S/S score for the
deficiencies from surveys completed before
Deficiency #2 + Deficiency #4 = 4 + 7 = 11 divided by 2 deficiencies = 5.5 round up to 6
Step Five:
Determine which weighting factor should be used and the number of points to
be deducted.
Weighting
factor of 2 x 2 deficiencies = 4 points Step Six: Add the points calculated from Step Three and Step 5. 6
points + 4 points = 10 points Step Seven: : Subtract the points calculated in Step Six from the maximum possible score in the category; Recall that it was 39 for the Administration category. The result is the Administration Score after Adjustment for Scope and Severity. 39 maximum
points - 10 point deduction = 29 Score after Adjustment for S/S Step Eight: Repeat Steps One through Seven for the remaining 4 categories reviewed. Step Nine: Sum the scores for all 5 categories to get the home's Total score.
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