Nursing Home Staffing Star Rating Points (CMS Five-Star Cut Points)
Nursing home staffing star from CMS's cut points: points for six staffing and turnover measures, rescaled when one is missing.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Adjusted RN hours per resident day
- 0.786
- Adjusted total nurse hours per resident day
- 4.151
- Adjusted weekend total nurse hours per resident day
- 3.668
- RN turnover
- 41.667
- Total nurse turnover
- 45.679
- Administrator departures in the period
- 1
Result: 4 stars: 295 of 380 points
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Adjusted RN hours per resident day
- Adjusted total nurse hours per resident day
- Adjusted weekend total nurse hours per resident day
- RN turnover (%)
- If RN turnover is missing, why
- Total nurse turnover (%)
- If total nurse turnover is missing, why
- Administrator departures in the period
The other 2 fields
- If administrator departures are missing, why
- Scoring exception
How this is calculated
Citation
CMS. Design for Care Compare, Nursing Home Five-Star Quality Rating System: Technical Users' Guide, September 2026: Scoring Rules for the Staffing Measures, Rating Methodology (rescaling), Table 3 (star point ranges), Scoring Exceptions, and Appendix Table A2 (cut points set July 2024). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.