Medicare Refreshes Nursing-Home Quality Data, but One Spending Measure Is Still Waiting

A caregiver and older adults in a residential care setting. Illustrative archive, not a U.S. facility assessed by CMS.
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Photo: A caregiver and older adults in a residential care setting. Illustrative archive, not a U.S. facility assessed by CMS. Jsme MILA / Pexels. Cropped under the Pexels License.

Families comparing nursing homes have a new set of federal quality figures to consult, but “updated” does not mean every number describes care delivered this year. One spending measure has not refreshed at all.

The Centers for Medicare & Medicaid Services announced the October refresh of its Skilled Nursing Facility Quality Reporting Program data on October 28. The figures are available through Medicare’s comparison tool and the Provider Data Catalog. This is an update to public reporting, not a new nursing-home care rule issued Friday.

The important detail is on CMS’s public-reporting page: the measures do not share one reporting window. A reader comparing facilities needs to check both what a measure counts and when the underlying care occurred.

Why the spending number is older

The Medicare Spending Per Beneficiary measure still reflects the fourth quarter of 2022 through the third quarter of 2024. CMS says delays in the availability of claims data prevented the scheduled October 2026 update.

The agency now plans to release updated provider scores covering the fourth quarter of 2023 through the third quarter of 2025 with the January 2027 refresh. A spending figure that looks unchanged in the October release therefore is not, by itself, evidence that a facility’s more recent performance stood still.

For a family considering a placement, that makes the reporting period part of the question, rather than a footnote. The October release date is not the date of the care being measured.

The other measures run on different clocks

CMS lists these periods for the October refresh:

  • Assessment-based measures: the first through fourth quarters of 2025.
  • Potentially preventable 30-day post-discharge readmissions and discharge to community: the fourth quarter of 2023 through the third quarter of 2025.
  • Healthcare-associated infections requiring hospitalization: the fourth quarter of 2024 through the third quarter of 2025.
  • Staff influenza vaccination: the fourth quarter of 2025 through the first quarter of 2026.
  • Staff COVID-19 vaccination and residents up to date on COVID-19 vaccination: the fourth quarter of 2025.

These are separate measures of different aspects of care. The program includes information on outcomes such as returning to the community, readmission, infections, falls, skin integrity and function. A stronger result on one measure does not answer every question a prospective resident has about a facility.

The practical approach is to compare the same measure across facilities, read its definition and reporting period, and ask a facility how its current care practices relate to that historical result. The federal update is useful evidence, but it is not a live report of conditions inside a nursing home today.

A separate deadline for operators

The October public release should not be confused with the provider preview reports made available October 15. Those preview reports show scores intended for the January 2027 public refresh. CMS says providers have until November 14, 2026, to review their performance data.

That preview is not a fresh opportunity to rewrite late assessment submissions. CMS says the underlying submission and correction deadlines still apply. Providers may request a CMS review during the preview period if they believe the displayed measure results are inaccurate, but assessment updates submitted after the final deadline will not appear in the public data.

CMS also says two COVID-19 vaccination measures will leave public reporting beginning with the January 2027 refresh: staff vaccination coverage and the share of residents who are up to date. Historical publicly reported data will remain in the Provider Data Catalog’s SNF QRP archive files. Their future removal should not be mistaken for a new facility-specific score or a change already made in the October release.

For families and operators alike, the first check is the same: identify the measure, its reporting period and whether the figure belongs to the current public release or a future preview. Those distinctions keep a new publication date from being read as a real-time judgment.

Healthcare Desk | WASHINGTON
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