Choosing a nursing home for yourself or a loved one can be a daunting task. In 2009, the federal government launched a five-star rating scale to help consumers navigate the decision. Over the years, critics have expressed concerns over grade inflation and accused some facilities of gaming the system. Now, the government has revised the ratings to better reflect quality. The result, some argue, is a more accurate and less rosy picture of the industry. Since the new rules went into effect, nearly a third of nursing homes have been marked down on their overall grade while two-thirds lost points on individual measures. We take a look at reassessing care in America’s nursing homes.


  • Toby Edelman Senior policy attorney, Center for Medicare Advocacy.
  • Barbara Gay Director of government affairs, Leading Age.
  • Anne Montgomery Senior policy analyst, Center for Elder Care and Advanced Illness at the Altarum Institute.
  • Dr. Patrick Conway Deputy administrator for Innovation and Quality and chief medical officer at the Centers for Medicare and Medicaid Services.

Poll: How Did Your Family Choose A Nursing Home?

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