Drag any lever and the stars recalculate using CMS's own scoring tables — the same value→points tables and star cut points CMS publishes, verified below against this facility's published ratings. Left side: what you'd change. Right side: what CMS would do with it. Nothing you do here changes any real data — play freely.
▲ These actions could help the score
The three easiest wins, ranked by real CMS payoff per unit of effort — click “show me” to see one play out below.
▼ These could hurt the score
Where is most fragile — the smallest slips that cost real points or stars.
Health Inspection — the anchor
The overall star STARTS here. CMS weights the last three surveys — the newest counts half. 's current weighted score is (lower is better; the 5★ bar is ≤). Ask: what if the next survey comes in at…
Next survey — deficiency points
no change
Staffing
Only moves the overall at the extremes: 5★ adds a star, 1★ subtracts one. sits at of 380 points — 5★ needs .
Quality — long-stay residents
Long-stay measure points sum to the long-stay block (max 1,150). Together with short-stay it sets the QM star — 5★ adds a star to the overall.
Quality — short-stay & rehab
Six short-stay measures, rescaled to the same 1,150-point block per CMS's rules.
The stars, recalculated
Today
→
Simulated
Overall = Health Inspection star, +1 if Staffing is 5★ (−1 if 1★), +1 if Quality is 5★ (−1 if 1★). A 1★ inspection caps how far the others can lift it.
Model check running…
What you changed
Nothing yet — drag a lever.
One-click plays
Read this before quoting a simulated star: Simulations score against today's cut points — CMS regrades on a curve every quarter (our data refreshes monthly). Quality measures average over four quarters, so real-world gains phase in over ~a year; this shows the destination. Readmissions, ER visits and hospitalizations come from claims — only real operational change moves them. Simulated stars are planning tools, never quotable ratings.
Questions & comments
Tell us anything — what's unclear, what looks wrong, what you'd like to see. It goes straight to Lavon and Chip.