A USA TODAY analysis of government ratings for more than 15,000 nursing homes over the last three years shows a higher percentage receiving top ratings, although more than 500 homes have remained stuck at the lowest rating during that time.
In the Sacramento-area, both American River Care Center and Florin Health Care Center recieved only one star.
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The share of nursing homes receiving one or two stars overall fell to 35% in 2011 from 40% in 2009. At the same time, four- and five-star homes increased to 43% from 38% of nursing homes. The share of three-star homes remained steady.
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The table above shows the five-star ratings for nursing homes compiled by the Centers for Medicare & Medicaid Services. The ratings come from annual state survey inspections and performance on quality of care measures. They also capture how much time nursing home staff spends with residents. Each of those categories is given its own star rating. Results from state surveys make up the biggest component of the overall star rating.
CMS provides the most recent star ratings on its Nursing Home Compare website but does not include ratings from prior years. Because the survey inspections happen continuously, a home's ratings can change at any time. The table above presents the overall star ratings as reported December 2009, 2010 and 2011. Because of the timing of annual inspections, some nursing homes may not be included in each of the ratings periods, and some of the ratings may have changed between reporting periods.