CMS began posting staffing data on Care Compare in January 2022. This data was incorporated into the Five Star Quality Rating System beginning in July 2022 and we have recently heard concern from several members about how administrator turnover is calculated and displayed. Specifically, when an administrator goes on leave for more than 60 days, they are counted as administrator turnover. In most cases, a temporary administrator fills in and leaves or returns to their previous position when the original administrator returns from leave. This, too, counts as administrator turnover. We have pointed out to CMS that data showing a correlation between administrator turnover and quality of care does not distinguish between true administrator turnover and turnover reflective of administrators on leave and suggested that CMS create a process to adjust Care Compare in these circumstances. CMS has agreed to examine the data and continue this conversation.
