Methodology

Newsweek‘s Best Nursing Homes 2020 recognizes just over 400 of the best nursing homes across the 20 largest US states: California, Texas, Florida, New York, Pennsylvania, Illinois, Ohio, Georgia, North Carolina, Michigan, New Jersey, Virginia, Washington, Arizona, Massachusetts, Tennessee, Indiana, Mis-souri, Maryland, Wisconsin. The states were selected based on population size.

Eligibility
Included are single branches of nursing homes (e. g. Okeechobee Health Care Facility), no nursing home groups or chains. Nursing homes had to have a capacity of at least 150 certified beds¹ to be considered.

Analysis
For every nursing home that was part of the analysis a score was calculated. The score is based on two data sources:

• Recommendations from medical experts (nurses, administrators, therapists and physicians)
• Nursing Home performance based on CMS² data in three domains (health inspections, staffing, and quality measures)

The graphic below shows the rating model. The overall rating is calculated by combining the reputation survey score (15%) and the performance data score (85%). The ranking of nursing home domains by survey participants was used to determine the weights for creating the performance data score.

Selection of awarded Nursing Homes

The amount of nursing homes awarded in each state varies by the number of nursing homes that achieved the threshold score. The state of New York had the most nursing homes awarded with 63, while Missouri is represented with 3 nursing homes.

In order to be awarded as a best nursing home, a threshold of 5 out of 10 possible points had to be achieved in all three-performance based sub-dimensions (health inspections, staffing and quality measures). A total of 406 facilities have achieved the required number of points and fulfil the eligibility criteria.

All eligible nursing homes have been assigned a rank that shows performance within a state. For further information on the methodology please click here.

¹2070 nursing homes in the US according to the July 2019 Nursing Home Compare data files

²The U.S. Centers for Medicare & Medicaid Services (CMS) provides monthly updated performance data for each nursing home that participates in Medicare or Medicaid

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