🔄 What’s Changing?
✅ 1. Inspection Rating Calculation (Effective July 30, 2025)
CMS will now use only your two most recent standard surveys, not three, to calculate your health inspection rating.
Why it matters:
- A single recent deficiency now has double the weight, eliminating older surveys as buffers.
✅ 2. Long-Stay Antipsychotic Use Benchmark (Effective October 29, 2025)
CMS will include claims data in addition to MDS data, raising the national benchmark from 14.64% to ~16.98%.
Why it matters:
- Your reported antipsychotic use rate may increase, potentially dropping your quality measure even without clinical practice changes.
💡 3 Moves Smart Operators Are Making Right Now
✔️ 1. Running Mock Rating Scenarios
Facilities are simulating updated inspection calculations to identify where scores may drop — then prioritizing quick corrective action before July.
✔️ 2. Auditing Antipsychotic Prescribing Practices
Clinical teams are reviewing long-stay antipsychotic use now, tightening documentation, and implementing de-prescribing protocols to stay below benchmarks after the metric shifts.
✔️ 3. Reassessing Referral and Payer Strategy
Operators are evaluating which contracts or hospital referral agreements tie to 5-Star ratings, preparing proactive communication if scores shift post-update.
🔦 Bottom Line
Regulatory updates may seem like administrative housekeeping — but they impact:
✅ Referrals and hospital partnerships
✅ Payer negotiations and reimbursement rates
✅ Public reputation on Care Compare
Smart operators aren’t waiting for July. They’re moving now to protect their ratings — and their competitive edge.
Your star ratings tell families, hospitals, and payers that your facility runs smoothly. Procurement performance is part of that story. SupplyLine supports facilities nationwide with reliable supply chains, sharp pricing, and operational ease — helping you maintain the reputation you’ve earned.
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