Big changes are coming to the way nursing homes are rated, and if you're part of the industry, it’s vital to prepare now. Starting in July 2025, the Centers for Medicare & Medicaid Services (CMS) is implementing updates to the Five-Star Quality Rating System to make ratings more accurate, transparent, and reflective of current performance. These changes are detailed in the QSO-25-20-NH memorandum, marking a significant shift for skilled nursing facilities (SNFs) across the country. Beyond understanding these updates, facilities must adapt quickly to maintain and improve their ratings—and that’s where Strategic Healthcare Programs (SHP) can help.

In 2025, CMS has highlighted critical focus areas for surveyors conducting health inspections in Long-Term Care (LTC) facilities. These priorities emphasize improving care quality, enhancing regulatory compliance, and ensuring resident well-being. I read the recently released CMS 2025 Mission & Priorities document to summarize the key areas for focused review, provide you with best practices for each item and action opportunities with practical steps to help your facility prepare.

This blog post is a summary of our industry topic webinar, 'The Facility Assessment: Meeting the Challenge.' Continue reading for additional resources and a link to the video. Facility assessments are critical in the healthcare industry, especially in light of recent regulatory changes. These assessments play a significant role in ensuring that healthcare facilities meet the needs of their residents while adhering to industry standards.