Nursing Home Care for Veterans
Please enter your location in the search box to view information about the quality of care provided in nursing homes in your area. The nursing home options displayed are VA Community Living Centers and private sector nursing homes with whom VA contracts. This data will be updated quarterly.
Click here for more information about this Quality Data.
Quality Data
VA’s Community Living Center (CLC) Compare Report features a star rating system adapted from Medicare’s Five Star Rating Methodology that gives each facility a rating between 1 and 5 stars. These CLC ratings are based on:
- Health surveys
- Staffing
- Quality of resident care measures
Each of these 3 domains are assigned a star rating, and, in addition, an overall 5-Star rating calculated to allow as close of a comparison to community nursing homes as possible.
The CLC Compare replicates Medicare’s five-star rating method as closely as possible, but is still a “work in progress”. For instance, VA is only able to report 11 out of 16 Medicare quality measures for skilled nursing facilities. We are working on the remaining 5 and plan to release those over the next year once they are available.
- Using the star rating with other information
- The star rating system can give important information about topics that residents and families find important, but isn’t a substitute for visiting a facility. Residents and families should use the star ratings, together with other sources of information such as a personal visit or a discussion with a clinical provider that understands the resident’s needs and the capabilities of a facility. The Medicare Guide to Choosing a Nursing Home (PDF) and Nursing Home Checklist (PDF) may help with questions to ask when visiting a facility.
- What goes into the CLC Compare Report
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- Health Surveys
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Medicare Certified Skilled Nursing Facilities as well as VA Community Living Centers must meet standards set by the federal government to protect residents. Examples of these standards include:
- Hiring enough quality staff to provide adequate care
- Managing medications properly
- Protecting residents from physical and mental abuse
- Storing and preparing food properly
- The care of residents and the processes used to give that care
- How the staff and residents interact
- The nursing home environment
The survey star rating is based on the last 3 years of onsite surveys, with the greatest weight given to the most recent survey. Star ratings are assigned based on how the Community Living Center scores compare with Medicare nursing homes in the same state. In some cases, VA surveyors may be “tougher graders” than state surveyors, so the star rating comparisons are only approximate.
- Staffing
- The staffing rating has information about the number of hours of care provided on average to each resident each day by nursing staff, which include registered nurses (RN), licensed practical/vocational nurses (LPN/LVN), and nurse aides (NA). Care hours are derived from automated systems that track staff assignments and care. Total care hours are adjusted for the fact that some residents are sicker and therefore have greater care needs. For example, a Community Nursing Home with residents who had more severe needs would be expected to have more nursing staff than one where the residents do not need as much care. Star ratings are assigned based on how the Community Living Center performs compared with Medicare nursing homes across the nation.
- Quality Measures
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The quality measure rating has information on different physical and clinical measures for CLC residents. This information is collected by VA Community Living Centers as well as by Medicare Skilled Nursing Facilities for all residents using the latest version of the Resident Assessment Instrument - Minimum Data Set. The information collected includes the residents' health, physical functioning, mental status, and general well-being and offer information about the progress of resident’s physical and clinical needs. Medicare Skilled Nursing Facilities and VA CLCs use the quality measures to review and improve the quality of the care they give to residents. Information is listed for 2 groups of residents:
- Short-stay residents - those who spent 100 days or less in a nursing home
- Long-stay residents - those who spent over 100 days in a nursing home
- Quality Measures are not the same as Quality Standards
- According to Medicare Nursing Home Compare the quality of resident care measures aren’t benchmarks, thresholds, guidelines, or standards of care. They are snapshot, at a point in time, of the average condition of residents. The measures also may not take into account the special populations that are served by a facility, which may cause higher rates of certain conditions. For example, a CLC that specializes in complex skin and wound care may admit Veterans with severe pressure ulcers that occurred at home or another hospital. If those residents require more than 100 days for healing, those residents will be counted in the numerator of the “Pressure Ulcer among High Risk Long Stay Residents” measure, even if their care in the CLC was entirely appropriate and met medical standards.
- Things to Keep in Mind for the Overall Star Rating
- No rating system can address all the important considerations that go into a decision about which nursing home/CLC may be best for a particular person. Examples include the extent to which specialty care is provided (such as specialized rehabilitation, hospice care, or care focused on behavioral or cognitive difficulties) or how easy it will be for family members to visit the nursing home resident. Visits from family can improve both the residents' quality of life and quality of care, so it may often be better to select a nursing home or VA CLC that is close over one that may be farther. Veterans and their caregivers should therefore use CMS Star Ratings together with other sources of information, such as a personal visit and tour, to determine the long-term care setting that is most appropriate.
Name | Medicare Overall Star Rating | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVE MARIA VILLAGE
A. AVE MARIA VILLAGE |
4
4Overall |
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BENEDICTINE LIVING CENTER OF GARRISON
B. BENEDICTINE LIVING CENTER OF GARRISON |
3
3Overall |
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BETHANY ON 42ND
C. BETHANY ON 42ND |
5
5Overall |
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BETHANY ON UNIVERSITY
D. BETHANY ON UNIVERSITY |
5
5Overall |
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EVENTIDE HI ACRES MANOR (EVENTIDE JAMESTOWN)
E. EVENTIDE HI ACRES MANOR (EVENTIDE JAMESTOWN) |
4
4Overall |
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Fargo ND CLC
F. Fargo ND CLC |
4
4Overall |
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GOOD SAMARITAN SOCIETY - LAKOTA
G. GOOD SAMARITAN SOCIETY - LAKOTA |
3
3Overall |
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GOOD SAMARITAN SOCIETY - LARIMORE
H. GOOD SAMARITAN SOCIETY - LARIMORE |
5
5Overall |
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LUTHER MEMORIAL HOME
I. LUTHER MEMORIAL HOME |
4
4Overall |
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LUTHERAN SUNSET HOME
J. LUTHERAN SUNSET HOME |
3
3Overall |
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MARIAN MANOR HEALTHCARE CENTER
K. MARIAN MANOR HEALTHCARE CENTER |
4
4Overall |
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MARYHILL MANOR
L. MARYHILL MANOR |
4
4Overall |
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ROSEWOOD ON BROADWAY
M. ROSEWOOD ON BROADWAY |
5
5Overall |
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SHEYENNE CARE CENTER
N. SHEYENNE CARE CENTER |
2
2Overall |
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ST LUKES HOME
O. ST LUKES HOME |
2
2Overall |
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ST ROSE CARE CENTER
P. ST ROSE CARE CENTER |
2
2Overall |
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VILLA MARIA
Q. VILLA MARIA |
3
3Overall |
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501 19TH ST NE
JAMESTOWN, ND, 58401
609 4TH AVE NE
GARRISON, ND, 58540
4255 30TH AVE S
FARGO, ND, 58104
201 S UNIVERSITY DR
FARGO, ND, 58103
1300 SECOND PLACE NE
JAMESTOWN, ND, 58401
2101 Elm Street
Fargo, ND, 58102
608 4TH AVE SW
LAKOTA, ND, 58344
501 E FRONT ST
LARIMORE, ND, 58251
750 MAIN ST E
MAYVILLE, ND, 58257
333 EASTERN AVE
GRAFTON, ND, 58237
604 ASH AVE E
GLEN ULLIN, ND, 58631
110 HILLCREST DRIVE
ENDERLIN, ND, 58027
1351 N BROADWAY
FARGO, ND, 58102
979 CENTRAL AVE N
VALLEY CITY, ND, 58072
242 10TH ST W
DICKINSON, ND, 58601
315 1ST ST SE
LAMOURE, ND, 58458
3102 S UNIVERSITY DR
FARGO, ND, 58103
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- Legend
- Orange Contract Nursing Home
- Purple Community Living Center