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Providing quality care requires expertise, high standards and dedication. A high rating from the Centers for Medicare & Medicaid Services is clear proof that the level of care offered at a senior care community is top-tier in the industry. But to truly appreciate a CMS 5-star rating, it helps to understand how the rating is determined.


A CMS 5-Star Rating Matters to a Lot of People


Residents and Families

Future residents and their families look for a high nursing home star rating as proof that the health care they’ll receive at a community will be high caliber. Current residents and families like to know the community’s standards have remained high, and they can feel secure if they need more health care extensive support.


Staff Members

Talented nursing professionals want to work with the best, and a CMS 5-star rating means they’ll join a team that holds high senior care standards and an environment and culture that provides opportunities to grow their skills. If you see a 5-star rating, you can feel confident that dedicated team members will work there, now and in the future.


Discharge Planners, Social Workers, Physicians

When referring patients, medical professionals rely on reports from third-party experts like the Center for Medicare and Medicaid Services to recommend communities that can provide the quality health care you need.


Insurance Companies, Accountable Care Organizations and Bundled Payment Providers

Seniors are more frequently receiving referrals through these group organizations, and as a rule, they only recommend communities rated three stars or above by CMS.


How Is a 5-Star Rating Calculated?


If you’re looking for a senior living community that provides quality care, but you don’t have a medical background, a jargon-free explanation of the excellence behind a CMS nursing home star rating can strengthen your confidence in the care you’ll receive at a community with the distinction. It’s an intricate calculation, so we’ve broken it down into the distinct components.

Three components that make up a CMS 5-star rating: The health inspections, quality measures and staffing standards.


Health Inspections

To find this portion of the rating, scores from state-conducted health inspections are combined with a deficiency rating and the number of substantiated complaints. The scores of all senior care facilities in the state are then graded on a curve. The top 10% receive 5-star ratings. The bottom 20% receive 1-star ratings. The middle 70% are divided into three sections of 23.33% and awarded 2-star, 3-star and 4-star ratings based on their scores.


Quality Measures

CMS uses ten quality measures to rate this portion of their overall score. These quality measures include seven long-term (chronic) categories and three short-term (post-acute) categories.

Long-Term Care Quality Measures:

  • Activities of Daily Living (ADL) Decline (Is a long-term care resident’s ability to conduct fundamental self-care tasks worsening?)
  • Mobility Decline (To what extent is a long-term care resident less active and mobile than when they started their stay?)
  • Catheter (What percentage of long-term care residents require the use of a catheter?)
  • High-Risk Pressure Ulcers (How many long-term care residents have experienced this type of injury?)
  • Physical Restraints (Has the community had to confine long-term care residents?)
  • Urinary Tract Infections (How many long-term care residents have experienced UTIs during their care at the community?)
  • Moderate to severe pain (Have long-term care residents reported high levels of pain?)

Short-Term Care Quality Measures:

  • Pressure Ulcers (How many short-term care residents have experienced this type of injury?)
  • Moderate to Severe Pain (Have short-term care residents reported high levels of pain?)
  • Delirium (To what extent have short-term care residents experienced an acutely disturbed state of mind?)

The reports of ADL decline and mobility decline are the most heavily weighted in the score (1.667 times the others). The total quality measures score is then calculated on a nationwide curve among senior care facilities. The top 10% receive 5-star ratings. The bottom 20% receive 1-star ratings. The middle 70% are divided into three sections of 23.33% and awarded 2-star, 3-star and 4-star ratings based on their scores.


Staffing Standards

This component specifically records the quantity and availability of the nursing staff. Other community team members, while important, aren’t measured here. CMS measures how many hours registered nurses spend with each resident each day, as well as how many hours the total nursing staff — registered nurses, licensed practical nurses and nurse aides — spend with each resident each day. A senior care facility must meet or exceed the CMS staffing study thresholds (the staffing level CMS deems sufficient) to receive a 5-star rating.


Achieving a CMS 5-star rating is an impressive feat, and it’s a metric that matters to many seniors and their families when searching for a senior living community. Ask a community about their CMS rating to help ensure the health care you or your loved one can expect will be exemplary.


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Don’t let uncertain times stop your search for assisted living.

If you or someone in your family is considering an assisted living apartment or assisted living facility — you shouldn’t allow uncertainty to slow or stop your efforts to choose the best assisted living community. Why? For one thing, the clock is ticking on preserving your independence. Typically, the best assisted living communities have a waiting list for their assisted living homes and apartments. The average wait time is 6 months. And with the options of virtual tours and virtual visits available to you now, there’s no reason to let precious time slip away without making progress on your search.


It takes time to compare.

Choosing the assisted living community that’s right for your specific situation will likely take time for legwork and homework. Assisted living apartments, assisted living contracts and assisted living facilities, in general, can vary broadly. Some are home to just a small number of people, and others may have hundreds of residents. There is no one-size-fits-all when it comes to assisted living communities. They vary in size, appearance and the types of services they offer. There are also differences in the levels of assistance and care they offer and their associated costs.

Checking with your state or local Area Agency on Aging (AAA) or visiting the websites of LeadingAge and Argentum (formerly the Assisted Living Federation of America), can help you develop a short list of assisted living communities in your area to compare. Once you have specific communities in mind, you’ll need to gather relevant information about each of them.


First comes research.

Gathering information starts by calling to begin learning about the community’s location, size, types of services and more. You can request brochures, a price list, a site map and floor plans. You may also request copies of all documents that will need to be signed before admittance, including the residency contract. You can review everything carefully, bearing in mind that marketing literature and a residency contract are different in nature. The contract is legally binding.

When you’re ready, you should visit the community. In fact, you should have several visits over the course of time. Some of these visits should be unannounced on a weekend or in the evening.

These visits, in addition to having your financial advisor and attorney review the occupancy contract, will provide vital information on which to base your comparisons. Then, of course, there are the costs of assisted living to consider. Medicare does not cover assisted living. Most people pay for these services out-of-pocket. And though some states cover certain services under Medicaid, for the majority of people, assisted living costs must be paid through private resources.


Questions in need of answers.

When evaluating options for assisted living, there are questions that most people will have concerning the physical accommodations, amenities, and the level of service and care available. Then there are questions that probe a little deeper about the staff, their training and level of experience, the availability of clinical professionals on-site, and more. Finally, there are questions germane to your personal situation. You should spend time considering all this with your family to develop a checklist to keep in a notebook and refer to during an on-site visit or virtual visit. Here is a printable checklist from AARP on what to ask when comparing assisted living communities.

For a more comprehensive overview of key points to consider, as well as specific questions to ask when searching for the right assisted living facility, refer to this Life Care Services article, How to Spot a Great Assisted Living Community.


Experience is everything.

If you believe that you or a loved one could benefit from the environment and services of an assisted living facility, don’t allow the uncertainty of any unexpected situation to squander your precious time. Call a Life Care Services community to arrange a personal virtual appointment. Life Care Services communities offer a continuum of care that will let you move in and out of care levels as needed, often at no additional cost. That’s guaranteed care for life. But if you prefer convenience and flexibility, and don’t find an entrance fee to be appealing, a rental retirement community may be the best choice for your needs.

As you explore your options, use our Find a Community locator tool. With over 140 rental and Life Care communities around the country, Life Care Services is sure to have the right option for you and your family.

Let us help you explore your living options. Experience is everything. Just contact us through our website, or call 515.875.4500

Coronavirus Update – March 15, 2020

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Hello Arboria of Long Grove community,

The health and safety of residents living in our community is our top priority, and we are closely monitoring the ongoing situation regarding the coronavirus (COVD-19). We understand that COVID-19 is on everyone’s mind, and we want to be communicative and transparent in the steps Arboria of Long Grove is taking to prepare our community during this unprecedented event. Our team has been working tirelessly to prepare for possible scenarios related to COVID-19.

We’ve developed a series of precautionary steps that our community is implementing to help reduce everyone’s risk of COVID-19. Additionally, you can access updates at the following website.

Our community is:

  • Continuing to follow the guidance from both the CDC and local health authorities
  • Increasing the frequency and rigor of cleaning and sanitizing common community areas
  • Encouraging a temporary reduction in visitation and deliveries
  • Reducing on-site group social events and recreational activities
  • Reviewing our emergency preparedness and response program
  • Asking residents to communicate any travel plans
  • Coordinating best practices and across our large partner network
  • Making the CDC’s COVID-19 prevention resources and recommendations available to all residents

According to the CDC, many of our residents are at a higher risk for serious illness, and we’re providing all residents and their families with the most up-to-date guidance from the CDC and local health officials on the steps they can take to reduce the risk of COVID-19.

We are strongly encouraging all our residents to follow the CDC’s guidelines for individuals at higher risk, which includes:

  • Avoiding crowds and large social gatherings
  • Regularly cleaning and disinfecting personal spaces
  • Avoiding touching your face
  • Regularly washing your hands with soap and water for at least 20 seconds
  • Stay in your residence if you are showing flu-like symptoms or are sick with respiratory illness, including fever, and coughing

These are simple yet important steps that we should all be taking to protect ourselves and our community.

Our teams are staying in communication with local health officials and will share regular updates on COVID-19. For more the most up to date information and personal health recommendations, please visit the websites below:

Updates from LCS:

COVID-19 Prevention Recommendations:

COVID-19 Symptoms:

What To Do If You Think You Are Sick: