Washington – Nearly a third of the state and nation's nursing homes are getting lower scores on the government's five-star quality scale, a reflection of tougher standards for ratings used by nearly 1.5 million consumers to assess care at more than 15,000 facilities.
The ratings reflect sweeping changes in the way facilities are evaluated. The revamped assessments include measures of facilities' use of anti-psychotic drugs, which can pose serious risks for older adults, especially those with dementia. They also use more refined metrics to check for adequate staf...
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