Figure 2.

Facility level 30-day risk-adjusted rehospitalization rates, facility level risk-adjusted successful discharge, and Medicare nursing home star rating by average percent African Americans admitted to skilled nursing facilities. Note: The unit of analysis is the skilled nursing facility. Graphs are truncated to focus on the differences. The 30-day risk-adjusted skilled nursing facility rehospitalization measure and adjusted successful discharge to the community follow the American Health Care Association methodology (22,24), and Nursing Home Compare Five Star Quality Rating System is designed by the Centers for Medicare and Medicaid Services (25). There are 33 different demographic and clinical variables included in the risk adjustment model for the rehospitalization measure. Similarly, the discharge measure is risk adjusted using 59 demographic and clinical variables. The overall star rating of is based on facility performance for health inspections, staffing, and quality measures.