Table 2. Risk-Standardized 30-Day Hospital Readmission Rates From SNFa.
| Variable | SNF-years, No. (%)b | Readmission rate, % (95% CI) | ||
|---|---|---|---|---|
| Models with NHC rating | Models with review website rating | Models with both NHC and review website ratings | ||
| Nursing Home Compare star rating (n = 3614) | ||||
| 1-star (worst) | 276 (7.6) | 23.4 (22.8-23.9) | NA | 23.3 (22.7-23.9) |
| 2-star | 621 (17.2) | 22.8 (22.4-23.2) | NA | 22.7 (22.3-23.1) |
| 3-star | 567 (15.7) | 22.7 (22.3-23.1) | NA | 22.7 (22.3-23.1) |
| 4-star | 909 (25.2) | 22.7 (22.4-23.1) | NA | 22.7 (22.4-23.1) |
| 5-star (best) | 1241 (34.3) | 21.8 (21.5-22.1)c | NA | 21.8 (21.6-22.1)c |
| Review website rating (n = 3614) | ||||
| <1.5 (worst) | 798 (22.1) | NA | 22.8 (22.4-23.2) | 22.7 (22.3-23.0) |
| 1.5-2.4 | 770 (21.3) | NA | 22.8 (22.5-23.2) | 22.8 (22.4-23.1) |
| 2.5-3.4 | 980 (27.1) | NA | 22.5 (22.2-22.8) | 22.5 (22.2-22.8) |
| 3.5-4.4 | 628 (17.4) | NA | 21.9 (21.5-22.4)c | 22.1 (21.7-22.5) |
| >4.4 (best) | 438 (12.1) | NA | 21.9 (21.4-22.4)d | 22.0 (21.5-22.5)e |
| NHC and review website ratings (n = 747) | ||||
| 1-star and <1.5 review website rating (worst) | 101 (2.8) | NA | NA | 23.3 (22.7-24.0) |
| 2-star and 1.5-2.4 review website rating | 146 (4.0) | NA | NA | 23.1 (22.6-23.6) |
| 3-star and 2.5-3.4 review website rating | 148 (4.1) | NA | NA | 22.8 (22.3-23.3) |
| 4-star and 3.5-4.4 review website rating | 164 (4.5) | NA | NA | 22.4 (21.9-22.9) |
| 5-star and >4.4 review website rating (best) | 188 (5.2) | NA | NA | 21.3 (20.7-21.8)f |
| Adjusted R2 | NA | 0.009 | 0.007 | 0.013g |
Abbreviations: NA, not applicable; NHC, Nursing Home Compare; SNF, skilled nursing facilities.
a
The review website, Yelp, is an online platform that allows consumers to rate and review businesses and services; scored on a 1- to 5-star rating scale, with 1 star indicating the lowest rating and 5 stars indicating the highest rating.
b
SNF-years.
c
Significantly different from the reference group (lowest rating) P < .001.
d
Significantly different from the reference group (lowest rating) P = .008.
e
Significantly different from the reference group (lowest rating) P = .004.
f
Significantly different from the reference group (lowest rating) P = .04.
g
Significantly different from Nursing Home Compare Rating only model, P = .003.