TABLE 2.

Associations of home time with SNF 5‐star overall ratings

	30‐d home time		90‐d home time
	Marginal effect (P‐value)	95% CI	Marginal effect (P‐value)	95% CI
Overall star rating: 2 stars (ref = 1 star)	1.18 (<.001)	0.67, 1.70	3.18 (<.001)	1.51, 4.85
Overall star rating: 3 stars (ref = 1 star)	1.18 (<.001)	0.66, 1.71	3.34 (<.001)	1.64, 5.03
Overall star rating: 4 stars (ref = 1 star)	1.50 (<.001)	0.99, 2.00	4.10 (<.001)	2.47, 5.74)
Overall star rating: 5 stars (ref = 1 star)	1.50 (<.001)	0.99, 2.00	4.31 (<.001)	2.68, 5.93
Observations used	23 460		23 285

Based on authors’ analysis of the Master Beneficiary Summary File, Medicare Provider Analysis and Review File, Long‐Term Care Minimum Data Set 3.0, revenue center file, Centers for Medicare and Medicaid Services’ FY 2014 Final Rule Tables and Nursing Home Compare file, and the Area Health Resources File, 2014. Marginal effects estimated from zero‐inflated negative binomial regression models for home time in the 30‐ and 90‐d follow‐up periods; regression models accounted for patient‐, SNF‐, and county‐level factors. The estimates show, for example, that compared to beneficiaries discharged from 1‐star SNFs, those discharged from 5‐star SNFs spent an additional 1.50 d at home in the 30‐d follow‐up period, or an additional 4.31 d at home in the 90‐d follow‐up period.