On October 23, 2024, CMS released Fiscal 2025 State Performance Standards System Guidance for State Survey Agency. The State Performance Standards System is used to measure how successful surveyors are in inspecting Medicare and Medicaid certified nursing homes.
For 2025, CMS has added a single new measure: State agencies will be assessed on six items that, when combined, show how well agencies perform in Nursing Home Recertification Survey Deficiency Citation and Tasks Investigated.
The six measures that make up the overall score are:
- Number of deficiencies per 1,000 beds
- Percentage of deficiency-free surveys
- Percentage of surveys identifying G, H or I scope and severity
- Percentage of surveys identifying J, K or L scope and severity
- Percentage of surveys where one or more mandatory tasks were not investigated
- Percentage of surveys where one or more triggered tasks were not Investigated
In the memo, CMS states that the inclusion of this new measure is to understand broader performance of the State Survey Agency and not establish deficiency or investigation quotas or limits.