Some nursing homes inflated staffing levels and failed to report accidents or health issues among residents. Nursing home information submitted to CMS was often incorrect and made the facilities appear safer and cleaner than they were. COVID-19 patients treated at five-star nursing homes were about as likely to die as those treated at facilities with one star. Of more than 3,500 nursing homes with five stars from CMS, at least 2,400 were cited for infection control issues or patient abuse, according to January 2020 data from Nursing Home Compare. The publication also obtained ratings data that are not publicly available from scholars who had research agreements with CMS. 
To assess the accuracy of these ratings, the Times analyzed millions of payroll records, 373,000 state inspection reports and financial statements of more than 10,000 nursing homes submitted to the government. have taken advantage of the CMS star ratings system to achieve higher ratings without addressing quality issues, according to an investigative report from The New York Times.
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