We create the overall 5-star rating for nursing homes based on 3 parts: 1) Health inspections 2) Quality measures (QMs) and 3) Staffing. Star ratings for each part and the overall rating range from 1 star to 5 stars, with more stars indicating better quality. Step 2: Add 1 star if the staffing rating is 4 or 5 stars and greater than the health inspections
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