SNF Performance Intelligence  ·  5-Factor Scorecard

How does your SNF
score across 5 factors?

The 5-Factor SNF Scorecard measures your facility across Quality, Finance, Staffing, Compliance, and Census. Know where you stand — and what to fix first.

National Avg 5-Star Rating3.2 / 5
Top Quartile Quality4+ QMs
Healthy Operating Margin3–6%
CMS Min Staffing3.48 HPRD
Strong Census88%+ occupancy
Free Tool

The 5-Factor SNF Scorecard

Rate your facility 1–10 on each factor based on current performance. Get your composite score and see where to focus first.

Factor 1
Quality Measures (QMs)
5
Factor 2
Financial Performance
5
Factor 3
Staffing Adequacy
5
Factor 4
Survey & Compliance
5
Factor 5
Census & Occupancy
5
—
5-Factor Composite Score

Each factor equally weighted at 20%. Scores 8–10 indicate top-quartile performance; 5–7 are average; below 5 needs immediate attention. Use this to prioritize your operational improvement calendar.

About the 5 Factors

What drives SNF performance — and what to measure first.

Most SNF performance problems are visible in one of these five dimensions before they show up in surveys, reimbursement, or occupancy drops.

Factor 1: Quality

Quality Measures — your public face

CMS 5-Star Quality Measure ratings, QM scores on Care Compare, short- and long-stay measures. Poor QM performance is visible to every family researching facilities.

Factor 2: Finance

Financial health — the foundation

Operating margin, days cash on hand, labor as % of revenue, supply costs, ancillary capture. Financial weakness accelerates every other problem.

Factor 3: Staffing

Staffing adequacy — regulatory and clinical

HPRD relative to CMS minimums, RN coverage, turnover rate, agency utilization. Staffing drives quality measures, survey outcomes, and resident satisfaction.

Factor 4: Compliance

Survey and regulatory compliance

Most recent survey results, G and higher deficiencies, Special Focus Facility status, state complaint history. One bad survey cycle can drive occupancy loss for 12-18 months.

Factor 5: Census

Census and occupancy — the revenue driver

Current occupancy vs. budget, payer mix, Medicare/Medicaid ratio, discharge planning alignment. Census shortfall is often the first visible sign of systemic problems.

SNF Factor Intelligence Brief

Monthly: how top-quartile facilities score across the 5 factors and what they do differently.