AGE Quality Reports

The Ohio Department of Aging (AGE) provides statewide and individual facility-level reports each quarter to provide a comprehensive, data‑driven assessment of Ohio’s nursing homes. The Statewide Report highlights statewide and regional performance trends across the Ohio Department of Health’s eight Hospital Preparedness Program regions and includes detailed results across four key domains: Quality of Care, Quality of Life, Elder Rights, and System Performance. Facility-level reports allow for a data-driven, actionable analysis tailored to each facility’s performance.

Resource List

This full resource list includes a comprehensive range of supports, including programs and certification opportunities, quality improvement (QI) and safety toolkits, process maps, change packages, research findings, action plans, fact sheets, Excel Academy materials, and online trainings. The list will be updated quarterly to ensure the information remains current.

The resource list is available for download in Excel format for ease of use and offline reference.

Metric	Resource Name	Description
# of hospitalizations per 1,000 long-stay residents' days	INTERACT Pathway QI Program,Training, Tools, Licensing and Resources	The primary goal of INTERACT (Interventions to Reduce Acute Care Transfers) is to reduce avoidable hospital transfers by improving early identification, evaluation, and management of changes in a resident’s condition. INTERACT offers multimodal training and certifications to prevent avoidable hospital transfers and trainings start at $250 depending on facility selected level of engagement.
# of hospitalizations per 1,000 long-stay residents' days	EXCEL Courses - Transitions of Care	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
# of Outpatient ED Visits per 1,000 Long-Stay Resident Days	INTERACT Pathway QI Program,Training, Tools, Licensing and Resources	The primary goal of INTERACT (Interventions to Reduce Acute Care Transfers) is to reduce avoidable hospital transfers by improving early identification, evaluation, and management of changes in a resident’s condition. INTERACT offers multimodal training and certifications to prevent avoidable hospital transfers and trainings start at $250 depending on facility selected level of engagement.
# of Outpatient ED Visits per 1,000 Long-Stay Resident Days	AHRQ Safety Program for Nursing Homes: On-Time Preventable Hopital and Emergency Department Visits	The Agency for Healthcare Research and Quality (AHRQ) created these tools to help a multidisciplinary nursing home team prevent hospital and emergency department visits that can be avoided with good preventive care.
# of Outpatient ED Visits per 1,000 Long-Stay Resident Days	EXCEL Courses - Transitions of Care	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
% of Short-Stay Residents Re-Hospitalized After a Nursing Home Admission	INTERACT Pathway QI Program, Training, Tools, Licensing and Resources	The primary goal of INTERACT (Interventions to Reduce Acute Care Transfers) is to reduce avoidable hospital transfers by improving early identification, evaluation, and management of changes in a resident’s condition. INTERACT offers multimodal training and certifications to prevent avoidable hospital transfers and trainings start at $250 depending on facility selected level of engagement.
% of Short-Stay Residents Re-Hospitalized After a Nursing Home Admission	EXCEL Courses - Transitions of Care	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
% of Short-Stay Residents Re-Hospitalized After a Nursing Home Admission	AHRQ Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits	The Agency for Healthcare Research and Quality (AHRQ) created these tools to help a multidisciplinary nursing home team prevent hospital and emergency department visits that can be avoided with good preventive care.
% of Short-Stay Residents who had an Outpatient ED Visit	INTERACT Pathway QI Program, Training, Tools, Licensing and Resources	The primary goal of INTERACT (Interventions to Reduce Acute Care Transfers) is to reduce avoidable hospital transfers by improving early identification, evaluation, and management of changes in a resident’s condition. INTERACT offers multimodal training and certifications to prevent avoidable hospital transfers and trainings start at $250 depending on facility selected level of engagement.
% of Short-Stay Residents who had an Outpatient ED Visit	AHRQ Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits	The Agency for Healthcare Research and Quality (AHRQ) created these tools to help a multidisciplinary nursing home team prevent hospital and emergency department visits that can be avoided with good preventive care.
% of Short-Stay Residents who had an Outpatient ED Visit	EXCEL Courses - Transitions of Care	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
% of Short-Stay Residents who had an Outpatient ED Visit	AHRQ Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits	The Agency for Healthcare Research and Quality (AHRQ) created these tools to help a multidisciplinary nursing home team prevent hospital and emergency department visits that can be avoided with good preventive care.
Average Yo-Yo Compliance Instances per Nursing Home	US Department of Health and Human Services Nursing Facility ICPG Guide	The Nursing Facility Industry Segment-Specific Compliance Program Guidance (ICPG) Nursing Facility Compliance Program outlines key risk areas to help nursing facilities strengthen their compliance programs.
Average Yo-Yo Compliance Instances per Nursing Home	EXCEL Courses (Med Op, Nutrition, Transitions of Care, and IPC)	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
CMS Quality Measure Score (Overall)	Superior Health Quality Alliance Quality Improvement Nursing Homes Projects	As the contracted quality innovation network-quality improvement organization (QIN-QIO) for 2025-2030, Superior will offer quality improvement and safety projects to Ohio Nursing Homes Scope of Work contracted for 2025 - 2030.
CMS Quality Measure Score (Overall)	EXCEL Courses	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
CMS Quality Measure Score (Overall)	National Nursing Home Quality Care Collaborative Change Package	This change package provides nursing homes with proven strategies and actionable steps to improve resident care and quality of life by reducing healthcare-acquired conditions, enhancing performance practices, and promoting evidence-based approaches. It draws on successful practices from high-performing facilities and includes tools like improvement bundles and templates to support implementation and sharing of best practices.
CMS Quality Measure Score (Overall)	IHI Enhanced QI Adoption in US Nursing Homes	This report synthesizes research findings and offers recommendations for organizations aiming to improve nursing home quality through evidence-based practices and organizational culture.
CMS Staffing Score	NH Quality Campaign Resource Guide	This guide provides practical steps for implementing consistent staff assignment in nursing homes, a strategy that strengthens caregiver-resident relationships, improves quality of care, and enhances staff satisfaction. It includes tools, tips, and action plans to help facilities adopt and sustain this best practice effectively.
CMS Staffing Score	Miami University SCRIPPS Gerontology Center Resources	Miami Univ SCRIPPS Gerontology Center offers an elearning course on Emotion Focused Communication, a paper on Direct Support Professional Retention Recommendations by Monica Schneider, and a BELTSS course on Management Matters and Financial Retention Strategies Associated with Nurse Aid Turnover by John Bowblis.
Family Satisfaction Score	Family Council Center by Consumer Voice	Consumer Voice's Family Council Center offers families comprehensive tools, templates and guides to encourage effective family councils. This resources supports the improvement in family satisfaction scores.
Family Satisfaction Score	Scripps Gerontology Communication and Care Coordination Guide for Families	The Family Meeting Guide is a structured, self-guided toolkit that helps educate staff to empower families to communicate openly, strengthen trust, involvement and family satisfaction.
Family Satisfaction Score	Resident and Family Council Toolkit	This toolkit, provided by the Office of the State Long-Term Care Ombudsman, equips providers and empowers families with strategies to strengthen family councils to help address issues affecting family satisfaction.
Family Would Recommend Nursing Home	Family Council Center by Consumer Voice	Consumer Voice's Family Council Center offers families comprehensive tools, templates and guides to encourage effective family councils. This resources supports the improvement in family satisfaction scores.
Meal and Dining Score	Pioneer Network Dining Resources including Dining Practice Standards	Pioneer Network offers an array of dining practice standards established to enhance the dining experience. This self-guided resource provides individualized dining practice standards that support quality of life and nutritional well-being by resident choice. There are nine additional free dining resources.
Meal and Dining Score	EXCEL Course - Nutrition	This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
Meal and Dining Score	PMC PubMed Central Mealtime Study	An integrative review: Mealtime Situations in Nursing Homes from the Resident's perspectives.
Nursing Staff Turnover %	ANA Nurse Retention Strategies: How to Combat Nurse Turnover	The America Nurses Association (ANA) hosts the ANA Hub, an online resource created to provide nurses with clear, practical guidance on leadership, workplace issues, retaining nurse staffing and clinical practice.
Nursing Staff Turnover %	ANA Nurse Staffing Resources	The America Nurses Association (ANA) hosts the ANA Hub, an online resource created to provide nurses with clear, practical guidance on leadership, workplace issues, retaining nurse staffing and clinical practice.
Nursing Staff Turnover %	Miami University SCRIPPS Gerontology Center Resources	Miami Univ SCRIPPS Gerontology Center offers an elearning course on Emotion Focused Communication, a paper on Direct Support Professional Retention Recommendations by Monica Schneider, and a BELTSS course on Management Matters and Financial Retention Strategies Associated with Nurse Aid Turnover by John Bowblis.
Resident Satisfaction Score	The Consumer Voice Resident Council Center	The National Consumer Voice's Resident Council Center offers resources for creating stronger resident councils that lift resident voices, include resident opinions in meals, dining, activities, and personal choice.
Resident Satisfaction Score	The Consumer Voice Resident Family Council Toolkit	This toolkit, provided by the Office of the State Long-Term Care Ombudsman, equips providers and empowers residents with strategies to strengthen resident councils to help address issues affecting resident satisfaction.
Resident Satisfaction Score	EXCEL Courses	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
Resident Satisfaction Score	CMS Resident and Family Engagement Fact Sheet	This is a fact sheet on the importance of resident and family engagement in nursing home quality improvement activities and provide information on how active participation can enhance quality of life, care, and safety for residents.
Total # of Nurse Staff Hours per Resident per Day on the Weekend	Direct Care Workforce Strategies Center by ACL	The Administration for Community Living (ACL) provides technical assistance and facilitates collaboration across service systems to improve recruitment, retention, and training of the professionals whose services make it possible to assist older adults.
Total # of Nurse Staff Hours per Resident per Day on the Weekend	Miami University SCRIPPS Gerontology Center Resources	Miami Univ SCRIPPS Gerontology Center offers an elearning course on Emotion Focused Communication, a paper on Direct Support Professional Retention Recommendations by Monica Schneider, and a BELTSS course on Management Matters and Financial Retention Strategies Associated with Nurse Aid Turnover by John Bowblis.
Total Quality of Care Deficiencies	EXCEL Courses	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
Total Quality of Care Deficiencies	Occupational Safety and Health Training Academy	OSHAcademy offers free online access to a number of programs and courses on nursing home safety.
Total Quality of Care Deficiencies	Nursing Home Staff Competencies Toolkit	This document provides an overview of key resources for implementing a QAPI program, change packages, toolkits for improving quality of life and quality of care and services delivered in nursing homes.
Total Quality of Life Deficiencies	OPCCC Focus on Compassion resources, mentoring, webinars	The Ohio Person Centered Care Coalition is a statewide organization dedicated to promoting person centered care for residents and supporting culture change through educational resources. They offer online free resources, mentoring, webinars, and have offered conferences in the past.
Total Quality of Life Deficiencies	EXCEL Courses	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
Total Resident Rights Deficiencies	Preferences for Everyday Living Inventory	Quality Assurance and Performance Improvement (QAPI) Training Video Series combined with a tip sheet and webinar.
Total Resident Rights Deficiencies	Residents Rights Video by Consumer Voice	National Ombudsman Resource Center (NORC) supports long-term care ombudsman programs across the United States by providing training, technical assistance, and best-practice resources. More specifically, NORC highlights the importance of protecting residents' rights ensuring that individuals retain control over their personal choices.
Substantiated Complaints	EXCEL Courses	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
Deficiencies with Substandard Scope/Severity Levels	EXCEL Courses	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
Medicare Quality Star Rating	EXCEL Courses	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.
Resident Assessment and Care Planning Deficiencies Most Recent 3 Inspection Cycles	EXCEL Courses	Offered January 2026 and July 2026. This is a no cost EXCEL Academy core course. A facility can send a team to participate where they learn how to improve residents' transitions of care. The course includes education, a learning community, and 1:1 in-person mentoring to review the facility's procedures and processes designed to improve residents' quality of life and quality of care.