04/23/2026

You Asked... We Answered

You Asked: What reports are available to monitor a facility’s compliance with the Quality Reporting Program (QRP)?

We Answered: CMS provides several Skilled Nursing Facility (SNF) QRP reports that allow facilities to monitor data submission, identify errors, and validate performance before information is publicly reported on Care Compare. Proactive review of these reports is critical to ensure accuracy and avoid potential public reporting discrepancies. Below is a summary of the key reports available.

• Provider Threshold Reports (PTRs): The MDS assessment data for the SNF QRP PTR are updated in real time once the submissions are processed and the accepted assessments are saved into the iQIES database. The COVID-19 Vaccination Coverage among HCP measure is updated on the PTR quarterly, and the HCP Influenza Vaccine measure is updated on the PTR twice a year. Report updates occur soon after the data correction deadlines.
• iQIES Review and Correct Reports: These are updated on a quarterly basis with assessment data and refreshed weekly as data become available. The Review and Correct Reports add a new quarter and remove the earliest quarter of data on the first day of the calendar month after the end of the quarter. After the data correction deadline for a quarter, the data for that quarter are no longer updated on the Review and Correct Report but continue to be updated on the Quality Measure Facility-Level and Resident-Level Reports. The data for the CDC/NHSN measures are not added to the Review and Correct Reports, since the measures are stewarded by the CDC. In lieu of this, the CDC makes accessible to SNFs reports that are similar to the Review and Correct Reports that allow for real-time review of data submissions for all CDC NSHN measures. These are referred to as “CMS Reports” within the “Analysis Reports” page in the NHSN Application.
• Quality Measure (QM) Facility-Level Reports: The assessment-based (MDS) measures on the SNF QRP QM Reports are updated monthly. Calculations for QM reports are run on the first day of each month. The new quarter end date is available for selection on the first day of the second month in a calendar quarter. The claims-based measures are updated annually, typically in October. The HCP COVID-19 Vaccine measure is updated quarterly on the QM Facility-Level Report. The HCP Influenza Vaccine measure was added to the QM Facility-Level Report in October 2023 and is updated annually in October.
• QM Resident-Level Reports: Updates to the MDS assessment-based measures occur simultaneous with the updates to the QM Facility-Level Reports. CDC/NHSN and claims-based measures are not included on the QM Resident-Level Reports.
• MDS 3.0 NH Error Detail / MDS 3.0 SB Error Detail Report: Providers can run this report to identify a list of assessments that encountered an error, including APU errors, during a period of their choosing. The report displays the resident’s name, the item(s) that encountered the error, and the data value that was submitted for the affected item(s). This report can help SNFs identify their impacted assessment(s).