In Georgia, more than one in 10 nursing homes  have consistently received one star in the Centers for Medicare &  Medicaid Services (CMS) rating.  Pennsylvania and Louisiana each had 8%  of homes at the lowest rating. "Nobody wants  to see consistent one-stars; they give everybody a bad name," says Larry  Minnix, president and CEO of LeadingAge, an association of non-profit  nursing homes. "You'd like to think the marketplace would deal with it  and residents wouldn't get placed there, but sometimes they don't have a  choice."
INTERACTIVE: See ratings for 15,000 nursing homes
The  lowest overall rating is awarded to nursing homes  "much below average"  compared with others  in their state, according to CMS. Among problems  that can drop a  rating: consistently dirty equipment and linens,  elder mistreatment and unlicensed caregivers or specialists.
http://www.usatoday.com/news/nation/story/2012-02-10/nursing-home-federal-ratings/53031094/1
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