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measures. Initially, the quality incentive component must be based on 1 minimum data set quality measures for the percentage of long-stay 2 residents who self-report moderate to severe pain, the percentage of 3 high-risk long-stay residents with pressure ulcers, the percentage of 4 long-stay residents experiencing one or more falls with major injury, 5 and the percentage of long-stay residents with a urinary tract 6 infection. Quality measures must be reviewed on an annual basis by a 7 stakeholder work group established by the department. Upon review, 8 quality measures may be added or changed. The department may risk 9 adjust individual quality measures as it deems appropriate. 10 (c) The facility quality score must be point based, using at a 11 minimum the facility's most recent available three-quarter average 12 centers for medicare and medicaid services quality data. Point 13 thresholds for each quality measure must be established using the 14 corresponding statistical values for the quality measure point 15 determinants of eighty quality measure points, sixty quality measure 16 points, forty quality measure points, and twenty quality measure 17 points, identified in the most recent available five-star quality 18 rating system technical user's guide published by the centers for 19 medicare and medicaid services. 20 (d) Facilities meeting or exceeding the highest performance 21 threshold (top level) for a quality measure receive twenty-five 22 points. Facilities meeting the second highest performance threshold 23 receive twenty points. Facilities meeting the third level of 24 performance threshold receive fifteen points. Facilities in the 25 bottom performance threshold level receive no points. Points from all 26 quality measures must then be summed into a single aggregate quality 27 score for each facility. 28 (e) Facilities receiving an aggregate quality score of eighty 29 percent of the overall available total score or higher must be placed 30 in the highest tier (tier V), facilities receiving an aggregate score 31 of between seventy and seventy-nine percent of the overall available 32 total score must be placed in the second highest tier (tier IV), 33 facilities receiving an aggregate score of between sixty and sixty- 34 nine percent of the overall available total score must be placed in 35 the third highest tier (tier III), facilities receiving an aggregate 36 score of between fifty and fifty-nine percent of the overall 37 available total score must be placed in the fourth highest tier (tier 38 II), and facilities receiving less than fifty percent of the overall 39 available total score must be placed in the lowest tier (tier I). 40 p. 702 ESSB 5187.SL