Ref: S&C: 13-44-NH: To access this report, visit the website at www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/FSQRS.html
Scroll to the Downloads Section,
select: NHC Five Star Quality Rating System Report 2009-2011 [PDF, 2MB]
View the CMS memo here: www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-13-44.html?DLPage=1&DLSort=2&DLSortDir=descending