I think anything to do with "quality indicators" is bogus. When de-regulation failed under the previous administration, they wanted, among other things, the "quality indicator" process to eventually replace traditional annual surverys.
Either way, whether Traditional Survey or Quality Indicator Survey, what appears on the CMS nursing home Compare website that is labled "quality measures" is based on self-reported, unaudited data, data reported by the facilities themselves and unverified by any oversight agency to ensure it is even true. Some of the quality indicators are too high to be acceptable. This still leads nursing staff to do charting by rote, instead of charting care that they're actually giving.