; and (2) by inserting after subsection (i) the following new subsection: (j) Comprehensive review and modification of Five-Star quality rating system (1) In general The Secretary shall conduct a comprehensive review of the system maintained by the Secretary to measure and publicly report the quality of skilled nursing facilities and nursing facilities (commonly referred to as the Five-Star Quality Rating System ). (2) Timing The Secretary shall conduct such review not later than 1 year after the end of the COVID–19 public health emergency period and shall implement modifications to the Five-Star Quality Rating System (or its successor system) not later than 180 days after the release of the report that is required under paragraph (4). (3) Requirements The review of the system under this subsection shall include an evaluation of the relative weight accorded to each of the following: (A) The adequacy of the facility’s procedures for preventing and reporting infection. (B) The adequacy of the facility’s procedures for preventing and reporting incidents of abuse, neglect, mistreatment, or exploitation of residents of the facility. (C) Deficiencies identified in the facility’s most recent standard survey and the extent to which the facility corrected such deficiencies since the date of the most recent survey. (D) The number, type, severity, and outcome of substantiated complaints. (E) The number of adjudicated instances of criminal violations by a facility or the employees of a facility. (F) The number of civil monetary penalties levied against the facility, employees, contractors, and other agents of the facility. (G) Selected quality measures (such as the percentages of long-stay residents who experience pressure ulcers, are physically restrained, experience falls with major injury, or received antipsychotic medication). (H) Whether a facility is connected to an assisted living facility and whether such facilities should be rated separately from facilities that are standalone skilled nursing facilities or nursing