1 On the inline six cylinder with manual transmission, disconnect the clutch linkage and remove the clutch cross shaft. 2  On the V8, remove the engine mount bracket-to-frame bolts. 3  Remove the engine mount through-bolts. 4  On the inline six cylinder: 5  Lower the van and attach a lifting device to the engine.
Quality Rating System Overview. The Quality Rating System (QRS) is a voluntary program that provides a rating of between one and five stars for providers who go the extra mile to offer exceptional care.
Five-Star Quality Rating System Five-Star Quality Rating System â¢ Created by The Centers for Medicare & Medicaid Services (CMS) in December 2008 to enhance the Nursing Home Compare public reporting site. â¢ In February 2015 CMS strengthened the rating system by adding two additional Quality Measures and improving the staffing level calculations. â¢ The goal of the rating system is to provide residents and families an easy way to compare between a high and low performing nursing homes. â¢ The system features a five-star rating based on three types of performance measures, each of which has its own five-star rating.