FastDOLz/cms-nursing-home-quality-and-ownership

Canonical source: https://www.fastdol.com/datasets/cms-nursing-home-quality-and-ownership

US Nursing Home Quality, Ownership & Enforcement (CMS)

14,693 Medicare/Medicaid-certified nursing homes · one row per facility · 66 columns · CMS Care Compare, refreshed 2026-08-19 · certifications 1967-01-01 → surveys through 2026-06-26.

Every certified U.S. nursing home in a single table: CMS 5-star quality ratings, payroll-based staffing and turnover, corporate ownership and chain affiliation, health-inspection deficiencies broken out by severity, and civil monetary penalties — plus the Special Focus Facility flag and the CMS abuse icon.

Highlights

• 88 facilities are active Special Focus Facilities and 440 are SFF Candidates — CMS's list of the nation's most persistently troubled homes.
• 1,435 facilities (9.8%) carry the CMS abuse icon.
• 4,419 facilities have at least one immediate-jeopardy deficiency (scope-severity J–L) on record.
• $464M in all-time civil monetary penalties; $444M in the last three years.
• Ownership: 10,860 for-profit, 2,886 non-profit, 947 government; 10,491 facilities are affiliated with a named chain.

What's inside

One row per facility, keyed by the 6-character CMS Certification Number (ccn). Corporate rollup fields (chain_name, top_owner_name, derived_parent_name) let you aggregate quality and enforcement up to the operator/chain level — useful for spotting patterns across a private-equity or multi-facility operator.

Column dictionary

Column	Type	Description
ccn	string	CMS Certification Number — the 6-character federal identifier for the facility. Primary key (one row per CCN).
name_normalized	string	FastDOL normalized facility name (uppercased, punctuation/suffix stripped) used as the entity-resolution join key.
provider_name	string	Facility name as recorded in CMS Care Compare Provider Info.
street	string	Street address of the facility.
city	string	City of the facility.
state	string	USPS two-letter state code.
zip5	string	Five-digit ZIP code (string; leading zeros preserved).
county	string	County name of the facility.
latitude	number	Facility latitude (decimal degrees), when geocoded by CMS.
longitude	number	Facility longitude (decimal degrees), when geocoded by CMS.
employer_key	string	FastDOL composite key (name_normalized
provider_type	string	Certification type, e.g. "Medicare and Medicaid", "Medicare", "Medicaid".
legal_business_name	string	Legal business name of the operating entity (the "operator" LLC), which frequently differs from the public-facing provider_name.
ownership_type	string	CMS ownership category, e.g. "For profit - Limited Liability company", "Non profit - Corporation", "Government - County".
num_certified_beds	integer	Number of Medicare/Medicaid-certified beds.
avg_residents_per_day	number	Average number of residents per day (facility census).
first_certified_date	date	Date the facility was first certified by CMS.
is_ccrc	boolean	Whether the facility is part of a Continuing Care Retirement Community.
chain_name	string	CMS-curated corporate chain/affiliated-entity name; null for independent facilities.
chain_id	string	CMS chain identifier corresponding to chain_name.
chain_facility_count	integer	Number of facilities CMS attributes to this chain.
chain_avg_overall_rating	number	Mean CMS overall (5-star) rating across the chain's facilities.
top_owner_name	string	Name of the largest non-individual owner from the CMS Ownership file (highest ownership percentage); null when only individual owners are listed.
top_owner_percentage	number	Ownership percentage held by top_owner_name.
top_owner_type	string	Owner role/type for top_owner_name (e.g. "Organization"), as classified by CMS.
derived_parent_name	string	Single best "parent" for the facility — chain_name when present, else top_owner_name when that owner holds >=50%. Null when neither applies.
special_focus_status	string	CMS Special Focus Facility program status: "SFF" (active Special Focus Facility) or "SFF Candidate"; blank for the ~96% of facilities not on either list.
abuse_icon	boolean	CMS "abuse icon" — flags facilities cited for abuse (or potential abuse) causing harm, or abuse without harm within the last two inspection cycles.
inspection_stale	boolean	True when the most recent standard health inspection is older than CMS's expected inspection interval.
changed_ownership_recently	boolean	True when CMS records a recent change of ownership.
has_family_council	boolean	Whether the facility reports having a resident/family council.
overall_rating	integer	CMS overall 5-star rating (1 = much below average … 5 = much above average).
health_inspection_rating	integer	CMS health-inspection 5-star rating.
qm_rating	integer	CMS quality-measure (QM) 5-star rating.
long_stay_qm_rating	integer	CMS long-stay quality-measure 5-star rating.
short_stay_qm_rating	integer	CMS short-stay quality-measure 5-star rating.
staffing_rating	integer	CMS staffing 5-star rating (case-mix-adjusted).
hours_nurse_aide_hrpd	number	Reported nurse-aide hours per resident per day.
hours_lpn_hrpd	number	Reported licensed-practical-nurse (LPN) hours per resident per day.
hours_rn_hrpd	number	Reported registered-nurse (RN) hours per resident per day.
hours_total_nurse_hrpd	number	Total reported nurse-staffing hours per resident per day.
hours_weekend_total_nurse_hrpd	number	Total reported nurse-staffing hours per resident per day on weekends.
total_nursing_turnover_pct	number	Total nursing-staff annual turnover percentage.
rn_turnover_pct	number	Registered-nurse annual turnover percentage.
administrators_left_count	integer	Number of administrators who left the facility in the prior year.
cycle1_total_deficiencies	integer	Total deficiencies cited in the most recent (cycle 1) standard survey.
cycle1_complaint_deficiencies	integer	Complaint-driven deficiencies in the most recent (cycle 1) survey.
cycle1_health_score	number	CMS weighted health-inspection score for the most recent cycle (higher = worse; drives the health-inspection star rating).
cycle23_total_deficiencies	integer	Total deficiencies across the prior two survey cycles (2 and 3).
infection_control_citations	integer	Infection-control citations reported in the CMS Provider Info file.
total_recent_deficiencies	integer	cycle1_total_deficiencies + cycle23_total_deficiencies.
deficiencies_all_time	integer	All-time count of health-deficiency citations for the facility in the CMS Health Deficiencies detail file.
deficiencies_3yr	integer	Deficiency citations in the trailing 3 years.
deficiencies_actual_harm	integer	Deficiencies at scope-severity G–L (actual harm or immediate jeopardy).
deficiencies_immediate_jeopardy	integer	Deficiencies at scope-severity J–L (immediate jeopardy).
deficiencies_infection_control	integer	Deficiencies flagged as infection-control citations (detail file).
deficiencies_complaint	integer	Deficiencies arising from complaint surveys (detail file).
last_deficiency_date	date	Survey date of the most recent deficiency citation.
fines_count	integer	Count of civil monetary penalty (CMP) fines recorded in Provider Info.
fines_total	integer	Total civil monetary penalty dollars (USD), all time.
payment_denials_count	integer	Count of denial-of-payment-for-new-admissions penalties.
penalties_count_all_time	integer	All-time count of penalties in the CMS Penalties detail file.
last_penalty_date	date	Date of the most recent penalty in the detail file.
penalties_3yr_count	integer	Penalties in the trailing 3 years.
penalties_3yr_total	integer	Total penalty dollars (USD, fines) in the trailing 3 years.
last_survey_date	date	Date of the facility's most recent standard health survey.

Source & methodology

All data originates from the CMS Provider Data Catalog (Care Compare) at data.cms.gov, combining four nursing-home datasets: Provider Information, Ownership, Health Deficiencies, and Penalties. CMS is a U.S. federal agency; its published data is in the public domain (17 U.S.C. §105). Deficiency severity rollups use CMS scope-severity letters (G–L = actual harm; J–L = immediate jeopardy). *_3yr columns are relative to the extract date. Full methodology: https://www.fastdol.com/datasets/cms-nursing-home-quality-and-ownership

License

Released under CC-BY-4.0. Use freely with attribution.

Citation

Turner, B. (2026). US Nursing Home Quality, Ownership & Enforcement (CMS) [Data set]. FastDOL.
https://doi.org/10.5281/zenodo.22014908
Canonical: https://www.fastdol.com/datasets/cms-nursing-home-quality-and-ownership