Data sources
Every number on this site comes from the CMS Provider Data Catalog — the same public files behind Medicare's own Care Compare. Nothing here is surveyed, submitted by facilities, or estimated.
Current release processed July 1, 2026.
| Dataset | What it contains | Rows here |
|---|---|---|
| Provider Information | One row per certified nursing home: location, ownership, beds, five-star ratings, payroll-based staffing, turnover, penalties. | 14,693 |
| Health Deficiencies | Every health-inspection citation, with the surveyor description, F-tag and A–L scope/severity code. | 418,344 |
| Penalties | Civil money penalties and denials of payment for new admissions. | 16,166 |
| Ownership | Every owner of record for each facility, their role, their stake and how long they have held it. | 246,986 |
| Home Health Care Agencies | Medicare-certified home health agencies, services offered and quality star ratings. | 12,454 |
| Hospice General Information | Medicare-certified hospice providers and their ownership type. | 6,848 |
| State US Averages | State and national benchmark values used for every comparison on the site. | 54 |
Check it yourself
All of these files are free and public at data.cms.gov/provider-data. Individual facility records can be cross-checked at Medicare Care Compare.
What we add
We do not alter the federal figures. What we compute on top of them is: the ElderGrade composite score and letter, the weekend staffing gap, staffing measured against case-mix expectation, per-state and per-county ranks, and citation counts rolled up by severity. All of it is derived arithmetic on published fields, and the formula is on How we grade.
Limits worth knowing
- CMS republishes on a cycle. A home that changed hands or leadership recently may not yet look different here.
- The quality-measure component is built from assessments completed by the facility itself.
- The inspection star rating is scored relative to other homes in the same state, so cross-state comparison of that one component is imperfect.
- Private-pay rates are not in any federal file. We publish none rather than estimating.
- We hold no photographs of these facilities, so profiles carry none. Editorial photography elsewhere on the site is openly licensed and credited.
Corrections
If a facility believes its federal record is wrong, the correction has to be made with CMS and the state survey agency — we publish their file and cannot amend it on request. If we have made a processing error, tell us and we will fix it.