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 September 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. | 14,697 |
| Health Deficiencies | Every health-inspection citation, with the surveyor description, F-tag and A-L scope/severity code. | 0 |
| Penalties | Civil money penalties and denials of payment for new admissions. | 0 |
| Ownership | Every owner of record for each facility, their role, their stake and how long they have held it. | 0 |
| 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. | 6,907 |
| Hospice Provider Data | The Hospice Care Index and its ten indicators, visits in the last days of life, the admission care-process measures, patient mix and where care is delivered. This is what every hospice grade is built from. | 0 |
| CAHPS Hospice Survey (Provider) | What bereaved family caregivers reported, in the survey CMS sends after a death. The hospice does not choose who is asked. | 0 |
| 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.