Every nursing home's public record, in context
The inspection, penalty, staffing and ownership record of every Medicare-certified nursing home. Search a facility, city, county, chain or deficiency tag.
14,690certified nursing homes
41%rated 1 or 2 stars overall
26.8health citations per 100 beds, 3 cycles
$457Min fines listed by CMS
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
States
Every state's facilities, counties, chains and most-cited tags. Citations are health deficiencies over the three most recent survey cycles.
- Alabama 224 homes · 8.6 per 100 beds
- Alaska 20 homes · 62.3 per 100 beds
- Arizona 140 homes · 19.0 per 100 beds
- Arkansas 221 homes · 16.7 per 100 beds
- California 1165 homes · 50.6 per 100 beds
- Colorado 210 homes · 26.6 per 100 beds
- Connecticut 191 homes · 31.0 per 100 beds
- Delaware 44 homes · 34.4 per 100 beds
- District of Columbia 17 homes · 43.4 per 100 beds
- Florida 694 homes · 16.1 per 100 beds
- Georgia 356 homes · 15.1 per 100 beds
- Guam 1 homes · 127.5 per 100 beds
- Hawaii 43 homes · 35.2 per 100 beds
- Idaho 80 homes · 34.8 per 100 beds
- Illinois 666 homes · 29.8 per 100 beds
- Indiana 507 homes · 24.2 per 100 beds
- Iowa 387 homes · 31.7 per 100 beds
- Kansas 296 homes · 45.1 per 100 beds
- Kentucky 267 homes · 13.0 per 100 beds
- Louisiana 265 homes · 20.5 per 100 beds
- Maine 78 homes · 41.0 per 100 beds
- Maryland 221 homes · 41.9 per 100 beds
- Massachusetts 341 homes · 24.3 per 100 beds
- Michigan 422 homes · 31.0 per 100 beds
- Minnesota 338 homes · 32.8 per 100 beds
- Mississippi 202 homes · 20.8 per 100 beds
- Missouri 487 homes · 35.0 per 100 beds
- Montana 61 homes · 37.9 per 100 beds
- Nebraska 180 homes · 24.6 per 100 beds
- Nevada 66 homes · 30.6 per 100 beds
- New Hampshire 73 homes · 13.5 per 100 beds
- New Jersey 348 homes · 15.5 per 100 beds
- New Mexico 68 homes · 49.4 per 100 beds
- New York 593 homes · 10.8 per 100 beds
- North Carolina 419 homes · 17.8 per 100 beds
- North Dakota 72 homes · 24.7 per 100 beds
- Ohio 922 homes · 35.3 per 100 beds
- Oklahoma 283 homes · 23.3 per 100 beds
- Oregon 128 homes · 41.1 per 100 beds
- Pennsylvania 656 homes · 25.0 per 100 beds
- Puerto Rico 9 homes · 129.8 per 100 beds
- Rhode Island 72 homes · 24.9 per 100 beds
- South Carolina 187 homes · 12.1 per 100 beds
- South Dakota 96 homes · 27.9 per 100 beds
- Tennessee 303 homes · 12.7 per 100 beds
- Texas 1177 homes · 24.4 per 100 beds
- Utah 97 homes · 31.6 per 100 beds
- Vermont 33 homes · 31.1 per 100 beds
- Virginia 289 homes · 34.2 per 100 beds
- Washington 193 homes · 50.9 per 100 beds
- West Virginia 123 homes · 48.1 per 100 beds
- Wisconsin 323 homes · 36.4 per 100 beds
- Wyoming 36 homes · 24.7 per 100 beds
Most citations per 100 beds
| State | Homes | Per 100 beds | 1–2 stars |
|---|---|---|---|
| Alaska | 20 | 62.3 | 20% |
| Washington | 193 | 50.9 | 36% |
| California | 1165 | 50.6 | 35% |
| New Mexico | 68 | 49.4 | 49% |
| West Virginia | 123 | 48.1 | 38% |
| Kansas | 296 | 45.1 | 37% |
| Maryland | 221 | 41.9 | 38% |
| Oregon | 128 | 41.1 | 38% |
| Maine | 78 | 41.0 | 36% |
| Montana | 61 | 37.9 | 43% |
Fewest citations per 100 beds
| State | Homes | Per 100 beds | 1–2 stars |
|---|---|---|---|
| Alabama | 224 | 8.6 | 39% |
| New York | 593 | 10.8 | 41% |
| South Carolina | 187 | 12.1 | 39% |
| Tennessee | 303 | 12.7 | 38% |
| Kentucky | 267 | 13.0 | 39% |
| New Hampshire | 73 | 13.5 | 41% |
| Georgia | 356 | 15.1 | 50% |
| New Jersey | 348 | 15.5 | 32% |
| Florida | 694 | 16.1 | 34% |
| Arkansas | 221 | 16.7 | 27% |
States with fewer than 20 facilities are excluded from these two tables. Citation counts depend on state survey agencies as well as facilities; see the methodology.
Largest chains
| Chain | Facilities | States | 1–2 stars | Per 100 beds | Fines |
|---|---|---|---|---|---|
| The Ensign Group | 342 | 17 | 30% | 27.4 | $7.1M |
| Pacs Group | 274 | 16 | 42% | 38.0 | $8.8M |
| Life Care Centers of America | 194 | 26 | 27% | 19.7 | $3.5M |
| Genesis Healthcare | 184 | 18 | 58% | 38.1 | $7.7M |
| Creative Solutions In Healthcare | 149 | 1 | 64% | 25.8 | $8.2M |
| Saber Healthcare Group | 126 | 6 | 44% | 29.1 | $3.0M |
| Trilogy Health Services | 123 | 5 | 4% | 24.5 | $441K |
| Avir Health Group | 116 | 1 | 62% | 29.9 | $6.8M |
| Communicare Health | 110 | 5 | 36% | 37.0 | $3.9M |
| Pruitthealth | 95 | 4 | 42% | 15.4 | $1.4M |
| Good Samaritan Society | 92 | 9 | 41% | 33.2 | $2.2M |
| American Senior Communities | 90 | 1 | 17% | 16.5 | $243K |
| Legacy Healthcare | 89 | 3 | 42% | 21.9 | $3.7M |
| Marquis Health Services | 87 | 9 | 37% | 25.8 | $2.9M |
| Complete Care | 85 | 8 | 34% | 21.7 | $2.2M |
All 549 chains with three or more facilities
Most-cited deficiency tags
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 24,240 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 21,413 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 20,020 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 16,469 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 14,681 |
| F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 13,677 |
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | 10,172 |
| F0695 | Provide safe and appropriate respiratory care for a resident when needed. | 9,507 |
| F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 9,040 |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 9,024 |
All deficiency tags · What an F-tag is · How to read an inspection report