Datasetpublic

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… See the full description on the dataset page: https://huggingface.co/datasets/FastDOLz/cms-nursing-home-quality-and-ownership.

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Dataset Card

![DOI](https://doi.org/10.5281/zenodo.22014908)

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	state	zip5) linking this facility to the broader FastDOL employer graph.
`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 topownername.
`top_owner_type`	string	Owner role/type for topownername (e.g. "Organization"), as classified by CMS.
`derived_parent_name`	string	Single best "parent" for the facility — chainname when present, else topowner_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	cycle1totaldeficiencies + cycle23totaldeficiencies.
`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