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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

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The U.S. healthcare graph AI can cite — every fact carries its source.

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Fonteum · Tools · CMS Care Compare

Nursing Home Deficiency Explorer

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418,148Source: https://data.cms.gov/provider-data/dataset/r9s8-i3pj · Dataset: cms-care-compare-nh-deficiencies/v1 · Snapshot: 2026-05-01
CMS deficiency citations by state, deficiency category, and harm flag. Ranked by total citation count per facility. Every figure traces to CMS NH Health Deficiencies (dataset r5ix-sfxw), processing date 2026-04-01.

418,148Total citations
14,635Facilities
5.6%Harm-flagged
CMS r5ix-sfxwSource

Related: Deficiency research study · State-level nursing home hub · Care Compare overview

Top facilities by deficiency count

FacilityStateCityDeficienciesHarm citationsLast surveyProvenance
No facilities found for the selected filters.

Showing top 20 facilities by total deficiency citations. Source: CMS Provider Data Catalog (r5ix-sfxw). Processing date: 2026-04-01. Harm citations = scope/severity codes G–L per CMS definition. Cite as: Fonteum analysis of CMS NH Health Deficiency data.

About the data

What is a nursing home deficiency citation?

A deficiency citation is issued by CMS surveyors when a nursing home fails to meet federal standards during an inspection. Citations are categorized by scope (how widespread the problem is) and severity (how much harm was caused). Codes G through L indicate the deficiency caused actual harm to residents.

Which facilities have the most nursing home deficiencies?

This tool ranks facilities by total deficiency citation count using CMS NH Health Deficiencies data (dataset r5ix-sfxw). The national dataset covers 418,148 citations across 14,635 certified nursing facilities. Use the state filter to compare facilities within a specific state.

What does 'harm flag' mean in this tool?

The harm flag indicates that a deficiency citation was assigned scope/severity code G, H, I, J, K, or L by CMS surveyors. These codes mean the deficiency caused actual harm to one or more residents — as opposed to codes A through F, which represent lower-severity findings. Nationally, 5.6% of all citations carry a harm-level code.

How current is this deficiency data?

Fonteum's deficiency dataset reflects CMS's April 2026 monthly full-replacement file (processing date 2026-04-01), sourced from the CMS Provider Data Catalog (dataset identifier r5ix-sfxw). CMS publishes updated files monthly. Each row in Fonteum's database is attributed to its source, processing date, and Fonteum ingest date.

Limitations: This tool reflects deficiency data as published by CMS and does not include citations under IDR (Informal Dispute Resolution) that CMS excludes from Five-Star calculations. Correction status and dates are as reported by the facility to CMS. This tool is for research and informational purposes only; it is not a substitute for direct CMS inspection reports or legal advice.

Compliance posture

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