Nursing home fines and harm citations, county by county

What does a record look like?

• United States: 14,686 Medicare- or Medicaid-certified nursing homes (1,567,009 certified beds). CMS fined 6,468 of them 12,638 times for $445.7 million between October 2023 and September 2026, and denied payment 2,369 times (64,360 days). Inspectors cited 22,249 deficiencies at the actual-harm level or worse (9,046 immediate jeopardy) and 31,295 abuse or neglect deficiencies in the inspections CMS publishes. 18.9% of rated homes have one star overall.

  Status P · checked October 28, 2026 · source: CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)

• Texas: 1,177 Medicare- or Medicaid-certified nursing homes (133,481 certified beds). CMS fined 795 of them 1,678 times for $50.6 million between October 2023 and September 2026, and denied payment 140 times (2,507 days). Inspectors cited 2,593 deficiencies at the actual-harm level or worse (2,073 immediate jeopardy) and 2,293 abuse or neglect deficiencies in the inspections CMS publishes. 24.7% of rated homes have one star overall.

  Status P · checked October 28, 2026 · source: CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)

• California: 1,165 Medicare- or Medicaid-certified nursing homes (114,991 certified beds). CMS fined 452 of them 886 times for $27.2 million between October 2023 and September 2026, and denied payment 282 times (6,483 days). Inspectors cited 1,345 deficiencies at the actual-harm level or worse (331 immediate jeopardy) and 3,495 abuse or neglect deficiencies in the inspections CMS publishes. 15.5% of rated homes have one star overall.

  Status P · checked October 28, 2026 · source: CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)

• Florida: 694 Medicare- or Medicaid-certified nursing homes (84,537 certified beds). CMS fined 259 of them 552 times for $16.3 million between October 2023 and September 2026, and denied payment 13 times (481 days). Inspectors cited 704 deficiencies at the actual-harm level or worse (467 immediate jeopardy) and 539 abuse or neglect deficiencies in the inspections CMS publishes. 12.3% of rated homes have one star overall.

  Status P · checked October 28, 2026 · source: CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)

The full records add the dates, the quoted source text and every field in the CSV and JSON files below.

What are the limits?

• A citation is an inspector’s finding at a survey, not a court’s finding, and the home may dispute it. Informal and independent dispute resolution can change a citation’s level after it is first posted.
• Fines are shown as CMS lists them. A fine can be reduced, for example when the home waives its appeal, or withdrawn on appeal, and the file can lag that change.
• Penalties cover the last three years, ending with the month before CMS processed its file. Citations are the ones Care Compare publishes for each home: its last few standard inspections and its complaint inspections, so a home that was inspected more often has more chances to be cited.
• Homes are placed in the county CMS lists for them. Puerto Rico and Guam have no county rows in our tables, so their homes count in the territory total only. Where a county has one or two homes, its figures are those homes’ figures; we still publish them, because nursing homes are businesses, but we never name a home.
• Only Medicare- or Medicaid-certified nursing homes are covered. Assisted living, memory care that is not certified, and homes for people with intellectual disabilities are not in these files. There is no resident-level data here, and CMS publishes none.
• Counts measure regulatory findings, not lawsuits, injuries or deaths. Use them as a sign of where problems are found, beside the number of older residents and the local law offices.
• Records older than 45 days since their last check are marked stale in the files until we re-check them. Every confirmed error we fix is listed in the data corrections log.

Found a wrong value? Report an error with the record id and the source that shows the right value.

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