{"meta":{"dataset":"nursing-homes","title":"Nursing home fines and harm citations by county: CMS penalties, actual-harm, immediate-jeopardy and abuse citations","version":"1.0.0","doi":"10.5281/zenodo.23741901","doiUrl":"https://doi.org/10.5281/zenodo.23741901","conceptDoi":"10.5281/zenodo.23741900","license":"CC BY 4.0","licenseUrl":"https://creativecommons.org/licenses/by/4.0/","attribution":"Source: Probative, Nursing home fines and harm citations by county: CMS penalties, actual-harm, immediate-jeopardy and abuse citations, version 1.0.0, https://doi.org/10.5281/zenodo.23741901, licensed CC BY 4.0.","citation":"Probative. (2026). Nursing home fines and harm citations by county: CMS penalties, actual-harm, immediate-jeopardy and abuse citations (Version 1.0.0) [Data set]. Zenodo. https://doi.org/10.5281/zenodo.23741901","disclaimer":"Not legal advice. This is a count of public CMS inspection and penalty records, kept for marketing planning. A citation is an inspector's finding, not a court's; a fine can be reduced or withdrawn on appeal; and nothing here says any home or person did anything unlawful.","notice":"Probative is a marketing firm, not a law firm; not legal advice.","lastChecked":"2026-10-28","url":"https://probativegrowth.com/data/v1/nursing-homes/changes.json","humanUrl":"https://probativegrowth.com/data/nursing-homes/","statusCodes":{"P":"primary source","S":"secondary source","D":"ABA model default","U":"open question"}},"changes":[{"id":"nursing-homes-2026-10-28-first","date":"2026-10-28","title":"Nursing home fines and citations first published","summary":"County, state and US totals of CMS fines, payment denials and health citations (actual harm, immediate jeopardy, abuse), from the CMS Provider Data Catalog. No facility names.","source":{"label":"CMS Provider Data Catalog, nursing homes, files processed 2026-10-01","url":"https://data.cms.gov/provider-data/topics/nursing-homes"},"dataset":"nursing-homes"}]}