{"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 A citation is an inspector's finding, not a court's; a fine can be reduced or withdrawn on appeal; and nothing here says any home or person did anything unlawful.","notice":"Probative is a marketing firm, not a law firm; not legal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/jurisdictions/AK.json","humanUrl":"https://probativegrowth.com/data/nursing-homes/","statusCodes":{"P":"primary source","S":"secondary source","D":"ABA model default","U":"open question"}},"key":"AK","records":[{"id":"nh-ak","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"state","county":null,"countyName":null,"status":"P","text":"Alaska: 20 Medicare- or Medicaid-certified nursing homes (815 certified beds). CMS fined 5 of them 11 times for $531,436 between October 2023 and September 2026, and denied payment 3 times (37 days). Inspectors cited 22 deficiencies at the actual-harm level or worse (4 immediate jeopardy) and 35 abuse or neglect deficiencies in the inspections CMS publishes. 5.0% of rated homes have one star overall.","value":531436,"unit":"dollars of CMS fines in the last three years","facilities":20,"certified_beds":815,"rated_facilities":20,"one_star_facilities":1,"abuse_icon_facilities":1,"fines_count":11,"fines_total_usd":531436,"facilities_fined":5,"payment_denials":3,"payment_denial_days":37,"citations_total":513,"citations_harm":22,"citations_ij":4,"citations_abuse":35,"facilities_with_harm":5,"facilities_with_ij":3,"one_star_share_pct":5,"facilities_without_county":0,"cms_avg_fines_per_facility":0.6,"cms_avg_fine_amount_usd":26572,"cms_avg_cycle1_health_deficiencies":8.3,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: State US Averages (NH_StateUSAverages_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/e0c4bde60d7ad96dcb0e011dbb182112_1792181753/NH_StateUSAverages_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":false,"preliminary":false,"moe":null},"lastChecked":"2026-10-28","confidence":"high","confidenceBasis":"primary source; checked within 45 days; totals tie to the official file"},{"id":"nh-02020","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02020","countyName":"Anchorage Municipality","status":"P","text":"Anchorage Municipality, AK (FIPS 02020): 3 Medicare- or Medicaid-certified nursing homes (248 certified beds). CMS fined 2 of them 7 times for $464,367 between October 2023 and September 2026, and denied payment 2 times (12 days). Inspectors cited 20 deficiencies at the actual-harm level or worse (3 immediate jeopardy) and 11 abuse or neglect deficiencies in the inspections CMS publishes. 33.3% of rated homes have one star overall.","value":464367,"unit":"dollars of CMS fines in the last three years","facilities":3,"certified_beds":248,"rated_facilities":3,"one_star_facilities":1,"abuse_icon_facilities":1,"fines_count":7,"fines_total_usd":464367,"facilities_fined":2,"payment_denials":2,"payment_denial_days":12,"citations_total":189,"citations_harm":20,"citations_ij":3,"citations_abuse":11,"facilities_with_harm":3,"facilities_with_ij":2,"one_star_share_pct":33.3,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":false,"preliminary":false,"moe":null,"fewFacilities":false},"lastChecked":"2026-10-28","confidence":"high","confidenceBasis":"primary source; checked within 45 days; totals tie to the official file"},{"id":"nh-02050","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02050","countyName":"Bethel Census Area","status":"P","text":"Bethel Census Area, AK (FIPS 02050): 1 Medicare- or Medicaid-certified nursing home (18 certified beds). CMS fined it 1 time for $10,117 between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 0 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":10117,"unit":"dollars of CMS fines in the last three years","facilities":1,"certified_beds":18,"rated_facilities":1,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":1,"fines_total_usd":10117,"facilities_fined":1,"payment_denials":0,"payment_denial_days":0,"citations_total":20,"citations_harm":0,"citations_ij":0,"citations_abuse":0,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02063","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02063","countyName":"Chugach Census Area","status":"P","text":"Chugach Census Area, AK (FIPS 02063): 2 Medicare- or Medicaid-certified nursing homes (20 certified beds). CMS recorded no fines between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 3 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":0,"unit":"dollars of CMS fines in the last three years","facilities":2,"certified_beds":20,"rated_facilities":2,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":0,"fines_total_usd":0,"facilities_fined":0,"payment_denials":0,"payment_denial_days":0,"citations_total":34,"citations_harm":0,"citations_ij":0,"citations_abuse":3,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02090","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02090","countyName":"Fairbanks North Star Borough","status":"P","text":"Fairbanks North Star Borough, AK (FIPS 02090): 1 Medicare- or Medicaid-certified nursing home (71 certified beds). CMS fined it 1 time for $10,358 between October 2023 and September 2026. Inspectors cited 1 deficiency at the actual-harm level or worse (0 immediate jeopardy) and 4 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":10358,"unit":"dollars of CMS fines in the last three years","facilities":1,"certified_beds":71,"rated_facilities":1,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":1,"fines_total_usd":10358,"facilities_fined":1,"payment_denials":0,"payment_denial_days":0,"citations_total":32,"citations_harm":1,"citations_ij":0,"citations_abuse":4,"facilities_with_harm":1,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02110","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02110","countyName":"Juneau City and Borough","status":"P","text":"Juneau City and Borough, AK (FIPS 02110): 1 Medicare- or Medicaid-certified nursing home (57 certified beds). CMS recorded no fines between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 0 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":0,"unit":"dollars of CMS fines in the last three years","facilities":1,"certified_beds":57,"rated_facilities":1,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":0,"fines_total_usd":0,"facilities_fined":0,"payment_denials":0,"payment_denial_days":0,"citations_total":29,"citations_harm":0,"citations_ij":0,"citations_abuse":0,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02122","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02122","countyName":"Kenai Peninsula Borough","status":"P","text":"Kenai Peninsula Borough, AK (FIPS 02122): 3 Medicare- or Medicaid-certified nursing homes (128 certified beds). CMS recorded no fines between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 4 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":0,"unit":"dollars of CMS fines in the last three years","facilities":3,"certified_beds":128,"rated_facilities":3,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":0,"fines_total_usd":0,"facilities_fined":0,"payment_denials":0,"payment_denial_days":0,"citations_total":44,"citations_harm":0,"citations_ij":0,"citations_abuse":4,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":false,"preliminary":false,"moe":null,"fewFacilities":false},"lastChecked":"2026-10-28","confidence":"high","confidenceBasis":"primary source; checked within 45 days; totals tie to the official file"},{"id":"nh-02130","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02130","countyName":"Ketchikan Gateway Borough","status":"P","text":"Ketchikan Gateway Borough, AK (FIPS 02130): 1 Medicare- or Medicaid-certified nursing home (29 certified beds). CMS recorded no fines between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 4 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":0,"unit":"dollars of CMS fines in the last three years","facilities":1,"certified_beds":29,"rated_facilities":1,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":0,"fines_total_usd":0,"facilities_fined":0,"payment_denials":0,"payment_denial_days":0,"citations_total":17,"citations_harm":0,"citations_ij":0,"citations_abuse":4,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02150","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02150","countyName":"Kodiak Island Borough","status":"P","text":"Kodiak Island Borough, AK (FIPS 02150): 1 Medicare- or Medicaid-certified nursing home (22 certified beds). CMS recorded no fines between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 3 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":0,"unit":"dollars of CMS fines in the last three years","facilities":1,"certified_beds":22,"rated_facilities":1,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":0,"fines_total_usd":0,"facilities_fined":0,"payment_denials":0,"payment_denial_days":0,"citations_total":26,"citations_harm":0,"citations_ij":0,"citations_abuse":3,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02170","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02170","countyName":"Matanuska-Susitna Borough","status":"P","text":"Matanuska-Susitna Borough, AK (FIPS 02170): 2 Medicare- or Medicaid-certified nursing homes (134 certified beds). CMS fined one of them 2 times for $46,594 between October 2023 and September 2026, and denied payment 1 time (25 days). Inspectors cited 1 deficiency at the actual-harm level or worse (1 immediate jeopardy) and 4 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":46594,"unit":"dollars of CMS fines in the last three years","facilities":2,"certified_beds":134,"rated_facilities":2,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":2,"fines_total_usd":46594,"facilities_fined":1,"payment_denials":1,"payment_denial_days":25,"citations_total":64,"citations_harm":1,"citations_ij":1,"citations_abuse":4,"facilities_with_harm":1,"facilities_with_ij":1,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02180","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02180","countyName":"Nome Census Area","status":"P","text":"Nome Census Area, AK (FIPS 02180): 1 Medicare- or Medicaid-certified nursing home (18 certified beds). CMS recorded no fines between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 0 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":0,"unit":"dollars of CMS fines in the last three years","facilities":1,"certified_beds":18,"rated_facilities":1,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":0,"fines_total_usd":0,"facilities_fined":0,"payment_denials":0,"payment_denial_days":0,"citations_total":23,"citations_harm":0,"citations_ij":0,"citations_abuse":0,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02188","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02188","countyName":"Northwest Arctic Borough","status":"P","text":"Northwest Arctic Borough, AK (FIPS 02188): 1 Medicare- or Medicaid-certified nursing home (18 certified beds). CMS recorded no fines between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 2 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":0,"unit":"dollars of CMS fines in the last three years","facilities":1,"certified_beds":18,"rated_facilities":1,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":0,"fines_total_usd":0,"facilities_fined":0,"payment_denials":0,"payment_denial_days":0,"citations_total":17,"citations_harm":0,"citations_ij":0,"citations_abuse":2,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02195","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02195","countyName":"Petersburg Borough","status":"P","text":"Petersburg Borough, AK (FIPS 02195): 1 Medicare- or Medicaid-certified nursing home (15 certified beds). CMS recorded no fines between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 0 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":0,"unit":"dollars of CMS fines in the last three years","facilities":1,"certified_beds":15,"rated_facilities":1,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":0,"fines_total_usd":0,"facilities_fined":0,"payment_denials":0,"payment_denial_days":0,"citations_total":6,"citations_harm":0,"citations_ij":0,"citations_abuse":0,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02220","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02220","countyName":"Sitka City and Borough","status":"P","text":"Sitka City and Borough, AK (FIPS 02220): 1 Medicare- or Medicaid-certified nursing home (19 certified beds). CMS recorded no fines between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 0 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":0,"unit":"dollars of CMS fines in the last three years","facilities":1,"certified_beds":19,"rated_facilities":1,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":0,"fines_total_usd":0,"facilities_fined":0,"payment_denials":0,"payment_denial_days":0,"citations_total":6,"citations_harm":0,"citations_ij":0,"citations_abuse":0,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"},{"id":"nh-02275","dataset":"nursing-homes","jurisdiction":"AK","jurisdictionName":"Alaska","level":"county","county":"02275","countyName":"Wrangell City and Borough","status":"P","text":"Wrangell City and Borough, AK (FIPS 02275): 1 Medicare- or Medicaid-certified nursing home (18 certified beds). CMS recorded no fines between October 2023 and September 2026. Inspectors cited 0 deficiencies at the actual-harm level or worse (0 immediate jeopardy) and 0 abuse or neglect deficiencies in the inspections CMS publishes. 0.0% of rated homes have one star overall.","value":0,"unit":"dollars of CMS fines in the last three years","facilities":1,"certified_beds":18,"rated_facilities":1,"one_star_facilities":0,"abuse_icon_facilities":0,"fines_count":0,"fines_total_usd":0,"facilities_fined":0,"payment_denials":0,"payment_denial_days":0,"citations_total":6,"citations_harm":0,"citations_ij":0,"citations_abuse":0,"facilities_with_harm":0,"facilities_with_ij":0,"one_star_share_pct":0,"penalty_from":"2023-10-17","penalty_to":"2026-09-23","survey_from":"2017-07-13","survey_to":"2026-09-23","sources":[{"label":"CMS Provider Data Catalog, Nursing homes: Provider Information (NH_ProviderInfo_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/0970c657767e40f8521187d02ba8d0ed_1792181744/NH_ProviderInfo_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Penalties (NH_Penalties_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/4d0e526b8cf3d0b78294803291483073_1792181741/NH_Penalties_Oct2026.csv","kind":"primary","accessed":"2026-10-28"},{"label":"CMS Provider Data Catalog, Nursing homes: Health Deficiencies (NH_HealthCitations_Oct2026.csv)","url":"https://data.cms.gov/provider-data/sites/default/files/resources/327fc64eff7ccc64fd7d23c853bb1ade_1792181729/NH_HealthCitations_Oct2026.csv","kind":"primary","accessed":"2026-10-28"}],"source":{"agency":"Centers for Medicare & Medicaid Services (CMS)","url":"https://data.cms.gov/provider-data/topics/nursing-homes","release":"Care Compare nursing home files, processed 2026-10-01","vintage":"2026-10-01","accessed":"2026-10-28","file":"NH_ProviderInfo_Oct2026.csv; NH_Penalties_Oct2026.csv; NH_HealthCitations_Oct2026.csv"},"flags":{"suppressed":false,"noise":true,"preliminary":false,"moe":null,"fewFacilities":true},"lastChecked":"2026-10-28","confidence":"medium","confidenceBasis":"small count or noise-infused (source flag)"}]}