{
  "schema_version": "citation-answer/v1",
  "answer_key": "nursing-home-statistics-2026",
  "artifact_slug": "nursing-home-statistics-2026",
  "query": "nursing home statistics by state",
  "citation_slots": 3,
  "canonical_path": "/research/nursing-home-statistics-2026",
  "title": "What do 2026 nursing home statistics show by state?",
  "description": "CMS Care Compare nursing-home facility and rating counts.",
  "answer_capsule": "CMS Care Compare counted 14,699 participating nursing-home facility records across 53 state or territory codes nationally. Fonteum generated care-compare-nursing-homes-2026-05-07.json on 2026-05-07 from the CMS Provider Information release dated 2026-04-29. The snapshot does not cover every long-term-care business or rank suitability.",
  "scope": "This page aggregates CMS Care Compare nursing-home records by state or territory. It does not recommend a facility or describe every long-term-care business.",
  "methodology_version": "citation-answer/v1",
  "reproducibility_note": "Re-derive this answer from the named source and dated scope; no Fonteum account is required.",
  "limitations": [
    "Facility participation and rating fields can change after the snapshot.",
    "This aggregate public-record answer is not a consumer report, person-level dossier, eligibility decision, or risk score."
  ],
  "related_links": [
    {
      "label": "Nursing Home Care Compare",
      "href": "/care-compare/nursing-homes"
    }
  ],
  "data_as_of": "2026-04-29",
  "source_artifacts": [
    {
      "source_key": "cms-nursing-home-2026-05-07",
      "kind": "fonteum-derived",
      "file_name": "care-compare-nursing-homes-2026-05-07.json",
      "file_url": "/research/data/care-compare-nursing-homes-2026-05-07.json",
      "creator": "Fonteum LLC",
      "generated_date": "2026-05-07",
      "published_date": "2026-05-07",
      "data_as_of": "2026-04-29",
      "sha256": "e83ad48402bd0e0a0825264ec58108120adc7f33f3cce067f0092e54b3a46064",
      "is_based_on": {
        "source_key": "cms-nursing-home-2026-05-07",
        "name": "Provider Information (4pq5-n9py)",
        "publisher": "Centers for Medicare & Medicaid Services (CMS)",
        "official_url": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
        "source_date_kind": "release",
        "source_date": "2026-04-29"
      }
    }
  ],
  "published_date": "2026-07-21",
  "modified_date": "2026-07-21",
  "sources": [
    {
      "source_key": "cms-nursing-home-2026-05-07",
      "name": "Provider Information (4pq5-n9py)",
      "publisher": "Centers for Medicare & Medicaid Services (CMS)",
      "official_url": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
      "source_date_kind": "release",
      "source_date": "2026-04-29",
      "limitation": "Counts cover Medicare/Medicaid-participating nursing-home records in the snapshot. CMS star fields are not Fonteum rankings or suitability judgments.",
      "retrieved_date": "2026-05-07",
      "retained_artifact": {
        "kind": "fonteum-derived",
        "file_name": "care-compare-nursing-homes-2026-05-07.json",
        "file_url": "/research/data/care-compare-nursing-homes-2026-05-07.json",
        "creator": "Fonteum LLC",
        "generated_date": "2026-05-07",
        "published_date": "2026-05-07",
        "data_as_of": "2026-04-29",
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        "is_based_on": {
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          "source_date_kind": "release",
          "source_date": "2026-04-29"
        }
      }
    }
  ],
  "facts": [
    {
      "fact_key": "facilities",
      "label": "Care Compare facility records",
      "value": "14,699",
      "source": {
        "source_key": "cms-nursing-home-2026-05-07",
        "name": "Provider Information (4pq5-n9py)",
        "publisher": "Centers for Medicare & Medicaid Services (CMS)",
        "official_url": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
        "source_date_kind": "release",
        "source_date": "2026-04-29",
        "limitation": "Counts cover Medicare/Medicaid-participating nursing-home records in the snapshot. CMS star fields are not Fonteum rankings or suitability judgments.",
        "retrieved_date": "2026-05-07",
        "retained_artifact": {
          "kind": "fonteum-derived",
          "file_name": "care-compare-nursing-homes-2026-05-07.json",
          "file_url": "/research/data/care-compare-nursing-homes-2026-05-07.json",
          "creator": "Fonteum LLC",
          "generated_date": "2026-05-07",
          "published_date": "2026-05-07",
          "data_as_of": "2026-04-29",
          "sha256": "e83ad48402bd0e0a0825264ec58108120adc7f33f3cce067f0092e54b3a46064",
          "is_based_on": {
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            "source_date_kind": "release",
            "source_date": "2026-04-29"
          }
        }
      }
    },
    {
      "fact_key": "rated",
      "label": "Records with a CMS overall rating",
      "value": "14,572",
      "source": {
        "source_key": "cms-nursing-home-2026-05-07",
        "name": "Provider Information (4pq5-n9py)",
        "publisher": "Centers for Medicare & Medicaid Services (CMS)",
        "official_url": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
        "source_date_kind": "release",
        "source_date": "2026-04-29",
        "limitation": "Counts cover Medicare/Medicaid-participating nursing-home records in the snapshot. CMS star fields are not Fonteum rankings or suitability judgments.",
        "retrieved_date": "2026-05-07",
        "retained_artifact": {
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          "generated_date": "2026-05-07",
          "published_date": "2026-05-07",
          "data_as_of": "2026-04-29",
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            "source_date_kind": "release",
            "source_date": "2026-04-29"
          }
        }
      }
    },
    {
      "fact_key": "codes",
      "label": "State or territory codes",
      "value": "53",
      "source": {
        "source_key": "cms-nursing-home-2026-05-07",
        "name": "Provider Information (4pq5-n9py)",
        "publisher": "Centers for Medicare & Medicaid Services (CMS)",
        "official_url": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
        "source_date_kind": "release",
        "source_date": "2026-04-29",
        "limitation": "Counts cover Medicare/Medicaid-participating nursing-home records in the snapshot. CMS star fields are not Fonteum rankings or suitability judgments.",
        "retrieved_date": "2026-05-07",
        "retained_artifact": {
          "kind": "fonteum-derived",
          "file_name": "care-compare-nursing-homes-2026-05-07.json",
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          "creator": "Fonteum LLC",
          "generated_date": "2026-05-07",
          "published_date": "2026-05-07",
          "data_as_of": "2026-04-29",
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          "is_based_on": {
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            "source_date_kind": "release",
            "source_date": "2026-04-29"
          }
        }
      }
    }
  ],
  "statistics_table": {
    "title": "CMS nursing-home records and average ratings by state or territory",
    "description": "Participating-facility counts and CMS-published mean overall and staffing star fields from the retained Care Compare snapshot.",
    "columns": [
      {
        "key": "state_or_territory",
        "label": "State or territory",
        "numeric": false
      },
      {
        "key": "facility_records",
        "label": "Facility records",
        "numeric": true
      },
      {
        "key": "mean_overall_rating",
        "label": "Mean overall rating",
        "numeric": true
      },
      {
        "key": "mean_staffing_rating",
        "label": "Mean staffing rating",
        "numeric": true
      }
    ],
    "rows": [
      {
        "row_key": "AK",
        "values": {
          "state_or_territory": "AK",
          "facility_records": "20",
          "mean_overall_rating": "3.15",
          "mean_staffing_rating": "3.88"
        }
      },
      {
        "row_key": "AL",
        "values": {
          "state_or_territory": "AL",
          "facility_records": "224",
          "mean_overall_rating": "3.05",
          "mean_staffing_rating": "3.59"
        }
      },
      {
        "row_key": "AR",
        "values": {
          "state_or_territory": "AR",
          "facility_records": "221",
          "mean_overall_rating": "3.44",
          "mean_staffing_rating": "3.21"
        }
      },
      {
        "row_key": "AZ",
        "values": {
          "state_or_territory": "AZ",
          "facility_records": "140",
          "mean_overall_rating": "3.42",
          "mean_staffing_rating": "2.99"
        }
      },
      {
        "row_key": "CA",
        "values": {
          "state_or_territory": "CA",
          "facility_records": "1162",
          "mean_overall_rating": "3.18",
          "mean_staffing_rating": "3.11"
        }
      },
      {
        "row_key": "CO",
        "values": {
          "state_or_territory": "CO",
          "facility_records": "210",
          "mean_overall_rating": "3.18",
          "mean_staffing_rating": "3.17"
        }
      },
      {
        "row_key": "CT",
        "values": {
          "state_or_territory": "CT",
          "facility_records": "191",
          "mean_overall_rating": "3.09",
          "mean_staffing_rating": "3.34"
        }
      },
      {
        "row_key": "DC",
        "values": {
          "state_or_territory": "DC",
          "facility_records": "17",
          "mean_overall_rating": "3.65",
          "mean_staffing_rating": "4.18"
        }
      },
      {
        "row_key": "DE",
        "values": {
          "state_or_territory": "DE",
          "facility_records": "44",
          "mean_overall_rating": "3.33",
          "mean_staffing_rating": "3.86"
        }
      },
      {
        "row_key": "FL",
        "values": {
          "state_or_territory": "FL",
          "facility_records": "694",
          "mean_overall_rating": "3.27",
          "mean_staffing_rating": "3.32"
        }
      },
      {
        "row_key": "GA",
        "values": {
          "state_or_territory": "GA",
          "facility_records": "356",
          "mean_overall_rating": "2.68",
          "mean_staffing_rating": "2.28"
        }
      },
      {
        "row_key": "GU",
        "values": {
          "state_or_territory": "GU",
          "facility_records": "1",
          "mean_overall_rating": "2",
          "mean_staffing_rating": "5"
        }
      },
      {
        "row_key": "HI",
        "values": {
          "state_or_territory": "HI",
          "facility_records": "42",
          "mean_overall_rating": "3.68",
          "mean_staffing_rating": "4.3"
        }
      },
      {
        "row_key": "IA",
        "values": {
          "state_or_territory": "IA",
          "facility_records": "390",
          "mean_overall_rating": "3.14",
          "mean_staffing_rating": "3.6"
        }
      },
      {
        "row_key": "ID",
        "values": {
          "state_or_territory": "ID",
          "facility_records": "80",
          "mean_overall_rating": "3.16",
          "mean_staffing_rating": "2.99"
        }
      },
      {
        "row_key": "IL",
        "values": {
          "state_or_territory": "IL",
          "facility_records": "667",
          "mean_overall_rating": "2.56",
          "mean_staffing_rating": "2.12"
        }
      },
      {
        "row_key": "IN",
        "values": {
          "state_or_territory": "IN",
          "facility_records": "507",
          "mean_overall_rating": "3.15",
          "mean_staffing_rating": "2.44"
        }
      },
      {
        "row_key": "KS",
        "values": {
          "state_or_territory": "KS",
          "facility_records": "297",
          "mean_overall_rating": "3.01",
          "mean_staffing_rating": "3.39"
        }
      },
      {
        "row_key": "KY",
        "values": {
          "state_or_territory": "KY",
          "facility_records": "268",
          "mean_overall_rating": "2.98",
          "mean_staffing_rating": "2.75"
        }
      },
      {
        "row_key": "LA",
        "values": {
          "state_or_territory": "LA",
          "facility_records": "266",
          "mean_overall_rating": "2.51",
          "mean_staffing_rating": "2.35"
        }
      },
      {
        "row_key": "MA",
        "values": {
          "state_or_territory": "MA",
          "facility_records": "341",
          "mean_overall_rating": "3.07",
          "mean_staffing_rating": "3.05"
        }
      },
      {
        "row_key": "MD",
        "values": {
          "state_or_territory": "MD",
          "facility_records": "221",
          "mean_overall_rating": "3.14",
          "mean_staffing_rating": "3.18"
        }
      },
      {
        "row_key": "ME",
        "values": {
          "state_or_territory": "ME",
          "facility_records": "78",
          "mean_overall_rating": "2.92",
          "mean_staffing_rating": "3.71"
        }
      },
      {
        "row_key": "MI",
        "values": {
          "state_or_territory": "MI",
          "facility_records": "423",
          "mean_overall_rating": "3.18",
          "mean_staffing_rating": "3.51"
        }
      },
      {
        "row_key": "MN",
        "values": {
          "state_or_territory": "MN",
          "facility_records": "338",
          "mean_overall_rating": "3.17",
          "mean_staffing_rating": "4.09"
        }
      },
      {
        "row_key": "MO",
        "values": {
          "state_or_territory": "MO",
          "facility_records": "487",
          "mean_overall_rating": "2.49",
          "mean_staffing_rating": "2.1"
        }
      },
      {
        "row_key": "MS",
        "values": {
          "state_or_territory": "MS",
          "facility_records": "202",
          "mean_overall_rating": "2.71",
          "mean_staffing_rating": "3.64"
        }
      },
      {
        "row_key": "MT",
        "values": {
          "state_or_territory": "MT",
          "facility_records": "61",
          "mean_overall_rating": "3.05",
          "mean_staffing_rating": "3.59"
        }
      },
      {
        "row_key": "NC",
        "values": {
          "state_or_territory": "NC",
          "facility_records": "418",
          "mean_overall_rating": "2.94",
          "mean_staffing_rating": "2.7"
        }
      },
      {
        "row_key": "ND",
        "values": {
          "state_or_territory": "ND",
          "facility_records": "72",
          "mean_overall_rating": "3.27",
          "mean_staffing_rating": "4.08"
        }
      },
      {
        "row_key": "NE",
        "values": {
          "state_or_territory": "NE",
          "facility_records": "179",
          "mean_overall_rating": "2.88",
          "mean_staffing_rating": "3.24"
        }
      },
      {
        "row_key": "NH",
        "values": {
          "state_or_territory": "NH",
          "facility_records": "74",
          "mean_overall_rating": "2.95",
          "mean_staffing_rating": "3.21"
        }
      },
      {
        "row_key": "NJ",
        "values": {
          "state_or_territory": "NJ",
          "facility_records": "348",
          "mean_overall_rating": "3.38",
          "mean_staffing_rating": "3.09"
        }
      },
      {
        "row_key": "NM",
        "values": {
          "state_or_territory": "NM",
          "facility_records": "68",
          "mean_overall_rating": "2.85",
          "mean_staffing_rating": "2.8"
        }
      },
      {
        "row_key": "NV",
        "values": {
          "state_or_territory": "NV",
          "facility_records": "66",
          "mean_overall_rating": "3.26",
          "mean_staffing_rating": "3.12"
        }
      },
      {
        "row_key": "NY",
        "values": {
          "state_or_territory": "NY",
          "facility_records": "596",
          "mean_overall_rating": "3.05",
          "mean_staffing_rating": "2.76"
        }
      },
      {
        "row_key": "OH",
        "values": {
          "state_or_territory": "OH",
          "facility_records": "922",
          "mean_overall_rating": "3.22",
          "mean_staffing_rating": "2.44"
        }
      },
      {
        "row_key": "OK",
        "values": {
          "state_or_territory": "OK",
          "facility_records": "283",
          "mean_overall_rating": "2.73",
          "mean_staffing_rating": "2.6"
        }
      },
      {
        "row_key": "OR",
        "values": {
          "state_or_territory": "OR",
          "facility_records": "128",
          "mean_overall_rating": "3.1",
          "mean_staffing_rating": "3.94"
        }
      },
      {
        "row_key": "PA",
        "values": {
          "state_or_territory": "PA",
          "facility_records": "657",
          "mean_overall_rating": "3.02",
          "mean_staffing_rating": "3.09"
        }
      },
      {
        "row_key": "PR",
        "values": {
          "state_or_territory": "PR",
          "facility_records": "9",
          "mean_overall_rating": "3.33",
          "mean_staffing_rating": "3.5"
        }
      },
      {
        "row_key": "RI",
        "values": {
          "state_or_territory": "RI",
          "facility_records": "73",
          "mean_overall_rating": "2.99",
          "mean_staffing_rating": "3.22"
        }
      },
      {
        "row_key": "SC",
        "values": {
          "state_or_territory": "SC",
          "facility_records": "187",
          "mean_overall_rating": "3.04",
          "mean_staffing_rating": "2.95"
        }
      },
      {
        "row_key": "SD",
        "values": {
          "state_or_territory": "SD",
          "facility_records": "96",
          "mean_overall_rating": "2.84",
          "mean_staffing_rating": "3.49"
        }
      },
      {
        "row_key": "TN",
        "values": {
          "state_or_territory": "TN",
          "facility_records": "303",
          "mean_overall_rating": "2.97",
          "mean_staffing_rating": "2.38"
        }
      },
      {
        "row_key": "TX",
        "values": {
          "state_or_territory": "TX",
          "facility_records": "1176",
          "mean_overall_rating": "2.7",
          "mean_staffing_rating": "1.84"
        }
      },
      {
        "row_key": "UT",
        "values": {
          "state_or_territory": "UT",
          "facility_records": "97",
          "mean_overall_rating": "3.35",
          "mean_staffing_rating": "3.03"
        }
      },
      {
        "row_key": "VA",
        "values": {
          "state_or_territory": "VA",
          "facility_records": "289",
          "mean_overall_rating": "3.02",
          "mean_staffing_rating": "2.44"
        }
      },
      {
        "row_key": "VT",
        "values": {
          "state_or_territory": "VT",
          "facility_records": "34",
          "mean_overall_rating": "2.82",
          "mean_staffing_rating": "3.26"
        }
      },
      {
        "row_key": "WA",
        "values": {
          "state_or_territory": "WA",
          "facility_records": "194",
          "mean_overall_rating": "3.31",
          "mean_staffing_rating": "3.43"
        }
      },
      {
        "row_key": "WI",
        "values": {
          "state_or_territory": "WI",
          "facility_records": "323",
          "mean_overall_rating": "3.03",
          "mean_staffing_rating": "3.67"
        }
      },
      {
        "row_key": "WV",
        "values": {
          "state_or_territory": "WV",
          "facility_records": "123",
          "mean_overall_rating": "2.93",
          "mean_staffing_rating": "2.65"
        }
      },
      {
        "row_key": "WY",
        "values": {
          "state_or_territory": "WY",
          "facility_records": "36",
          "mean_overall_rating": "2.97",
          "mean_staffing_rating": "3.38"
        }
      }
    ],
    "source": {
      "source_key": "cms-nursing-home-2026-05-07",
      "name": "Provider Information (4pq5-n9py)",
      "publisher": "Centers for Medicare & Medicaid Services (CMS)",
      "official_url": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
      "source_date_kind": "release",
      "source_date": "2026-04-29",
      "limitation": "Counts cover Medicare/Medicaid-participating nursing-home records in the snapshot. CMS star fields are not Fonteum rankings or suitability judgments.",
      "retrieved_date": "2026-05-07",
      "retained_artifact": {
        "kind": "fonteum-derived",
        "file_name": "care-compare-nursing-homes-2026-05-07.json",
        "file_url": "/research/data/care-compare-nursing-homes-2026-05-07.json",
        "creator": "Fonteum LLC",
        "generated_date": "2026-05-07",
        "published_date": "2026-05-07",
        "data_as_of": "2026-04-29",
        "sha256": "e83ad48402bd0e0a0825264ec58108120adc7f33f3cce067f0092e54b3a46064",
        "is_based_on": {
          "source_key": "cms-nursing-home-2026-05-07",
          "name": "Provider Information (4pq5-n9py)",
          "publisher": "Centers for Medicare & Medicaid Services (CMS)",
          "official_url": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
          "source_date_kind": "release",
          "source_date": "2026-04-29"
        }
      }
    }
  },
  "faq": [
    {
      "question": "Does 14,699 count every nursing home business?",
      "answer": "No. It counts participating facility records in the named CMS Care Compare snapshot."
    },
    {
      "question": "Are CMS star fields Fonteum rankings?",
      "answer": "No. They remain CMS source fields with a dated scope and limitations."
    }
  ]
}