OIG exclusion records
Loaded LEIE release dated May 8, 2026; production observation checked July 12, 2026.
Civil penalty findings
CMS Care Compare 3-year nursing home penalties dataset.
Deficiencies indexed
NH Health Deficiency citations, scope/severity tagged, 14,635 facilities.
OIG LEIE · records
The federal exclusion list, queryable by NPI.
The OIG LEIE is the authoritative federal record of individuals and entities excluded from participation in Medicare, Medicaid, and all federal healthcare programs. Fonteum's NPI screen compares the serving release date with the newest attested OIG artifact; when they diverge, the result is indeterminate and is not a clearance.
Both mandatory exclusion categories (42 U.S.C. §1320a-7(a)) and permissive categories (§1320a-7(b)) are enumerated. Reinstatement dates and waiver references surface when present. Source: oig.hhs.gov/exclusions.
View the /sanctions brand-hub →Provider Integrity Screen · Coverage-Aware
Responses disclose serving and attested coverage dates; stale coverage returns indeterminate, never a clearance. Request access →
Civil Monetary Penalty Exposure · Live
Federal source · CMS nh_penalties table · pilot access required for production API. Request access →
Civil Monetary Penalties · 16,832 findings
Three years of penalty actions. Per finding, per facility.
The April 2023–March 2026 CMS Care Compare penalty table spans 6,919 facilities across 16,832 rows. It reports $467,344,898 in positive fines and, separately, 2,553 payment-denial records covering 1,950 facilities. Rows identify the penalty type; fine amounts apply to positive Financial Penalty rows.
CCN-keyed — any facility in your portfolio is cross-joinable to its penalty history, deficiency record, and staffing posture in a single query.
Staffing rule compliance · deficiency citations
staffing records. deficiency citations.
CMS finalized a minimum staffing rule for nursing facilities in April 2024. Fonteum's PBJ staffing layer provides the per-quarter, per-facility, per-staff-type data required to assess compliance: RN hours per resident day, total nurse staffing hours, and turnover rate — all from the federally mandated Payroll-Based Journal submission.
G+ deficiency rate
G-level and above indicates actual harm or immediate jeopardy. IL leads at 4.57 citations/facility vs NH at 0.31 — a 14.7× disparity.
Facilities in deficiency dataset
Scope/severity tagged across all 9 levels (A–L). Survey date, citation type, and corrective action timeline included.
24 h
Refresh window
CMS publishes monthly; the export states the available source and observation date. No 24-hour ingestion SLA is claimed.
Audit trail · HHS OCR readiness
Retained checks expose the audit fields available for their response.
OIG recommends checking the LEIE before employing or contracting and periodically afterward; because the list updates monthly, OIG says monthly screening best minimizes potential liability. Applicable program, contract, and state rules can impose their own cadence. An OCR investigation or CMS audit may ask for the date and method of each check. The one-off certificate pack can serve as that retained record after purchase and account roster submission; the free workflow shows its result on screen without creating an export.
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Returned checks identify the observation time, methodology version, and available source snapshot date.
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Results identify the originating list and link to its official publisher; row-level locators appear when present.
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Exports record the methodology version used at export time; retention depends on the named source and product tier.
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Supported CSV and JSON audit exports include their defined source and observation columns; available fields vary by export.
“The audit artifact your compliance officer attaches to the response — not a vendor statement that something was checked.”
COMPLIANCE & AUDIT
Supported audit outputs identify their public source and available observation metadata.
Coverage
Four checks. One data layer.
Exclusion check
NPI searches check the current loaded OIG LEIE file where the exclusion row publishes an NPI. Mandatory and permissive exclusion types are retained; reinstatement dates appear where present.
Penalty cross-reference
CCN-keyed civil monetary penalty history joined across the 3-year CMS dataset. Per-finding violation type, penalty amount, and payment-denial count.
Deficiency citations
nursing home deficiency citations indexed by survey date, scope/severity tag, and facility CCN. G-level and above flagged for immediate review.
Staffing-rule compliance
PBJ staffing records cross-referenced against CMS minimum staffing rule thresholds. Per-quarter, per-facility, per-staff-type breakdown.
Next step
A 30-minute scoping call. No commitment.
We scope the datasets relevant to your compliance program, walk through the audit-trail format, and show a live export. If it fits, we agree on a 90-day pilot.
Use cases
Three jobs this data layer is built for — each with a dual-buyer walkthrough and a sample audit artifact:
Fonteum presents public-record information with source, date, and limitation context. Sources can change after capture. This service is not a consumer reporting agency and is not for employment, housing, credit, insurance, or other FCRA-regulated eligibility decisions.