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OSCAR: Definition and Healthcare Context

Full name: Online Survey, Certification, and Reporting System

The Online Survey, Certification, and Reporting System (OSCAR) was the CMS database through which state survey agencies recorded inspection and certification data for Medicare- and Medicaid-participating health care facilities, including nursing homes, hospitals, home health agencies, and intermediate care facilities. State surveyors submitted deficiency citations, waivers, complaints, and remedy actions into OSCAR following on-site visits. CMS used OSCAR data to populate early versions of Nursing Home Compare. The system was succeeded by CASPER (Certification and Survey Provider Enhanced Reports), which consolidates the OSCAR-originated survey records and serves as the underlying data source for the Health Inspections domain published on Care Compare.

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Snapshot
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Data as of
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Last updated: 2026-07-11Reviewed by: Dr. Jennifer Montecillo, MDGullas College of Medicine, 2019. Non-practicing medical reviewer.

How it’s used

  • CMS Care Compare (nursing homes): health inspection data on Care Compare — deficiency citations, scope-and-severity scores, and fine histories — originates from the state survey process originally recorded in OSCAR and now maintained in CASPER.
  • CMS Provider of Services (POS) File: certification status data in the POS file is derived from the OSCAR/CASPER survey and certification records that state agencies maintain after standard and complaint surveys.
  • Fonteum NH Deficiency & Harm Rate study: the 418,148 deficiency citations and 14,635 facilities analyzed in Fonteum's nursing home deficiency research trace back to the OSCAR/CASPER survey database populated by state surveyors.

Frequently asked questions

What was the OSCAR system?
OSCAR (Online Survey, Certification, and Reporting System) was the CMS database where state survey agencies recorded nursing home and facility inspection results, deficiency citations, and certification status.
Is OSCAR still in use?
OSCAR was replaced by CASPER (Certification and Survey Provider Enhanced Reports), which now serves the same function and feeds Health Inspections data into CMS Care Compare.
What replaced OSCAR?
CASPER replaced OSCAR as the primary CMS survey and certification data system. Historical OSCAR data was migrated into CASPER, and all current survey submissions go into CASPER.

What’s on file, by the numbers

Platform snapshot · 2026-07-25

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
79fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

Browse source records and their stated limitations →

Reproducible by design

Inspect the evidence each published figure actually supplies.

Source and date

Research pages expose the named public file and observation date where those fields are available. Source-file SHA-256 coverage is separate; facts do not currently link deterministically to signatures.

Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

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