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Nursing home quality measures: what CMS publishes

Nursing Home Quality Measures — CMS Source Datasets

Nursing home quality measures are CMS-published performance scores for Medicare-certified facilities, built from Minimum Data Set resident assessments, with claims data added for some measures. The CMS Provider Data Catalog nursing-home topic, released 2026-06-24, publishes 18 datasets, including MDS quality measures with 4-quarter score averages used in the Five-Star Rating System.

Published
2026-07-22
Retrieved
Not reported
Snapshot
sha256:9f4e4d9629a26083ad1f8c37d3c69dd88c9e0f9a3d977b573902e7826c7ca67c
Data as of
2026-06-24

Source artifact receipts

Each receipt below describes its exact retained artifact or live source. Dates and digests never cross artifact boundaries.

Scope and material limitation

What this answer covers

This page covers what CMS nursing home quality measures are, where the official datasets live, and what feeds them. It reports facility-level statistics as published by CMS; it does not rank facilities, recommend care, or restate any facility's individual scores.

Dated source facts

What the cited record says

  1. Official dataset inventory
    The CMS Provider Data Catalog nursing-home topic lists 18 datasets, including Provider Information (quality measure scores, staffing, and other Five-Star Rating System inputs), MDS Quality Measures, Penalties, and Ownership, released 2026-06-24 with data last modified 2026-06-01.
    Provider Data Catalog — Nursing homes including rehab servicesAgency release: Open source recordLimitation: The catalog release observed on 2026-07-22 lists datasets last modified 2026-06-01. Quality-measure scores are facility-level statistics, not care recommendations for any resident.
  2. What feeds the measures
    MDS quality measures are based on the resident assessments that make up the nursing home Minimum Data Set, reported with 4-quarter score averages; CMS's October 2025 revision added Medicare, Medicaid, and Part D claims and encounter data to the long-stay antipsychotic-medication measure.
    Provider Data Catalog — Nursing homes including rehab servicesAgency release: Open source recordLimitation: The catalog release observed on 2026-07-22 lists datasets last modified 2026-06-01. Quality-measure scores are facility-level statistics, not care recommendations for any resident.

Source-snapshot manifest receipt

Reproducible lineage, explicitly unsigned

This receipt attests the source snapshot manifest, not any individual fact.

The answer-series chain record is unsigned. It does not authenticate a person, organization, eligibility state, or individual fact.

Snapshot manifest SHA-256
c9c0057b0b748ea5392a7dd0e6c0f3a5935d29dd55d35990ba7bc159a7339d19
Previous chain SHA-256
4eaf4c7b934b7792bf4373b1d7f93c96d103885b07bc246dfd51b01065c80b0e
Current chain SHA-256
1966d5a0476da7e45853b9f0ac7430ec16b4ebf59a0a4bc761ca8f4682a54308
signature_linked_facts
0
Answer-series chain status
unsigned

Primary-source chain

Follow the answer to its source

  1. Provider Data Catalog — Nursing homes including rehab servicesCenters for Medicare & Medicaid Services (CMS)Agency release:

    Limitation: The catalog release observed on 2026-07-22 lists datasets last modified 2026-06-01. Quality-measure scores are facility-level statistics, not care recommendations for any resident.

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Methodology and limitations

How to interpret this answer

Methodology version: citation-answer/v1

  • Dataset counts and dates are those observed on the CMS catalog on the access date; CMS updates the catalog on its own schedule.
  • Facility-level statistics are not care recommendations, rankings, or predictions about any resident's experience.
  • Measure specifications change; CMS's announcements on the catalog page are the authoritative change record.
Read the methodology

Frequently asked questions

Questions about this answer

What kinds of measures does CMS publish for nursing homes?
CMS publishes short-stay and long-stay quality measures built from Minimum Data Set resident assessments, alongside staffing data, health-inspection results, penalties, and ownership records — the inputs the Five-Star Rating System draws on. The official copies live in the CMS Provider Data Catalog.
How current are the published scores?
Each dataset carries its own Last Modified, Released, and Planned Update dates on the CMS catalog. At the 2026-06-24 release observed on 2026-07-22, data were last modified 2026-06-01 with the next update planned for 2026-07-29.
Can quality measures alone identify the best nursing home?
No. The measures are facility-level statistics with defined lookback windows and case-mix adjustments. CMS presents them alongside staffing and inspection records rather than as a single verdict, and this page does not rank facilities or recommend care.

What’s on file, by the numbers

Platform snapshot · 2026-07-28

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.

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Reproducible by design

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Source and date

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Available derivation

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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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