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Fonteum · Federal Healthcare Data

The worst nursing homes by state, ranked by CMS inspection data

Every state's page ranks its most-cited nursing homes by CMS health-inspection deficiency citations — the federal record of what surveyors actually found — alongside daily nurse staffing (PBJ) and PECOS ownership disclosures. Pick a state below; the page names the CMS files and snapshot dates used. Record-level source fields can be unavailable.

ALAlabamaDeficiencies · Staffing · Ownership →AKAlaskaDeficiencies · Staffing · Ownership →AZArizonaDeficiencies · Staffing · Ownership →ARArkansasDeficiencies · Staffing · Ownership →CACaliforniaDeficiencies · Staffing · Ownership →COColoradoDeficiencies · Staffing · Ownership →CTConnecticutDeficiencies · Staffing · Ownership →DCDistrict of ColumbiaDeficiencies · Staffing · Ownership →DEDelawareDeficiencies · Staffing · Ownership →FLFloridaDeficiencies · Staffing · Ownership →GAGeorgiaDeficiencies · Staffing · Ownership →HIHawaiiDeficiencies · Staffing · Ownership →IDIdahoDeficiencies · Staffing · Ownership →ILIllinoisDeficiencies · Staffing · Ownership →INIndianaDeficiencies · Staffing · Ownership →IAIowaDeficiencies · Staffing · Ownership →KSKansasDeficiencies · Staffing · Ownership →KYKentuckyDeficiencies · Staffing · Ownership →LALouisianaDeficiencies · Staffing · Ownership →MEMaineDeficiencies · Staffing · Ownership →MDMarylandDeficiencies · Staffing · Ownership →MAMassachusettsDeficiencies · Staffing · Ownership →MIMichiganDeficiencies · Staffing · Ownership →MNMinnesotaDeficiencies · Staffing · Ownership →MSMississippiDeficiencies · Staffing · Ownership →MOMissouriDeficiencies · Staffing · Ownership →MTMontanaDeficiencies · Staffing · Ownership →NENebraskaDeficiencies · Staffing · Ownership →NVNevadaDeficiencies · Staffing · Ownership →NHNew HampshireDeficiencies · Staffing · Ownership →NJNew JerseyDeficiencies · Staffing · Ownership →NMNew MexicoDeficiencies · Staffing · Ownership →NYNew YorkDeficiencies · Staffing · Ownership →NCNorth CarolinaDeficiencies · Staffing · Ownership →NDNorth DakotaDeficiencies · Staffing · Ownership →OHOhioDeficiencies · Staffing · Ownership →OKOklahomaDeficiencies · Staffing · Ownership →OROregonDeficiencies · Staffing · Ownership →PAPennsylvaniaDeficiencies · Staffing · Ownership →RIRhode IslandDeficiencies · Staffing · Ownership →SCSouth CarolinaDeficiencies · Staffing · Ownership →SDSouth DakotaDeficiencies · Staffing · Ownership →TNTennesseeDeficiencies · Staffing · Ownership →TXTexasDeficiencies · Staffing · Ownership →UTUtahDeficiencies · Staffing · Ownership →VTVermontDeficiencies · Staffing · Ownership →VAVirginiaDeficiencies · Staffing · Ownership →WAWashingtonDeficiencies · Staffing · Ownership →WVWest VirginiaDeficiencies · Staffing · Ownership →WIWisconsinDeficiencies · Staffing · Ownership →WYWyomingDeficiencies · Staffing · Ownership →

Data Sources

  • CMS NH Health Deficiency Citations — per-citation scope/severity + F-tag taxonomy. Source: CMS Provider Data Catalog.
  • PBJ Daily Nurse Staffing — daily RN/LPN/CNA hours by facility and job code. Source: CMS Payroll-Based Journal.
  • PECOS SNF All Owners — owner PAC IDs, ownership percentage, entity type. Source: CMS PECOS.

Data is federal public-domain (17 U.S.C. § 105). Fonteum adds field-level provenance, normalized CCN keys for cross-source joins, and a snapshot-attestation chain. Methodology · Full Deficiencies Dataset

What’s on file, by the numbers

Platform snapshot · 2026-07-15

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
35sources liveCrosswalk-resolved sources with a snapshot in 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

Built on the authoritative federal record

The primary sources, named on every page.

These are the federal agencies whose public datasets Fonteum ingests and attributes — the issuing authorities, not customers or partners. Every figure on the site links back to one of them.

  • CMS
  • HHS-OIG
  • HRSA
  • FDA
  • NLM
  • NUCC
  • Census
  • BLS
  • BEA

See the full source registry, with license and refresh cadence for each →

Reproducible by design

Published figures name their source and date.

Source and date

Published research identifies its government file and observation date. Source-file SHA-256 coverage is disclosed separately; facts do not currently link deterministically to signatures.

Reproducible SQL

Each study ships the exact query behind its figures, run against the same dated copy of the federal file we used. Re-run it yourself.

Daily observations

The platform records table row counts daily. Those observations 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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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

© 2026 Fonteum LLC. All rights reserved.

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A public-records graph that exposes source and observation metadata where supplied.

Fonteum's provenance ledger contained 26.2M source-linked facts on July 12, 2026. All but 14 carried a source-file SHA-256; 0 linked deterministically to a signature. Inspect a supplied snapshot id at fonteum.com/verify · source-mark coverage and limitations.
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