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Fonteum · Federal Healthcare Data

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

CMS health-inspection deficiency citations, daily nurse staffing (PBJ), and PECOS ownership disclosures are now gathered in Fonteum's Care Compare nursing-home research surface. The underlying federal records can have unavailable fields.

Open the CMS nursing-home comparison →

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 · 2026-10-04

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
11fresh 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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