{
  "$schema": "snapshot-manifest@1",
  "generated_at": "2026-05-08T05:26:14.453Z",
  "most_recent_snapshot_date": "2026-05-08",
  "sources": {
    "cms-sff": {
      "source_id": "cms-sff",
      "data_file": "cms-sff-2026-05-07.json",
      "release_date": "2026-05-07",
      "source_modified": "2026-04-01",
      "source_authority": "U.S. Centers for Medicare and Medicaid Services",
      "source_url": "https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-certification-compliance/special-focus-facility-sff-program",
      "source_dataset_slug": "cms-sff",
      "record_noun": "flagged Special Focus Facilities + candidates",
      "counts": {
        "sff_active": 85,
        "sff_candidate": 441,
        "total_flagged": 526,
        "states_with_sff_active": 47,
        "states_with_sff_candidate": 49
      }
    },
    "cms-leie": {
      "source_id": "cms-leie",
      "data_file": "cms-leie-2026-05-08.json",
      "release_date": "2026-05-08",
      "source_modified": "2026-04-10",
      "source_authority": "U.S. HHS Office of Inspector General — List of Excluded Individuals/Entities (LEIE)",
      "source_url": "https://oig.hhs.gov/exclusions/downloadables/UPDATED.csv",
      "source_dataset_slug": null,
      "record_noun": "OIG LEIE exclusion records",
      "counts": {
        "total_records": 83001,
        "active_count": 83001,
        "individual_count": 79605,
        "entity_count": 3396,
        "mandatory_count": 43005,
        "permissive_count": 39747,
        "records_with_npi": 8551
      }
    },
    "care-compare-nursing-homes": {
      "source_id": "care-compare-nursing-homes",
      "data_file": "care-compare-nursing-homes-2026-05-07.json",
      "release_date": "2026-05-07",
      "source_modified": "2026-04-01",
      "source_authority": "U.S. Centers for Medicare & Medicaid Services — Care Compare Nursing Home Compare",
      "source_url": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
      "source_dataset_slug": "4pq5-n9py",
      "record_noun": "Medicare-certified nursing homes",
      "counts": {
        "total_facilities": 14699,
        "sff_active": 85,
        "sff_candidate": 441,
        "territories": 2
      }
    },
    "care-compare-home-health": {
      "source_id": "care-compare-home-health",
      "data_file": "care-compare-home-health-2026-05-07.json",
      "release_date": "2026-05-07",
      "source_modified": "2026-03-05",
      "source_authority": "U.S. Centers for Medicare & Medicaid Services — Care Compare Home Health Care Agencies",
      "source_url": "https://data.cms.gov/provider-data/dataset/6jpm-sxkc",
      "source_dataset_slug": "6jpm-sxkc",
      "record_noun": "Medicare-certified home health agencies",
      "counts": {
        "total_agencies": 12392,
        "states_covered": 55,
        "rated_agencies": 7961
      }
    },
    "care-compare-hospice": {
      "source_id": "care-compare-hospice",
      "data_file": "care-compare-hospice-2026-05-07.json",
      "release_date": "2026-05-07",
      "source_modified": "2026-01-08",
      "source_authority": "U.S. Centers for Medicare & Medicaid Services — Care Compare Hospice General Information",
      "source_url": "https://data.cms.gov/provider-data/dataset/yc9t-dgbk",
      "source_dataset_slug": "yc9t-dgbk",
      "record_noun": "Medicare-certified hospices",
      "counts": {
        "total_facilities": 6943,
        "states_covered": 55,
        "for_profit_count": 4790
      }
    },
    "care-compare-dialysis": {
      "source_id": "care-compare-dialysis",
      "data_file": "care-compare-dialysis-2026-05-07.json",
      "release_date": "2026-05-07",
      "source_modified": "2026-03-25",
      "source_authority": "U.S. Centers for Medicare & Medicaid Services — Care Compare Dialysis Facility",
      "source_url": "https://data.cms.gov/provider-data/dataset/23ew-n7w9",
      "source_dataset_slug": "23ew-n7w9",
      "record_noun": "Medicare-certified dialysis facilities",
      "counts": {
        "total_facilities": 7557,
        "states_covered": 56,
        "rated_facilities": 7072,
        "chain_owned_count": 6815
      }
    },
    "care-compare-asc": {
      "source_id": "care-compare-asc",
      "data_file": "care-compare-asc-2026-05-07.json",
      "release_date": "2026-05-07",
      "source_modified": "2025-12-16",
      "source_authority": "U.S. Centers for Medicare & Medicaid Services — Care Compare Ambulatory Surgical Center Quality Measures",
      "source_url": "https://data.cms.gov/provider-data/dataset/4jcv-atw7",
      "source_dataset_slug": "4jcv-atw7",
      "record_noun": "Medicare-certified ambulatory surgical centers",
      "counts": {
        "total_facilities": 5611,
        "states_covered": 54,
        "facilities_with_npi": 5611
      }
    },
    "cms-pbj-daily-nurse-staffing": {
      "source_id": "cms-pbj-daily-nurse-staffing",
      "data_file": "cms-pbj-daily-nurse-staffing-2026-05-08.json",
      "release_date": "2026-05-08",
      "source_modified": "2026-04-16",
      "source_authority": "U.S. Centers for Medicare and Medicaid Services",
      "source_url": "https://data.cms.gov/provider-data/topics/nursing-homes",
      "source_dataset_slug": "cms-pbj",
      "record_noun": "nursing-home facility-quarter staffing records",
      "counts": {
        "total_facility_records": 14362,
        "facilities_meeting_4_1": 4153,
        "facilities_below_3_0": 1063
      }
    },
    "cms-nh-deficiencies": {
      "source_id": "cms-nh-deficiencies",
      "data_file": "cms-nh-deficiencies-2026-05-08.json",
      "release_date": "2026-05-08",
      "source_modified": "2026-04-17",
      "source_authority": "U.S. Centers for Medicare and Medicaid Services",
      "source_url": "https://data.cms.gov/provider-data/topics/nursing-homes",
      "source_dataset_slug": "cms-nh-deficiencies",
      "record_noun": "nursing-home deficiency citations",
      "counts": {
        "total_citations": 418148,
        "total_facilities_cited": 14635
      }
    },
    "cms-nh-penalties": {
      "source_id": "cms-nh-penalties",
      "data_file": "cms-nh-penalties-2026-05-08.json",
      "release_date": "2026-05-08",
      "source_modified": "2026-04-17",
      "source_authority": "U.S. Centers for Medicare and Medicaid Services",
      "source_url": "https://data.cms.gov/provider-data/topics/nursing-homes",
      "source_dataset_slug": "cms-nh-penalties",
      "record_noun": "nursing-home civil-money-penalty records",
      "counts": {
        "total_penalty_records": 16832,
        "facilities_with_penalties": 6919,
        "total_fine_amount_usd": 467344898
      }
    },
    "cms-snf-all-owners": {
      "source_id": "cms-snf-all-owners",
      "data_file": "cms-snf-all-owners-2026-05-08.json",
      "release_date": "2026-05-08",
      "source_modified": "2026-04-01",
      "source_authority": "U.S. Centers for Medicare and Medicaid Services",
      "source_url": "https://data.cms.gov/provider-data/topics/nursing-homes",
      "source_dataset_slug": "cms-snf-all-owners",
      "record_noun": "SNF facility-ownership records",
      "counts": {
        "total_facilities": 14699,
        "facilities_missing_ownership_pct": 14699
      }
    },
    "cms-pos": {
      "source_id": "cms-pos",
      "data_file": "cms-pos-2026-05-07.json",
      "release_date": "2026-05-07",
      "source_modified": "2026-04-15",
      "source_authority": "U.S. Centers for Medicare & Medicaid Services — Provider of Services File (Quality Improvement and Evaluation System)",
      "source_url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-quality-improvement-and-evaluation-system",
      "source_dataset_slug": null,
      "record_noun": "CMS Provider of Services facility records",
      "counts": {
        "total_facilities": 44429,
        "active_facilities": 26250,
        "terminated_facilities": 18179
      }
    },
    "care-compare-hospitals": {
      "source_id": "care-compare-hospitals",
      "data_file": "care-compare-hospitals-2026-05-07.json",
      "release_date": "2026-05-07",
      "source_modified": "2026-01-26",
      "source_authority": "U.S. Centers for Medicare & Medicaid Services — Care Compare Hospital General Information",
      "source_url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "source_dataset_slug": "xubh-q36u",
      "record_noun": "Medicare-certified hospitals",
      "counts": {
        "total_facilities": 5426,
        "states_covered": 56,
        "rated_facilities": 2866
      }
    },
    "care-compare-irf": {
      "source_id": "care-compare-irf",
      "data_file": "care-compare-irf-2026-05-07.json",
      "release_date": "2026-05-07",
      "source_modified": "2026-02-13",
      "source_authority": "U.S. Centers for Medicare & Medicaid Services — Care Compare Inpatient Rehabilitation Facility General Information",
      "source_url": "https://data.cms.gov/provider-data/dataset/7t8x-u3ir",
      "source_dataset_slug": "7t8x-u3ir",
      "record_noun": "Medicare-certified inpatient rehab facilities",
      "counts": {
        "total_facilities": 1221,
        "states_covered": 52
      }
    },
    "care-compare-ltach": {
      "source_id": "care-compare-ltach",
      "data_file": "care-compare-ltach-2026-05-07.json",
      "release_date": "2026-05-07",
      "source_modified": "2026-02-13",
      "source_authority": "U.S. Centers for Medicare & Medicaid Services — Care Compare Long-Term Care Hospital General Information",
      "source_url": "https://data.cms.gov/provider-data/dataset/azum-44iv",
      "source_dataset_slug": "azum-44iv",
      "record_noun": "Medicare-certified long-term acute-care hospitals",
      "counts": {
        "total_facilities": 317,
        "states_covered": 47
      }
    }
  }
}