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  "_source_url": "https://data.cms.gov/provider-data/topics/nursing-homes",
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  "_redistribution_url": "https://www.usa.gov/government-works",
  "_attribution_required": "Source: CMS NH Health Deficiencies · Snapshot 2026-05-08 (CMS-published 2026-04-17)",
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    "bottom_10_states_by_harm_rate": [
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    ],
    "harm_rate_disparity_top_vs_bottom": 4.81,
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    },
    "by_deficiency_corrected": {
      "Y": 0,
      "N": 0,
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    },
    "date_range": {
      "earliest": "2017-03-23",
      "latest": "2026-03-25"
    },
    "top_20_f_tags_by_count": [
      {
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        "count": 23555
      },
      {
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      },
      {
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      },
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      {
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      {
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    ],
    "source_published": "2026-04-17",
    "notes": {
      "iqies_migration_caveat": "Citations spanning July 2025 iQIES migration may have legacy QIES survey-event encoding (pre-July 2025) vs iQIES encoding (post-July 2025). Fonteum flags time-series comparability in audit-pack export caveat field.",
      "feb_2026_schema_change": "Per CMS Feb 25 2026 schema change, complaint-allegation count was removed from Care Compare. The CSV ingested today (April 17 2026 release) reflects the post-change schema with separate Standard Deficiency / Complaint Deficiency / Infection Control Inspection Deficiency boolean columns.",
      "join_strategy": "No Survey Event ID column in this CSV. Penalties↔Deficiencies join uses CCN + Survey Date / Penalty Date approximation (±30 days); audit-pack export endpoint surfaces matching survey events explicitly.",
      "csv_provenance": "Read from local CSV at data/cms-snapshots-2026-05-08/NH_HealthCitations_Apr2026.csv (~158 MB). Source-released April 17, 2026 per CSV last-modified header (Cowork-prefetched into local repo for §sprint1-nh-depth-ingest-c).",
      "per_citation_detail": "Per-citation rows are NOT materialized in this snapshot to avoid >100 MB JSON in public/. Audit-pack export endpoint streams the source CSV on demand for per-citation rendering."
    }
  },
  "_per_citation_materialization": "Audit-pack export endpoint (§sprint1-export) streams the source CSV on demand; this snapshot ships summary aggregates only."
}