{ "study": { "slug": "nursing-homes-banned-medicare-admissions", "title": "Nursing Homes Banned From New Medicare Admissions: The DPNA List", "url": "https://fonteum.com/research/nursing-homes-banned-medicare-admissions", "methodology_version": "dpna-bans/v1" }, "data_as_of": "2026-07-14", "temporal_coverage": "2023-05-05/2026-03-06", "sources": [ { "name": "CMS Nursing Home Penalties", "publisher": "U.S. Centers for Medicare & Medicaid Services", "url": "https://data.cms.gov/provider-data/dataset/g6vv-u9sr", "release_date": "2026-05-08", "retrieved_at": "2026-07-14", "license": "U.S. Government Works (17 U.S.C. §105)" }, { "name": "CMS Provider of Services (POS) file", "publisher": "U.S. Centers for Medicare & Medicaid Services", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-clinical-laboratories", "release_date": null, "retrieved_at": "2026-07-14", "license": "U.S. Government Works (17 U.S.C. §105)" } ], "headline": { "facilities_banned": 1950, "denial_actions": 2553, "avg_ban_days": 28, "median_ban_days": 19, "longest_ban_days": 458, "repeat_facilities": 442, "max_actions_one_facility": 6, "ccn_resolved_against_cms_pos": 1950, "window_start": "2023-05-05", "window_end": "2026-03-06" }, "sections": [ { "id": "ban_length_distribution", "label": "Denial actions by ban length", "columns": [ "ban_length_bucket", "actions" ], "rows": [ { "ban_length_bucket": "1–7 days", "actions": 598 }, { "ban_length_bucket": "8–14 days", "actions": 462 }, { "ban_length_bucket": "15–30 days", "actions": 656 }, { "ban_length_bucket": "31–60 days", "actions": 564 }, { "ban_length_bucket": "61–90 days", "actions": 179 }, { "ban_length_bucket": "90+ days", "actions": 94 } ] }, { "id": "by_state", "label": "Banned facilities and denial actions by state", "columns": [ "state", "facilities", "actions", "avg_ban_days", "max_ban_days" ], "rows": [ { "state": "IL", "facilities": 299, "actions": 500, "avg_ban_days": 31, "max_ban_days": 155 }, { "state": "CA", "facilities": 211, "actions": 285, "avg_ban_days": 24, "max_ban_days": 404 }, { "state": "TX", "facilities": 147, "actions": 169, "avg_ban_days": 19, "max_ban_days": 129 }, { "state": "OH", "facilities": 144, "actions": 176, "avg_ban_days": 32, "max_ban_days": 126 }, { "state": "MI", "facilities": 123, "actions": 173, "avg_ban_days": 24, "max_ban_days": 136 }, { "state": "MO", "facilities": 112, "actions": 157, "avg_ban_days": 30, "max_ban_days": 140 }, { "state": "IA", "facilities": 71, "actions": 85, "avg_ban_days": 28, "max_ban_days": 112 }, { "state": "WI", "facilities": 70, "actions": 98, "avg_ban_days": 32, "max_ban_days": 150 }, { "state": "NC", "facilities": 69, "actions": 86, "avg_ban_days": 32, "max_ban_days": 148 }, { "state": "MN", "facilities": 49, "actions": 59, "avg_ban_days": 18, "max_ban_days": 98 }, { "state": "PA", "facilities": 48, "actions": 61, "avg_ban_days": 39, "max_ban_days": 138 }, { "state": "OK", "facilities": 47, "actions": 58, "avg_ban_days": 20, "max_ban_days": 106 }, { "state": "KS", "facilities": 40, "actions": 44, "avg_ban_days": 19, "max_ban_days": 81 }, { "state": "GA", "facilities": 40, "actions": 41, "avg_ban_days": 29, "max_ban_days": 74 }, { "state": "TN", "facilities": 37, "actions": 42, "avg_ban_days": 46, "max_ban_days": 179 }, { "state": "LA", "facilities": 36, "actions": 45, "avg_ban_days": 20, "max_ban_days": 67 }, { "state": "NE", "facilities": 35, "actions": 44, "avg_ban_days": 23, "max_ban_days": 85 }, { "state": "CO", "facilities": 35, "actions": 39, "avg_ban_days": 23, "max_ban_days": 85 }, { "state": "IN", "facilities": 34, "actions": 40, "avg_ban_days": 21, "max_ban_days": 98 }, { "state": "WA", "facilities": 29, "actions": 35, "avg_ban_days": 18, "max_ban_days": 48 }, { "state": "KY", "facilities": 26, "actions": 28, "avg_ban_days": 32, "max_ban_days": 146 }, { "state": "FL", "facilities": 23, "actions": 24, "avg_ban_days": 33, "max_ban_days": 93 }, { "state": "MS", "facilities": 22, "actions": 24, "avg_ban_days": 19, "max_ban_days": 44 }, { "state": "NY", "facilities": 17, "actions": 20, "avg_ban_days": 38, "max_ban_days": 92 }, { "state": "NM", "facilities": 14, "actions": 20, "avg_ban_days": 22, "max_ban_days": 75 }, { "state": "AL", "facilities": 14, "actions": 15, "avg_ban_days": 34, "max_ban_days": 116 }, { "state": "RI", "facilities": 13, "actions": 21, "avg_ban_days": 12, "max_ban_days": 50 }, { "state": "UT", "facilities": 13, "actions": 16, "avg_ban_days": 38, "max_ban_days": 458 }, { "state": "AR", "facilities": 12, "actions": 13, "avg_ban_days": 18, "max_ban_days": 62 }, { "state": "CT", "facilities": 11, "actions": 12, "avg_ban_days": 31, "max_ban_days": 71 }, { "state": "MD", "facilities": 11, "actions": 11, "avg_ban_days": 28, "max_ban_days": 83 }, { "state": "MT", "facilities": 11, "actions": 11, "avg_ban_days": 33, "max_ban_days": 95 }, { "state": "SC", "facilities": 9, "actions": 11, "avg_ban_days": 26, "max_ban_days": 86 }, { "state": "VT", "facilities": 9, "actions": 10, "avg_ban_days": 43, "max_ban_days": 110 }, { "state": "MA", "facilities": 8, "actions": 9, "avg_ban_days": 49, "max_ban_days": 148 }, { "state": "NJ", "facilities": 8, "actions": 8, "avg_ban_days": 21, "max_ban_days": 56 }, { "state": "OR", "facilities": 7, "actions": 8, "avg_ban_days": 17, "max_ban_days": 48 }, { "state": "WY", "facilities": 6, "actions": 8, "avg_ban_days": 31, "max_ban_days": 61 }, { "state": "VA", "facilities": 6, "actions": 6, "avg_ban_days": 54, "max_ban_days": 110 }, { "state": "ME", "facilities": 5, "actions": 7, "avg_ban_days": 23, "max_ban_days": 82 }, { "state": "DC", "facilities": 5, "actions": 6, "avg_ban_days": 34, "max_ban_days": 76 }, { "state": "DE", "facilities": 4, "actions": 7, "avg_ban_days": 55, "max_ban_days": 117 }, { "state": "AZ", "facilities": 4, "actions": 5, "avg_ban_days": 32, "max_ban_days": 90 }, { "state": "AK", "facilities": 3, "actions": 3, "avg_ban_days": 12, "max_ban_days": 25 }, { "state": "ND", "facilities": 3, "actions": 3, "avg_ban_days": 11, "max_ban_days": 25 }, { "state": "WV", "facilities": 3, "actions": 3, "avg_ban_days": 45, "max_ban_days": 55 }, { "state": "NV", "facilities": 2, "actions": 2, "avg_ban_days": 20, "max_ban_days": 34 }, { "state": "NH", "facilities": 2, "actions": 2, "avg_ban_days": 25, "max_ban_days": 35 }, { "state": "HI", "facilities": 1, "actions": 1, "avg_ban_days": 11, "max_ban_days": 11 }, { "state": "ID", "facilities": 1, "actions": 1, "avg_ban_days": 61, "max_ban_days": 61 }, { "state": "GU", "facilities": 1, "actions": 1, "avg_ban_days": 61, "max_ban_days": 61 } ] }, { "id": "by_year", "label": "Denial actions by year", "columns": [ "year", "facilities", "actions", "avg_ban_days" ], "rows": [ { "year": 2023, "facilities": 609, "actions": 638, "avg_ban_days": 31 }, { "year": 2024, "facilities": 1006, "actions": 1112, "avg_ban_days": 28 }, { "year": 2025, "facilities": 694, "actions": 755, "avg_ban_days": 25 }, { "year": 2026, "facilities": 48, "actions": 48, "avg_ban_days": 15 } ] }, { "id": "longest_bans", "label": "Longest denial windows, one row per facility (identity resolved against CMS POS)", "columns": [ "ccn", "facility_name", "city", "state", "beds_certified", "chain", "ban_start_date", "ban_length_days", "implied_end_date", "pos_matched" ], "rows": [ { "ccn": "465137", "facility_name": "Red Cliffs Health and Rehab", "city": "St George", "state": "UT", "beds_certified": 124, "chain": "Cascades Healthcare", "ban_start_date": "2024-07-30", "ban_length_days": 458, "implied_end_date": "2025-10-31", "pos_matched": true }, { "ccn": "056367", "facility_name": "THE REHABILITATION CENTER OF NORTH HILLS", "city": "NORTH HILLS", "state": "CA", "beds_certified": 138, "chain": null, "ban_start_date": "2024-08-09", "ban_length_days": 404, "implied_end_date": "2025-09-17", "pos_matched": true }, { "ccn": "445430", "facility_name": "Lewis Park Post Acute", "city": "HOHENWALD", "state": "TN", "beds_certified": 131, "chain": "PACS", "ban_start_date": "2023-06-04", "ban_length_days": 179, "implied_end_date": "2023-11-30", "pos_matched": true }, { "ccn": "145662", "facility_name": "ELEVATE CARE NILES", "city": "NILES", "state": "IL", "beds_certified": 302, "chain": "elevate care", "ban_start_date": "2023-07-08", "ban_length_days": 155, "implied_end_date": "2023-12-10", "pos_matched": true }, { "ccn": "145825", "facility_name": "SOUTH ELGIN LIVING & REHAB CENTER", "city": "SOUTH ELGIN", "state": "IL", "beds_certified": 90, "chain": "Peterson Healthcare", "ban_start_date": "2024-03-01", "ban_length_days": 152, "implied_end_date": "2024-07-31", "pos_matched": true }, { "ccn": "525262", "facility_name": "Rock River Nursing & Rehab", "city": "FORT ATKINSON", "state": "WI", "beds_certified": 87, "chain": "BEDROCK", "ban_start_date": "2024-05-24", "ban_length_days": 150, "implied_end_date": "2024-10-21", "pos_matched": true }, { "ccn": "345142", "facility_name": "University Place Nursing and Rehabilitation Center", "city": "Charlotte", "state": "NC", "beds_certified": 207, "chain": "Principle", "ban_start_date": "2024-04-04", "ban_length_days": 148, "implied_end_date": "2024-08-30", "pos_matched": true }, { "ccn": "225549", "facility_name": "BRIGHAM HEALTH AND REHABILITATION CENTER", "city": "NEWBURYPORT", "state": "MA", "beds_certified": 64, "chain": "Alpha Healthcare Management", "ban_start_date": "2023-12-05", "ban_length_days": 148, "implied_end_date": "2024-05-01", "pos_matched": true }, { "ccn": "185468", "facility_name": "Chestnut Ridge Health & Rehabilitation", "city": "Louisville", "state": "KY", "beds_certified": 92, "chain": "Lyon Healthcare", "ban_start_date": "2023-08-10", "ban_length_days": 146, "implied_end_date": "2024-01-03", "pos_matched": true }, { "ccn": "445331", "facility_name": "GRACELAND REHABILITATION AND NURSING CARE CENTER", "city": "MEMPHIS", "state": "TN", "beds_certified": 240, "chain": null, "ban_start_date": "2024-05-31", "ban_length_days": 145, "implied_end_date": "2024-10-23", "pos_matched": true }, { "ccn": "265258", "facility_name": "BELLEVIEW VALLEY NURSING HOME", "city": "BELLEVIEW", "state": "MO", "beds_certified": 109, "chain": null, "ban_start_date": "2024-05-28", "ban_length_days": 140, "implied_end_date": "2024-10-15", "pos_matched": true }, { "ccn": "145850", "facility_name": "CITY VIEW MULTICARE CENTER", "city": "CICERO", "state": "IL", "beds_certified": 485, "chain": null, "ban_start_date": "2023-06-30", "ban_length_days": 140, "implied_end_date": "2023-11-17", "pos_matched": true }, { "ccn": "395929", "facility_name": "RIDGEVIEW HEALTHCARE & REHAB CENTER", "city": "SHENANDOAH", "state": "PA", "beds_certified": 111, "chain": null, "ban_start_date": "2024-02-29", "ban_length_days": 138, "implied_end_date": "2024-07-16", "pos_matched": true }, { "ccn": "525362", "facility_name": "LAFAYETTE MANOR", "city": "DARLINGTON", "state": "WI", "beds_certified": 50, "chain": null, "ban_start_date": "2023-10-05", "ban_length_days": 137, "implied_end_date": "2024-02-19", "pos_matched": true }, { "ccn": "235039", "facility_name": "Mission Point Nursing & Physical Rehabilitation Center of Grandville", "city": "Grandville", "state": "MI", "beds_certified": 114, "chain": "Intersect Healthcare", "ban_start_date": "2023-05-16", "ban_length_days": 136, "implied_end_date": "2023-09-29", "pos_matched": true }, { "ccn": "145387", "facility_name": "ST ANTHONY'S NSG & REHAB CTR", "city": "ROCK ISLAND", "state": "IL", "beds_certified": 130, "chain": null, "ban_start_date": "2023-11-29", "ban_length_days": 135, "implied_end_date": "2024-04-12", "pos_matched": true }, { "ccn": "265118", "facility_name": "ASPEN POINT HEALTH AND REHABILITATION", "city": "SAINT CHARLES", "state": "MO", "beds_certified": 180, "chain": "VERTICAL HEALTH SERVICES", "ban_start_date": "2023-09-20", "ban_length_days": 134, "implied_end_date": "2024-02-01", "pos_matched": true }, { "ccn": "146152", "facility_name": "La Bella of Rochelle", "city": "ROCHELLE", "state": "IL", "beds_certified": 74, "chain": "Highlight Healthcare", "ban_start_date": "2023-08-18", "ban_length_days": 134, "implied_end_date": "2023-12-30", "pos_matched": true }, { "ccn": "555235", "facility_name": "AHMC SETON MEDICAL CENTER", "city": "DALY CITY", "state": "CA", "beds_certified": 186, "chain": null, "ban_start_date": "2025-09-13", "ban_length_days": 132, "implied_end_date": "2026-01-23", "pos_matched": true }, { "ccn": "145581", "facility_name": "AUTUMN MEADOWS OF CAHOKIA", "city": "CAHOKIA", "state": "IL", "beds_certified": 150, "chain": null, "ban_start_date": "2025-07-03", "ban_length_days": 132, "implied_end_date": "2025-11-12", "pos_matched": true }, { "ccn": "676384", "facility_name": "IGNITE MEDICAL RESORT SUGAR LAND, LLC", "city": "SUGAR LAND", "state": "TX", "beds_certified": 90, "chain": "Ignite Medical Resorts", "ban_start_date": "2024-10-01", "ban_length_days": 129, "implied_end_date": "2025-02-07", "pos_matched": true }, { "ccn": "445150", "facility_name": "MAJESTIC GARDENS AT MEMPHIS REHAB & SNC", "city": "MEMPHIS", "state": "TN", "beds_certified": 169, "chain": null, "ban_start_date": "2024-05-11", "ban_length_days": 129, "implied_end_date": "2024-09-17", "pos_matched": true }, { "ccn": "145290", "facility_name": "Nexus Pavilion at Belleville", "city": "BELLEVILLE", "state": "IL", "beds_certified": 180, "chain": null, "ban_start_date": "2025-04-08", "ban_length_days": 128, "implied_end_date": "2025-08-14", "pos_matched": true }, { "ccn": "395414", "facility_name": "AVENTURA AT TERRACE VIEW", "city": "PECKVILLE", "state": "PA", "beds_certified": 272, "chain": "Aventura Health Group", "ban_start_date": "2024-04-10", "ban_length_days": 128, "implied_end_date": "2024-08-16", "pos_matched": true }, { "ccn": "145427", "facility_name": "Nexus at Alton", "city": "ALTON", "state": "IL", "beds_certified": 181, "chain": "Bria Health Services", "ban_start_date": "2023-11-02", "ban_length_days": 127, "implied_end_date": "2024-03-08", "pos_matched": true } ] } ], "limitations": [ "Read these counts as historical. The study reports facilities that have been banned over the published three-year window, not a live 'currently banned' roster.", "No end-date field. The penalties file records a denial start date and a length in days, not an explicit end date; the implied end is start + length. For a single home's current standing, check Medicare Care Compare.", "Rolling three-year window. CMS publishes a moving window, so the first and last calendar years are partial and earlier denials age out.", "Survey-event dating. Penalty dates in the source are tied to the survey event that triggered the action, not the date a denial was formally issued or collected; the denial start date is used for the window.", "No causal or quality claim. A count of DPNA actions is a count of enforcement events. Fonteum does not rate, rank, or judge facilities, and a ban is not a statement that a home is the worst — only that CMS applied a specific payment remedy.", "Identity edge cases. Every banned CCN in this window resolved against CMS POS. Had any identity been unresolved, that facility would have been kept in the aggregate count but withheld from the named table." ], "reproducible_sql": "-- Headline: distinct banned facilities + total denial actions\nSELECT\n COUNT(*) AS denial_actions,\n COUNT(DISTINCT ccn) AS facilities_banned,\n ROUND(AVG(payment_denial_length_days)) AS avg_ban_days,\n MAX(payment_denial_length_days) AS longest_ban_days\nFROM nh_penalties\nWHERE penalty_type = 'Payment Denial';\n\n-- State breakdown (distinct facilities + actions per state)\nSELECT state,\n COUNT(DISTINCT ccn) AS facilities,\n COUNT(*) AS actions,\n ROUND(AVG(payment_denial_length_days)) AS avg_days,\n MAX(payment_denial_length_days) AS max_days\nFROM nh_penalties\nWHERE penalty_type = 'Payment Denial'\nGROUP BY state\nORDER BY facilities DESC;\n\n-- Named facilities, identity resolved against CMS POS\nSELECT p.ccn,\n COALESCE(pos.facility_name, p.provider_name) AS facility_name,\n p.state, pos.beds_certified, pos.chain_name,\n p.payment_denial_start_date AS ban_start,\n p.payment_denial_length_days AS ban_days,\n (p.payment_denial_start_date\n + (p.payment_denial_length_days || ' days')::interval)::date AS implied_end\nFROM nh_penalties p\nLEFT JOIN cms_pos_facilities pos ON pos.ccn = p.ccn\nWHERE p.penalty_type = 'Payment Denial'\nORDER BY p.payment_denial_length_days DESC;", "license": "U.S. Government Works (17 U.S.C. §105)", "generated_by": "Fonteum — https://fonteum.com", "notes": "Aggregate, source-traced figures frozen to the as-of date above. Re-derive by running the published query against the named source file; no per-person records are included." }