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CMS NH PenaltiesCMS NH Penalties (sub-join of Deficiencies)
U.S. Centers for Medicare and Medicaid Services · Tier-1 · research-only (never on individual profiles)
Civil-money penalties + denial-of-payment records; $467,344,898 in fines in the July 12 production audit. Sub-join of NH Health Deficiencies via Survey Event ID. Data-only treatment — surfaces in audit-pack export only; no dedicated brand-hub page.
How this source shows up on Fonteum.
Sub-join. Audit-pack export field for /deficiencies methodology-versioned customer exports.
What this source does NOT mean
Not a standalone surface. Joins to Deficiencies via Survey Event ID; absent that join, raw penalty rows lack the citation context needed to interpret them.
Research and data questions this source supports.
- Surface a nursing home's penalty history — civil monetary penalty amounts, dates, and payment status — on Care Compare brand-hub pages.
- Build an enforcement action leaderboard that identifies which states and chains have the highest cumulative CMPs over a 3-year window.
- Cross-reference penalty data with ownership chains (from SNF All Owners) to identify whether private equity-owned facilities have higher penalty rates.
- Support M&A diligence on nursing home targets by quantifying historical enforcement exposure before transaction close.
- Power a policy study on the relationship between CMS deficiency citation severity and the probability and size of civil monetary penalties.
Dataset size: 16,832 rows; 6,919 facilities; 2,553 payment-denial records covering 1,950 facilities; $467,344,898 in positive fines
Per-field display contract.
Fields listed below show their configured `display_allowed` flag from the §94 provenance schema. Fields marked write-locked are captured for audit and are not rendered on profile pages.
Research-only — never on profiles
5 fieldsWhat we can’t infer from this source.
- Some penalty entries are placeholders pending administrative adjudication.
- Finalization lag 3–6 months behind Deficiencies publication.
- Data-only sub-join — does not have a dedicated brand-hub page; joins to /deficiencies via Survey Event ID.
Authority, license, publisher cadence.
Authority
U.S. Centers for Medicare and Medicaid Services
Tier
Tier-1 · research-only (never on individual profiles)
Publisher / configured cadence
Declared or configured cadence: Quarterly (trails Deficiencies 3–6 months for finalized penalty amounts). Not evidence of the latest loaded source date.
License
U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS NH Penalties · Snapshot {YYYY-MM-DD}'. License ↗
Official URL
Attribution requirement
Source: CMS NH Penalties · Snapshot {YYYY-MM-DD}
What the source allows.
U.S. government public-domain works. PDC publishes the dataset at data.cms.gov with explicit redistribution rights.
What a single field looks like in the graph.
This worked example shows the provenance shape used when a surfaced field has populated source, last-checked, display-rule, and confidence metadata. Individual fields may omit unavailable values.
Field
Per-event penalty row (audit-pack only)
Sample value
Civil money penalty · $58,400 · finalized 2025-10-04 · joined to Deficiency F689 G via Survey Event ID
Provenance line
Source: CMS NH Penalties · Snapshot {YYYY-MM-DD} · Display rule: audit-pack-only sub-join via Survey Event ID; no dedicated brand-hub page
Official API, bulk download, and Fonteum endpoints.
Official API / download
Fonteum surface
Common questions about CMS NH Penalties.
- What is the CMS Nursing Home Penalties dataset?
- The loaded CMS Nursing Home Penalties file contains the enforcement rows present in that release, including Civil Monetary Penalties and payment-denial records. A row can include facility CCN, penalty type, amount, date imposed, and payment status; this is not a claim of every enforcement action.
- What is a Civil Monetary Penalty (CMP) for a nursing home?
- A Civil Monetary Penalty (CMP) is a financial sanction CMS imposes on nursing homes for certain deficiencies. Per-day CMPs accrue for each day specified by the enforcement action; per-instance CMPs apply to a discrete action. The April 2023–March 2026 production table spans 6,919 facilities across 16,832 rows, with $467,344,898 in positive fines. The median individual positive fine was $14,113. Separately, 2,553 payment-denial records cover 1,950 facilities.
- What is the Fonteum Nursing Home Penalties enforcement study?
- The April 2023–March 2026 production table spans 6,919 facilities across 16,832 rows, with $467,344,898 in positive fines. Separately, 2,553 payment-denial records cover 1,950 facilities. The median individual positive fine is $14,113; the median cumulative fine per fined facility is $34,272.
- Where can I download the CMS nursing home penalties data?
- CMS publishes the Nursing Home Penalties dataset at data.cms.gov/provider-data. The file is updated quarterly and is U.S. government public-domain data. The dataset joins to the Health Deficiencies file via Survey Event ID.
- How does a nursing home contest or appeal a CMP?
- A nursing home may contest a CMP by requesting an informal dispute resolution (IDR) within 10 business days of receiving the enforcement notice, or by requesting an administrative hearing before an Administrative Law Judge (ALJ) within 60 days. CMS reduces CMPs by 35% for facilities that waive the right to a hearing and pay promptly. Fonteum surfaces payment_status in the penalties dataset to distinguish settled from contested CMPs.
Where this source already shows up.
Related sources in the graph
- /sources → The generated source-catalog subset — documented datasets Fonteum cites.
- /data-provenance → The provider graph — pipeline diagram, source-family clusters, field-level provenance examples, display rules.
- /methodology → Documented sourcing, publisher cadence, observed freshness, and corrections policy.
- /editorial-policy → Independence, sourcing, conflicts, corrections, retractions.