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Nursing Home Inspect

Search over 90,000 nursing home inspection reports to look for trends or patterns, evaluate nursing homes near you and compare nursing homes by state.

Serious Deficiencies
States by percentage of homes where at least one serious deficiency (causing "immediate jeopardy") was found during inspections in the last three years.
Minn.
47%
Tex.
42%
R.I.
41%
Kan.
40%
N.M.
40%
Mich.
39%
N.C.
39%
Ill.
36%
Average Fines
States with the highest average value per fine given to a nursing home in the last three years.
D.C.
46K
Mich.
31K
Ill.
29K
Vt.
28K
N.C.
27K
Wash.
27K
Tenn.
26K
Wis.
24K
Delayed Inspections
States by percentage of homes that are behind schedule on inspections, meaning the home hasn’t had a standard inspection in two or more years.
Ky.
79%
Md.
72%
Idaho
64%
Ala.
54%
Tenn.
41%
Calif.
30%
Del.
27%
Conn.
26%
Highest Fines by Home
Homes with the highest total value of fines received in the last three years. See all homes by highest fines >
siesta key health and rehabilitation center
Florida
$1.35M
city view multicare center
Illinois
$1.12M
meadows center for nursing and healing, the
Florida
$948K
belhaven nursing & rehab center
Illinois
$851K
elevate care country club hill
Illinois
$832K

Special focus facility: Flagged by the government for having a history of serious quality issues.

Special focus facility candidate: Meets the criteria to be a special focus facility but hasn’t yet been designated as one.

Delayed inspections: The most recent standard inspection occurred more than two years ago. Inspections are supposed to occur every 18 months.

Most Recent Serious Deficiencies
Serious deficiencies are those that caused immediate jeopardy to resident health or safety. See more >
Dec 22, 2023 — Schertz, TX

Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Explore the report.
Dec 21, 2023 — Kerrville, TX

Failure to: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Explore the report.
Dec 21, 2023 — Kerrville, TX

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Explore the report.
Understanding Deficiencies

Nursing homes receiving Medicare and Medicaid funding are subject to inspections to determine whether they are meeting resident care requirements. A nursing home’s failure to meet any care requirement is called a deficiency. An inspection report contains one or more deficiencies.

Each deficiency is given a letter rating of A through L based on its severity and scope. Severity is the level of harm caused by the deficiency, and scope is how widespread that harm was. Deficiencies L, K and J are the most serious and indicate immediate jeopardy to resident health and safety, meaning residents affected are at risk of serious injury, harm, impairment or death.

Scope
Severity Isolated
Few people affected
Pattern
Some people affected
Widespread
Many people affected
Level 1
No actual harm, with potential for minimal harm
A — least serious
0%
B
1.44%
C
1.28%
Level 2
No actual harm, with a potential for more than minimal harm
D
61.95%
E
23.29%
F
6.57%
Level 3
Actual harm that is not immediate jeopardy
G
3.22%
H
0.15%
I
0.01%
Level 4
Immediate jeopardy to resident health or safety
J
1.36%
K
0.52%
L — most serious
0.21% of all deficiencies are of seriousness L
About This Data
Last Updated
All data updated January 2024.
Sources
This app uses data from the Centers for Medicare and Medicaid Services. Information on deficiencies comes from a home’s last three inspection cycles, or roughly three years in total. COVID-19 data comes from the most recent CMS report and is self-reported by nursing homes.
Download
Click here for a list of all Medicare-certified nursing homes.
Download the raw data files, updated January 2024.
Download the unredacted version of inspection reports, requested by ProPublica under the Freedom of Information Act, last updated April 2019. These reports are divided into regions.