February 25, 2026 – The Long Term Care Community Coalition (LTCCC) today released its updated national nursing home provider report. The updated data, derived from the federal Provider Information database, reveal persistent quality and staffing concerns affecting hundreds of thousands of residents nationwide.

The report, including searchable information on ratings, staffing, enforcement actions, and ownership for 14,713 nursing homes across the US, is available at: www.nursinghome411.org/data/ratings-info/.

Key National Findings

1. Staffing Levels Are Low and Insufficient

  • 87% of nursing homes (12,846 facilities) reported total nurse staffing levels below the expected staffing necessary to meet basic clinical needs. “Expected Staffing” is calculated using evidence-based benchmarks and each facility’s own self-reported resident acuity data.
  • The average nursing home reported 3.90 HPRD (hours per resident per day) of nursing staff, far below the 4.94 HPRD expected to meet their residents’ needs.
  • Chain owned nursing homes provided even less nursing staff, averaging just 3.72 HPRD.

2. Exceedingly Poor Care is Widespread

  • Over One in Five Nursing Homes Rated 1 Star. 3,003 facilities (20.4%) have an Overall 1-Star rating — the lowest possible rating under CMS’s Five-Star Quality Rating System.
  • 1,486 facilities carry the federal “Abuse” icon.
  • 87 facilities are designated as Special Focus Facilities — nursing homes with a history of serious quality issues. An additional 440 facilities are Special Focus Facility Candidates.
  • Over 288,000 vulnerable nursing home residents reside in these Problem Facilities.

3. Enforcement Activity and Financial Penalties (for approx. last three years)

  • 7,001 nursing homes received one or more fines.
  • Total federal fines assessed: $498,910,173.
  • Total number of penalties issued nationwide: 18,467.

“These data show that chronic understaffing remains the defining issue in U.S. nursing homes,” said Richard Mollot, Executive Director of LTCCC. “That over a quarter of a million residents are now living in facilities identified as having serious problems is both shocking and unacceptable. It reflects systemic failures within parts of the nursing home industry and a breakdown in government oversight and enforcement of the minimum standards designed to safeguard residents and ensure the appropriate use of taxpayer funds.”

For more detailed information and to access the report, please visit NursingHome411.org.