This study assessed nursing home oversight and enforcement of minimum standards in the three year period following the COVID-19 public health emergency (2022-2024). Findings are based on federal data on (1) state and national citations, (2) quality measures, and (3) staffing.
In addition to the study, this page provides searchable […]
August 31, 2026 – New federal data show that chronic understaffing continues to affect the overwhelming majority of U.S. nursing homes. According to LTCCC’s analysis of Q1 2026 federal staffing data, 88% of nursing […]
The “Provider Info” dataset contains facility-level data (five-star ratings, ownership status, health inspection outcomes, etc.) for all US nursing homes. The “Problem Facilities” dataset includes the worst performing nursing homes. Filter datasets by state by using […]
May 18, 2026 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs of their residents. According to LTCCC’s report on […]
May 8, 2026 – The Long Term Care Community Coalition (LTCCC) today released new, facility-level data on antipsychotic (AP) drugging in U.S. nursing homes, highlighting both the continuing prevalence of antipsychotic use and disturbing limitations in the publicly available federal data. US AP Drugging Q4 2025
Antipsychotic drugs are powerful medications associated with […]
March 13, 2026 – The Long Term Care Community Coalition is pleased to release two new data reports: Nursing Home Citations and Nursing Home Penalties. These user-friendly datasets allow consumers to identify when their facility has been cited for failing to meet minimum standards and enable journalists, policymakers, and researchers to identify […]
March 5, 2026 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs of their residents. According to LTCCC’s report on […]
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, […]
January 16, 2026 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs of their residents. According to LTCCC’s report on […]
This page provides a one-stop access point to LTCCC’s staffing data, analyses, and practical tools.
Staffing is the most important indicator of a nursing home’s safety and quality. Under federal law, facilities must have sufficient nursing staff with appropriate competencies and skill sets to ensure each resident attains or maintains the highest practicable well‑being based on […]
August 25, 2025 – Today LTCCC is releasing its latest quarterly report on the staffing levels for every U.S. nursing home (in compliance with federal reporting requirements). These data, accessible to the public at […]
Recognizing and managing pain in individuals with dementia can be challenging, as they may have difficulty expressing their discomfort. Caregivers need the right tools to assess pain effectively and ensure proper care. This page provides resources and guidance to help caregivers identify signs of pain, use evidence-based assessment tools, and implement strategies to improve comfort […]
June 4, 2025 – Today LTCCC is releasing its latest quarterly report on the staffing levels for every U.S. nursing home (in compliance with federal reporting […]
May 2, 2025 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs […]
What is a Double G Citation? This refers to a CMS policy intended to identify and address facilities with a pattern of high-level noncompliance. Double G citations occur when a facility with a previous citation at a G level or higher is cited again at a G level or higher. It is an important […]
What is a Double G Citation? This refers to a CMS policy intended to identify and address facilities with a pattern of high-level noncompliance. Double G citations occur when a facility with a previous citation at a G level or higher is cited again at a G level or higher. It is an important […]
January 27, 2025 – The Long Term Care Community Coalition is pleased to announce the release of new, interactive data […]
January 16, 2025 – The Long Term Care Community Coalition (LTCCC) regularly publishes data on critical indicators of nursing home care, providing valuable insights into the quality, safety, and accountability of these facilities. Today, LTCCC is releasing new federal data on five-star ratings, ownership type, enforcement actions, and other critical information for the nearly 15,000 […]
This document provides a summary of the CASE Methodology for Calculating Expected Nurse Staffing: Recommended nursing home staffing levels based on their case mix index.
The CASE (Casemix Adjusted Staffing Expectations) methodology is an evidence-based, peer-reviewed methodology for identifying the expected nurse staffing levels necessary to meet the clinical needs of a nursing home’s residents. The […]
November 26, 2024 – Federal law mandates that all nursing homes provide sufficient staff to meet the care and quality of life needs of their residents every day. However, new data show that hundreds of thousands of residents live […]
November 21, 2024 – Federal law mandates that all nursing homes provide sufficient staff to meet the care and quality of life needs of their residents every day. However, new data […]
州调查机构（通常是州卫生部门）负有主要责任，确保疗养院住户全年（每天 24 小时）的安全和尊严。然而，州立机构常常无法有效监控设施或回应有关护理的投诉。如果您所在州对有关住户护理的投诉（包括确保良好生活质量和有尊严的治疗的服务）反应不够充分，您可以通过以下电子邮件地址之一直接向联邦医疗保险和医疗补助服务中心的地区办公室提出投诉。
我们强烈建议个人尽可能准确地记录其顾虑的性质；它造成临床、身体或心理社会伤害的程度（如果有）；以及之前在何时、向谁提出过投诉。请访问学习中心，获取有用的表格、有关护理标准的情况说明书以及其他资源。有关州/联邦监督的更多信息，请参阅：CMS，“各州有义务根据 1864 年协议全面调查医疗保险和医疗补助健康与安全要求”，QSO-22-12-ALL（2022 年 2 月 9 日），https://www.cms.gov/files/document/qso-22-12-all.pdf。
August 26, 2024 – Today, LTCCC is posting its latest report on staffing levels in U.S. nursing homes. LTCCC’s report is based on CMS’s Q1 2024 payroll-based journal data on nurse […]
August 23, 2024 – To support legislators and elected officials in their efforts to better assist their constituents during nursing home stays, LTCCC is releasing a new guide, Supporting Your Constituents During a Nursing Home Stay: A Guide for Legislators and Elected Officials. This comprehensive guide aims to equip officials with essential knowledge and resources […]
Las agencias estatales de encuestas (generalmente el departamento de salud del estado) tienen la responsabilidad principal de garantizar la seguridad y la dignidad de los residentes de geriátricos las 24 horas del día, todos los días del año. Sin embargo, con mucha frecuencia, las agencias estatales no supervisan eficazmente los centros ni responden a las […]
주 조사 기관(일반적으로 주 보건부)은 매일 24시간 내내 양로원 거주자의 안전과 존엄성을 보장할 일차적 책임을 부담합니다. 하지만 주 기관은 효과적으로 시설을 감시하거나 관리에 대한 불만에 대처하지 못하는 일이 잦습니다. 해당 주가 양질의 생활과 존엄성을 보장한 대우와 같은 거주자 서비스에 대한 불만에 충분히 대처하지 않은 경우, 아래 이메일 주소 중 한 개를 통해 연방 Centers for […]
Ajans sondaj Leta yo (anjeneral depatman sante eta a) gen responsablite prensipal pou asire sekirite ak diyite rezidan mezon retrèt yo 24 èdtan pa jou, chak jou nan ane a. Sepandan, twò souvan, ajans leta yo pa byen kontwole enstalasyon oubyen reponn a plent konsènan swen. Si eta ou a pa reponn ase a yon […]
July 18, 2024 – The Long Term Care Community Coalition (LTCCC) has released new, interactive data tools with the latest federal information on nursing home citations and penalties. These user-friendly datasets are critical for understanding enforcement actions in nursing homes and evaluating the quality of care provided to […]
June 26, 2024 – The public’s attention to nursing home staffing generally focuses on nurse staff, which makes sense because those are the individuals who are providing direct care to residents. However, non-care staff play an essential role in the quality and safety of a nursing home and the services provided to residents. LTCCC […]
June 21, 2024 – The Long Term Care Community Coalition (LTCCC) regularly publishes data on key indicators relevant to nursing home care. Today, LTCCC is releasing a new report with federal data on five-star ratings, ownership type, enforcement, and other important information for the nearly 15,000 U.S. nursing homes in the federal CMS dataset. […]
Click to download user-friendly, searchable data on AP drugging rates for Q4 2023.
June 3, 2024 – Each week, dangerous antipsychotic (AP) drugs are administered to approximately 250,000 nursing home residents, often without clinical justification. These medications pose significant risks for elderly individuals, including heart attacks, strokes, Parkinsonism, falls, and even death. […]
The following is an alert for the Q4 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
May 2, 2024 – Federal law requires all nursing homes to provide sufficient staffing so that residents attain and maintain their highest practicable physical, emotional, and psychosocial well-being. Unfortunately, in the […]
Download a PDF of LTCCC’s brief.
On April 22, 2024, the federal Centers for Medicare and Medicaid Services (CMS) issued its final rule mandating minimum nurse staffing in every nursing home that accepts Medicaid and/or Medicare funds. This includes virtually all U.S. nursing homes.
This page provides information and resources for the […]
The inappropriate transfer or discharge of nursing home residents has been a longstanding concern for residents, their families, and policymakers. Far too often, residents are pushed out of their nursing home – which is their home – for inappropriate and illegal reasons. This can have a devastating impact on the resident and their family.
To address […]
Click to download user-friendly data on AP drugging rates for NY nursing homes in Q3 2023.
March 18, 2024 – Each week, roughly 250,000 nursing home residents are given dangerous antipsychotic (AP) drugs. In most cases these dangerous drugs are administered without clinical justification.
AP drugs are associated with significant adverse outcomes […]
The following is an alert for the Q3 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
February 28, 2024 – Federal law requires all nursing homes to provide a sufficient level of staffing so that residents
President Biden has promised to reform nursing homes by setting a national minimum staffing standard. Unfortunately, the proposed rule is woefully inadequate to meet residents’ needs. To highlight these concerns, LTCCC has gathered comments from a wide […]
The Long Term Care Community Coalition is pleased to announce the publication of four new interactive and user-friendly nursing home datasets: Provider Info, Citations, Penalties, & Staffing. These data, […]
The following is an alert for the Q2 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
November 14, 2023 – Each day, more than one million people reside in roughly 15,000 nursing homes across the United States. Unfortunately, most of these individuals have no choice but to […]
President Biden has promised to reform nursing homes by setting a national minimum staffing standard. Unfortunately, the proposed rule is woefully inadequate to meet residents’ needs. LTCCC submitted the below comments, and although the public comment period concluded, there’s still time to make your voice heard.
Please consider sharing your comments with your Senators and […]
September 27, 2023 – Every U.S. nursing home is required to provide skilled nursing care and monitoring 24-hours a day, seven days a week. Unfortunately, too many of our nursing homes provide substandard care and conditions that are demeaning and inhumane. As the country has witnessed in the COVID-19 pandemic, too many nursing homes are […]
The following is an alert for the Q1 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
September 22, 2023 – Nursing home residents need a minimum of 4.1 total care staff hours per resident day (HPRD) to receive sufficient clinical care and avoid unnecessary harm, according to […]
Essential Insights on Nursing Home Staffing and the Proposed Federal Standard, presented by: Center for Medicare Advocacy, Long Term Care Community Coalition, and National Consumer Voice for Quality Long-Term Care (September 2023).
Presenters: Richard Mollot (LTCCC), Sam Brooks (Consumer Voice), Toby Edelman (Center for Medicare Advocacy), Charlene Harrington (University of […]
The following is an alert for the Q4 2022 staffing report. Download data at NursingHome411 and check out our interactive staffing dashboard.
July 13, 2023 – Sufficient staffing is attainable. In fact, one in four U.S. nursing homes (25.3%) provide at least 4.1 hours per resident day (HPRD), the minimum […]
April 14, 2023
Re: CMS-6084-P; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities
Submitted electronically: www.regulations.gov
Dear Administrator Brooks-LaSure:
The Long Term Care Community Coalition (LTCCC) is a national non-profit organization dedicated to improving care, quality of life, and dignity for residents in nursing […]
Check out LTCCC’s Guide to State CNA Certification & Training Requirements.
March 17, 2023 – Certified Nurse Aides (CNAs) are considered the backbone of nursing home care.
The following is an alert for the Q3 2022 staffing report. Download data at NursingHome411 and check out our interactive staffing dashboard.
March 9, 2023 – A nursing home administrator is responsible for overseeing their facility, including clinical and administrative affairs, to ensure that resident care needs are met. According to federal law, […]
Presenter:
Richard Mollot (LTCCC)
PowerPoint Slides (PDF) Fact Sheet: Nurse Aide Training Requirements
Contact: Richard Mollot, richard@ltccc.org, 212-385-0356
December 20, 2022 – More than one million people live in US nursing homes and each week, one in five of them are given dangerous antipsychotic (AP) drugs. In most cases these drugs are administered without clinical justification. In 2012, the federal Centers for Medicare and Medicaid Services […]
The federal Centers for Medicare & Medicaid Services (CMS) provides a range of resources for nursing home surveyors (inspectors) to assist in the evaluation of whether a nursing home’s care and services comport with federal minimum standards. These resources are also useful to nursing homes, residents, and others concerned about the quality of nursing home […]
The NursingHome411 Podcast
U.S. health care is plagued by racism, and nowhere is that more evident than in the nation’s 15,000 nursing homes. Whether it’s COVID, care quality, or inappropriate drugging, research consistently shows significant disparities that impact Black nursing home residents.
On this episode of the NursingHome411 Podcast, Dr. Shekinah Fashaw-Walters – Assistant Professor at […]
The following is an alert for the Q1 2022 staffing report. To access the report, click here.
August 24, 2022 – Staff retention is essential for nursing homes to provide quality care for their residents. Unfortunately, turnover continues to be a major problem for many of the nation’s 15,000-plus facilities. The average nursing home […]
F-tags (“F” for “federal”) constitute the system through which federal nursing home regulations are identified in the survey process. Generally, each regulatory provision is assigned a corresponding F-tag number and surveyors use these numbers to indicate on the Statement of Deficiencies when a facility has failed to meet (or exceed) a given standard. Below is […]
Presenters: Richard Mollot (LTCCC) and Tony Chicotel (CANHR)
PowerPoint Slides (PDF) Dementia Care Advocacy Toolkit AP Drugging Data
The following is an alert for the Q4 2021 staffing report. To access the report, click here.
June 9, 2022 – Registered nurses (RNs) serve a critical role in every nursing home staff. They provide expertise – infection control planning and management, resident assessment and care planning, and the identification and treatment of chronic […]
Concrete, clear, and appropriate minimum staffing standards are needed now to finally realize the promise of the Nursing Home Reform Law in the lives of residents and the vast majority of American families who will depend on nursing home services at some time or another. In April 2022, the Centers for Medicare & Medicaid Services […]
Presenters: Richard Mollot (LTCCC), Sam Brooks (Consumer Voice), Lori Smetanka (Consumer Voice)
PowerPoint Slides PT 1 (PDF) PowerPoint Slides PT 2 (PDF)
As of May 2022, LTCCC is no longer updating this page. Visit NY Health website for updated COVID-19 data.
LTCCC is providing a user-friendly spreadsheet tracking COVID-19-related deaths from New York’s nursing homes (NHs), assisted living facilities (ALFs), and other adult care facilities (OACFs) based on New York Department of Health […]
What is a Double G Citation? This refers to a CMS policy intended to identify and address facilities with a pattern of high-level noncompliance. Double G citations occur when a facility with a previous citation at a G level or higher is cited again at a G level or higher. It is an important indicator because facilities […]
Until recently, nursing homes have not been required to spend a set minimum percentage of the funds they receive on the care of their residents, nor have the public or policymakers had an effective tool to require accountability for these […]
The following is an alert for the Q3 2021 staffing report. To access the report, click here.
March 3, 2022 – Federal requirements mandate that nursing homes have sufficient staff, with the appropriate competencies to meet the clinical, emotional, and psychosocial needs of every resident. Unfortunately, understaffing is a widespread and persistent problem that […]
State survey agencies (usually the state department of health) have primary responsibility to ensure the safety and dignity of nursing home residents 24 hours a day, every day of the year. However, too often, the state agencies fail to effectively monitor facilities or respond to complaints about care. If your state is not sufficiently responsive […]
The following is an alert for the Q2 2021 Antipsychotic Drugging Rates. To access the data, click here.
January 11, 2022
As of December 2021, LTCCC is no longer updating this page. Visit CMS website for updated COVID-19 data.
LTCCC is providing a user-friendly spreadsheet (updated monthly) tracking COVID-19 vaccinations for residents and staff in U.S. nursing homes. Data are reported by nursing homes to the CDC and published by CMS.
Nursing Home Vaccination Data […]
The following is an alert for the Q2 2021 staffing report. To access the report, click here.
November 16, 2021 – Nursing homes with higher staffing levels are better equipped to meet their residents’ care needs. Unfortunately, understaffing has been a widespread and persistent problem, especially since the start of the COVID-19 pandemic.
Today, LTCCC […]
September 30, 2021 – The Long Term Care Community Coalition (LTCCC) regularly publishes data on key indicators relevant to nursing home care. Today, LTCCC is releasing a new report containing federal data on five-star ratings, ownership type, enforcement, and other important information for all 15,000 U.S. nursing homes. The report features a page […]
The following is an alert for the Q1 2021 staffing report. To access the report, click here.
The following is an alert for the Q4 2020 staffing report. To access the report, click here.
LTCCC’s Q4 2020 Staffing Report provides user-friendly files for every state that include facility-level data on: 1) Care staff levels (RN, LPN, and CNA); 2) Important non-nursing staff levels, including administrators and activities staff; 3) Contract workers. The report also includes data on state and national quarterly staffing levels, state and national quarterly resident census […]
As of March 2021, LTCCC is no longer updating this page. Visit CMS website for updated COVID-19 data.
Select the button below to access a user-friendly excel file with facility level COVID-19 nursing home data from the Centers for Medicare & Medicaid Services (CMS). Visit CMS’s COVID-19 Nursing Home Data page for more […]
The following is an alert for LTCCC’s new nursing home data reports for 2021: Nursing Home Ratings & Info, and Problem Facilities. To access the report, click here.
Special Focus Facilities (SFFs) and SFF Candidates are nursing homes that have a history of serious quality issues or are included in the Centers for Medicare & Medicaid Services (CMS) program to stimulate improvements in their quality of care. One-star facilities are assigned the lowest overall rating (one out of five stars) based on health […]
This page contains facility-level data on all U.S. nursing homes including five-star ratings, ownership status, health inspection outcomes, and more. Download individual state files by clicking the state on the map or list below. Download nationwide data here.
Note: Data were obtained from the CMS website (https://data.cms.gov/provider-data/dataset/4pq5-n9py) on February 1, 2021 based on data […]
The following is an alert for the Q3 2020 staffing report. To access the report, click here.
Each file includes information on: 1. Each facility’s RN, LPN, & CNA staffing levels; 2. Staffing levels for important non-nursing staff, including administrators and activities staff; and 3. […]
Note: Not all facilities reported staffing data for Q1 2020 because of suspended reporting requirements due to the COVID-19 pandemic. (11,735 facilities reported staffing data in Q1 2020 vs. 14,969 in Q4 2020). State and national staffing averages for Q1 2020 exclude facilities that did not report.
Each file includes information on:
The inappropriate antipsychotic drugging of nursing home residents is a widespread and serious problem. Below is information on the antipsychotic drugging rates for all licensed nursing homes, by state, for the fourth quarter of 2019. We also recommend viewing our Issue Alert on Antipsychotic Drugging and our Dementia Care Advocacy Toolkit, which includes […]
The inappropriate antipsychotic drugging of nursing home residents is a widespread and serious problem. Below is information on the antipsychotic drugging rates for all licensed nursing homes, by state, for the third quarter of 2019. We also recommend viewing our Issue Alert on Antipsychotic Drugging and our Dementia Care Advocacy Toolkit, which includes […]
Each file includes information on:
Below are links to download data on five-star ratings, special focus facility status, ownership status, health inspection outcomes, location, resident population, and other general information for all U.S. nursing homes. Download individual state files by clicking the state on the map below or in the list at the bottom of the page. Download data on […]
Infection prevention and control programs protect residents from preventable harm, injury, and death. Despite strong regulatory requirements to safeguard residents, infections continue to be a leading cause of death and needless suffering for nursing home residents. According to the Centers for Disease Control and Prevention (CDC), there are an astounding 1.6 to 3.8 million infections […]
Each file includes information on:
To facilitate ease of […]
Staffing is widely considered to be the most important indicator of a nursing home’s safety and quality. This page provides the names of the top ten and bottom ten nursing homes in each state, based upon each facility’s average care staffing for 2019 Q3. Please visit our Nursing Home Data & Information page for […]
Following are files for all nursing home citations published on Nursing Home Compare as of November 20, 2019. Nursing Home Compare provides three years of data. Thus, the files include enforcement information from (approximately) September 1, 2016 to August 31, 2019.
Important notes on the data provided:
Each file includes information on:
To facilitate ease of […]
Staffing is widely considered to be the most important indicator of a nursing home’s safety and quality. This page provides the names of the top ten and bottom ten nursing homes in each state, based upon each facility’s average care staffing for 2019 Q2. Please visit our Nursing Home Data & Information page for […]
Mapping information on nursing home quality, staffing, or other data can be a very useful tool to visualize and compare the state of nursing home care in your state or community. This page provides tips and tools to help the non-expert map publicly available data on nursing homes using the free resources, Tableau Public […]
