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 […]
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, […]
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 […]
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。
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 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 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 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 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 […]
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 […]
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 […]
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 […]
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 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 […]
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 […]
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:
The following alert provides information on the most poorly performing nursing homes in Illinois, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in New York, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Pennsylvania, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Oregon, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Ohio, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in New Jersey, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Massachusetts, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Indiana, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Iowa, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The federal government rates all licensed nursing homes on a scale of one to five, with one being the lowest possible rating and five being the highest. While studies have shown that having a high rating does not necessarily mean that a nursing home is safe, substandard care in lower rated facilities has become a […]
The Centers for Medicare & Medicaid Services (CMS) identifies nursing homes with an extremely poor record of resident care for inclusion in Special Focus Facility (SFF) program for enhanced oversight. CMS presently limits the SFF program to just 88 facilities nationwide. However, 441 additional nursing homes have been identified by CMS as SFF candidates as […]
Pressure ulcer are a major concern for nursing home residents and families and, according to the federal Centers for Disease Control and Prevention, a key indicator of the quality and safety provided in a nursing home. We recommend that the information provided here is used in conjunction with information 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 Office of Disease Prevention and Health Promotion, 380,000 nursing home residents die each year due to […]
The inappropriate antipsychotic drugging of nursing home residents, particularly those with dementia, is a widespread, national problem. Despite the Food and Drug Administration’s ‘black box’ warnings against using antipsychotics on elderly patients, they are frequently used to treat the so-called behavioral and psychological symptoms of dementia. As of fall 2018, 20% of nursing home residents […]
In September 2016, the federal Centers for Medicare & Medicaid Services (CMS) issued revised nursing home regulations that had been thoughtfully developed over four years to promote residents’ health and safety. Now, however, under the current administration, CMS is backtracking and weakening resident protections.
Starting in January 2017, nursing home lobbyists began urging CMS to eliminate […]
This Excel file provides a list of all U.S. nursing homes with a one-star rating on Nursing Home Compare as of April 2018 (data processed by CMS in March 2018). The file is searchable and sortable by state, facility name, location, and ratings for Health Inspections, Quality Measures, and Staffing. Click on the link below […]
Unwanted transfers or discharges from a nursing home can be devastating for residents, affecting their physical health and safety, as well as their psychological well-being. According to the Centers for Medicare & Medicaid Services (CMS), inappropriate discharges can cause residents to be “uprooted from familiar settings,” thereby impeding relationships with staff, […]
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, needless suffering, and expense among nursing home residents. According to the Office of Disease Prevention and Health Promotion, 380,000 nursing home residents die each year due […]
Following are files for all nursing home citations published on Nursing Home Compare as of November 2017. Nursing Home Compare provides three years of data. Thus, the files include enforcement information from (approximately) fall 2014 to fall 2017.
Important notes on the data provided:
The inappropriate antipsychotic drugging of nursing home residents is a widespread and serious problem. Below is information on citations for inappropriate drugging for all licensed nursing homes, by state. These citations are for all inappropriate drugging, including (but not solely) antipsychotic drugs (unfortunately, the federal government does not have a distinct citation for inappropriate antipsychotic […]
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 2017. We also recommend viewing our page on nursing home citations for inappropriate antipsychotic drugging, our Issue Alert on Antipsychotic Drugging […]
Due to the fact that this is a large file, we are unable to display it on this page. Click on the link below to download the Excel file.
Following are our report and information on the nursing homes in each state with what we are calling Chronic Deficiencies – three or more citations for the same regulatory standard in the three years covered on the federal website, Nursing Home Compare. The lists, compiled in the fall of 2016, include over 6,000 […]
