Name: Deficiency Index — U.S. nursing home survey deficiencies
Creator: Deficiency Index
License: https://www.usa.gov/government-works

Data as of September 30, 2026, released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Three kinds of provider

Pick the world you work in

Each is inspected against its own federal requirements, so each has its own index.

Nursing homes14,697Full record, severity, and what changes each month Hospice6,57775,054 deficiencies, every finding in full Home health4,62635,673 deficiencies, every finding in full

The archive

The full record, back to 2008

Care Compare shows roughly the last three inspection cycles. This index shows every finding on record, on one page.

1,584,968Citations held1,144,316 older than Care Compare shows

370,439Surveys on record274,540 older than Care Compare shows

2008Earliest findingAnd every year since

The nation — 2025

What surveyors wrote up most often

The eight requirements cited most often nationally.

Bars are scaled to the most-cited tag. All 269 federal tags have a page.

Browse by state

Where surveyors found actual harm

South Dakota surveyors wrote 13.9% of their citations at actual harm or above; Nevada wrote 1.4%. Unlike citation counts, harm level is comparable between states — the A–L definitions are federal and applied uniformly.

Actual harm or aboveNational, 5.4%

Every state, with the number of nursing homes and citations on record and the share of those citations written at actual harm or above. The bar is scaled to the highest state, not to 100%.
State	Homes	Citations	At actual harm or above
Alabama	224	2,299	7.7%
Alaska	20	529	4.2%
Arizona	140	3,232	2.7%
Arkansas	221	4,158	2.8%
California	1,165	61,050	2.5%
Colorado	210	5,453	9.4%
Connecticut	191	7,121	3.9%
Delaware	44	1,710	6.3%
District of Columbia	17	1,088	5.1%
Florida	694	14,240	5.3%
Georgia	356	6,188	6.6%
Guam	1	68	1.5%
Hawaii	43	1,536	3.5%
Idaho	80	2,238	3.8%
Illinois	667	27,124	11.9%
Indiana	507	11,969	3.1%
Iowa	388	8,394	6.6%
Kansas	296	8,395	5.9%
Kentucky	267	3,545	12.2%
Louisiana	266	6,979	5.0%
Maine	78	2,501	1.8%
Maryland	221	12,166	1.9%
Massachusetts	341	10,494	4.9%
Michigan	422	14,531	6.2%
Minnesota	338	8,448	5.6%
Mississippi	203	3,812	11.4%
Missouri	487	18,256	4.8%
Montana	61	2,019	7.3%
Nebraska	180	3,599	3.8%
Nevada	66	2,360	1.4%
New Hampshire	73	1,035	2.4%
New Jersey	348	8,397	4.4%
New Mexico	68	3,579	4.0%
New York	594	12,500	3.7%
North Carolina	419	8,232	9.9%
North Dakota	72	1,277	8.8%
Ohio	922	30,145	3.8%
Oklahoma	283	6,691	4.9%
Oregon	128	4,501	4.3%
Pennsylvania	656	21,968	3.9%
Puerto Rico	9	413	1.7%
Rhode Island	72	2,167	11.0%
South Carolina	187	2,515	8.8%
South Dakota	96	1,730	13.9%
Tennessee	303	4,554	8.9%
Texas	1,179	34,743	8.2%
Utah	97	2,719	11.5%
Vermont	33	957	9.3%
Virginia	289	11,402	3.8%
Washington	193	9,925	4.1%
West Virginia	123	5,408	3.1%
Wisconsin	323	9,510	7.2%
Wyoming	36	782	9.7%

Each state is measured against its own expected share, not against other states.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction