Medicare can penalize a nursing home or rehabilitation center if there is a serious health or fire safety citation. These penalties can be in the form of fines or payment denials. As of June 2025, Siesta Key Health And Rehabilitation Center held the record of the heftiest total amount of fines against a nursing home or rehab center in the last three years. This senior community in Sarasota, Florida, received a total penalty of **** million U.S. dollars. The second most fined nursing home/rehab facility was the Elevate Care Country Club Hill. This facility, based in Illinois, had to pay a total fine of nearly *** million U.S. dollars.

This dataset contains a list of the fines and payment denials currently displayed on Nursing Home Compare. Nursing Home Compare allows consumers to compare information about nursing homes. It contains quality of care and staffing information for all 15,000 plus Medicare- and Medicaid-participating nursing homes.

Note: This web page provides data on health facilities only. To file a complaint against a facility, please see: https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/FileAComplaint.aspx

The California Department of Public Health (CDPH), Center for Health Care Quality, Licensing and Certification (L&C) Program licenses more than 30 types of healthcare facilities. The Electronic Licensing Management System (ELMS) is a CDPH data system created to manage state licensing-related data and enforcement actions.

The “Health Facilities’ State Enforcement Actions” dataset includes summary information for state enforcement actions (state citations or administrative penalties) issued to California healthcare facilities. This file, a sub-set of the ELMS system data, includes state enforcement actions that have been issued from July 1, 1997 through June 30, 2024. Data are presented for each citation/penalty, and include information about the type of enforcement action, violation category, penalty amount, violation date, appeal status, and facility.

The “LTC Citation Narrative” dataset contains the full text of citations that were issued to long-term care (LTC) facilities between January 1, 2012 – December 31, 2017. DO NOT DOWNLOAD in Excel as this file has large blocks of text which may truncate. For example, Excel 2007 and later display, and allow up to, 32,767 characters in each cell, whereas earlier versions of Excel allow 32,767 characters, but only display the first 1,024 characters. Please refer to instructions in “E_Citation_Access_DB_How_To_Docs”, about how to download and view data.

These files enable providers and the public to identify facility non-compliance and quality issues. By making this information available, quality issues can be identified and addressed. Please refer to the background paper, “About Health Facilities’ State Enforcement Actions” for information regarding California state enforcement actions before using these data. Data dictionaries and data summary charts are also available.

Note: The Data Dictionary at the bottom of the dataset incorrectly lists the data column formats as all Text. For proper format labels, please go here.

This data package contains information about Measures of Rehospitalization, Emergency Visit and Community Discharge for Medicare Beneficiaries. It also includes Nursing Home Compare information on Deficiencies, Fire Safety Deficiencies, MDS Quality Measures, Ownership information, Fines and Payment denial, Provider Information, State Averages and Survey Summary information about nursing homes.

How many people live in nursing homes? As of 2024, there were around 1.2 million residents in nursing homes across the United States. The states with the highest numbers of residents in certified nursing facilities were, by far, California and New York, with over 99,000 and 98,000 residents, respectively. On the other hand, Alaska had the lowest number of nursing home residents. Occupancy rates and recovery The COVID-19 pandemic significantly impacted nursing home occupancy rates nationwide. Prior to the pandemic, the median occupancy rate for skilled nursing facilities hovered around 80 percent. However, this figure plummeted to 67 percent by 2021. As of July 2024, occupancy rates for certified nursing homes have begun to recover, reaching 77 percent. This gradual increase suggests a slow but steady return to pre-pandemic levels. Quality concerns and financial penalties Despite the crucial role nursing homes play, quality issues persist in some facilities. In 2024, Aspen Point Health and Rehabilitation in Missouri faced 208 substantiated complaints, the highest number nationwide. Financial penalties for serious violations can be severe, as evidenced by the 1.41 million U.S. dollar fine imposed on Siesta Key Health And Rehabilitation Center in Florida over a three-year period. These cases underscore the ongoing challenges in maintaining high standards of care across the industry.

This dataset supports the New York State Department of Health Nursing Home Profile public website. The dataset includes facility demographic information, inspection results, and complaint summary and state enforcement fine data. Visit the Nursing Home Profile website at: https://profiles.health.ny.gov/nursing_home/

This data set contains nursing home deficiencies/violations for every Medicare and Medicaid certified nursing home in Utah.

This statistic shows the distribution of abuse complaints in U.S. nursing homes, as of 2010. Some ** percent of complaints were due to gross neglect. It has been estimated a plethora of abuse within nursing homes goes undetected and unreported. About * in * nursing homes have been cited for violations that have potentially caused or caused harm to a resident.

A list of the fines and payment denials currently displayed on Nursing Home Compare.

The Licensure & Regulatory Services Program inspects all licensed retail food establishments in Montgomery County for a variety of reasons (e.g. obtaining a permit, regular check-ups, or in response to complaints.) Included in this overall surveillance are two types of inspections that are conducted on a routine basis. The first type, a comprehensive inspection, is a thorough inspection that evaluates the sanitation, maintenance, and food service operations for the facility. This inspection includes many of the items found in the monitoring inspection, such as critical temperatures and food handling procedures. The second type, a monitoring inspection, involves checking the food service operation for critical food temperatures, equipment temperatures, and general food handling / cleanliness practices. While monitoring inspections are not as detailed as environmental inspections, they help ensure that the facility is operating safely throughout the year.

The frequency of inspections is based on the food-borne illness risks associated with the food being processed at a facility. Based on the risk each facility is designated as high, medium, or low priority. High priority risk facilities prepare food products a day or more in advance or utilize any combination of two or more processes such as a cooking, cooling, reheating and hot holding food over four hours. Moderate priority risk facilities prepare and cook food products which are served immediately or within four hours. A low priority risk facility serve prepackage foods that are not potentially hazardous.

For high risk facilities, a monitoring inspection is conducted at least twice a year, and moderate risk facilities are inspected at least once a year. High and moderate risk facilities also receive at least one comprehensive inspection every year. Low risk priority facilities typically receive one comprehensive inspection every two years.

(C) Denotes a Critical Violation. A Critical Violation means a food safety requirement that requires immediate correction. Failure for immediate correction results in cessation of some or all food operations or closure of the facility until violation is able to be corrected.

Update Frequency: Daily

This dataset contains a list of all inspections conducted and any associated violations at active, city-regulated, center-based child care programs and summer camps over the past 3 years. The violations are pre-adjudicated. Violations that are subject to potential penalties (fines) are submitted to NYC Office of Administrative Trials and Hearing where they are adjudicated as either sustained/upheld or dismissed. The dataset also contains additional information on the programs, including license information. For more information on child care in NYC visit: https://www1.nyc.gov/site/doh/services/child-care.page. Note: Due to an ongoing upgrade, this dataset reflects data as of 5/14/2019. We will resume publishing updated data when the upgrade is completed. We apologize for any inconvenience.

This dataset contains a list of all inspections conducted and any associated violations at active, city-regulated, center-based child care programs and summer camps over the past 3 years. The violations are pre-adjudicated. Violations that are subject to potential penalties (fines) are submitted to NYC Office of Administrative Trials and Hearing where they are adjudicated as either sustained/upheld or dismissed. The dataset also contains additional information on the programs, including license information. For more information on child care in NYC visit: https://res1www1d-o-tnycd-o-tgov.vcapture.xyz/site/doh/services/child-care.page. Note: Due to an ongoing upgrade, this dataset reflects data as of 5/14/2019. We will resume publishing updated data when the upgrade is completed. We apologize for any inconvenience.

This dataset contains a list of all inspections conducted and any associated violations at active, city-regulated, center-based child care programs and summer camps over the past 3 years. The violations are pre-adjudicated. Violations that are subject to potential penalties (fines) are submitted to NYC Office of Administrative Trials and Hearing where they are adjudicated as either sustained/upheld or dismissed. The dataset also contains additional information on the programs, including license information. For more information on child care in NYC visit: https://www1.nyc.gov/site/doh/services/child-care.page.