About the data
Data sources
A source listed here is only marked implemented once real records were harvested and normalized in the current build.
Harvested
29 sources in the current build
CMS Nursing Home Provider Information
Centers for Medicare & Medicaid Services (CMS) · cms_provider_info · dataset 4pq5-n9py
implementedmonthly
Universe: Currently active Medicare/Medicaid-certified nursing homes (one row per provider)
Primary identifier: CMS Certification Number (CCN)
Source release (CMS modified): Oct 1, 2026 · published Oct 28, 2026
Retrieved: Nov 7, 2026 · 14,686 rows (+14686 ~0 −0)
Next update (per CMS): Dec 2, 2026
Snapshot sha256: ab70309ae6f0ee86b19fe9ac… · 9 MB
Terms: US Government work; CMS Provider Data Catalog terms of use
- Active certified providers only; closed or decertified homes drop out of the file.
- Certified beds are CMS-certified beds, not state-licensed beds.
- Ratings, staffing and quality fields apply only to the CMS-certified universe.
CMS Nursing Home Ownership
Centers for Medicare & Medicaid Services (CMS) · cms_ownership · dataset y2hd-n93e
implementedmonthly
Universe: Ownership and managerial disclosures for active nursing homes
Primary identifier: CCN + role + owner (no native row id)
Source release (CMS modified): Oct 1, 2026 · published Oct 28, 2026
Retrieved: Nov 7, 2026 · 252,468 rows (+252468 ~0 −0)
Next update (per CMS): Dec 2, 2026
Snapshot sha256: 7a103a44530a2cc8756d9a9d… · 58 MB
Terms: US Government work; CMS Provider Data Catalog terms of use
- Disclosures are self-reported to CMS (PECOS).
- No stable owner identifier is published; organizations are linked across facilities by exact normalized name only.
- Individuals are listed per facility and never merged across facilities by name.
CMS Health Deficiencies
Centers for Medicare & Medicaid Services (CMS) · cms_health_deficiencies · dataset r5ix-sfxw
implementedmonthly
Universe: Health citations from the three most recent standard surveys and complaint / infection-control inspections in the prior three years
Primary identifier: CCN + Survey Date + Deficiency Prefix + Deficiency Tag Number
Source release (CMS modified): Oct 1, 2026 · published Oct 28, 2026
Retrieved: Nov 7, 2026 · 418,682 rows (+418682 ~0 −0)
Next update (per CMS): Dec 2, 2026
Snapshot sha256: 15185c61678f9bcc663076de… · 165 MB
Terms: US Government work; CMS Provider Data Catalog terms of use
- Lookback is rolling: older cycles leave the file, so absence of an old citation is not evidence it never happened.
- Statement-of-deficiency narratives are not in the dataset.
CMS Fire Safety Deficiencies
Centers for Medicare & Medicaid Services (CMS) · cms_fire_safety_deficiencies · dataset ifjz-ge4w
implementedmonthly
Universe: Life Safety Code (K-tag) and Emergency Preparedness (E-tag) citations from recent fire-safety surveys
Primary identifier: CCN + Survey Date + Deficiency Prefix + Deficiency Tag Number
Source release (CMS modified): Oct 1, 2026 · published Oct 28, 2026
Retrieved: Nov 7, 2026 · 200,387 rows (+200387 ~0 −0)
Next update (per CMS): Dec 2, 2026
Snapshot sha256: 54a18c6409013e2bdcac2da3… · 69 MB
Terms: US Government work; CMS Provider Data Catalog terms of use
- Rolling lookback, as for health deficiencies.
CMS Nursing Home Penalties
Centers for Medicare & Medicaid Services (CMS) · cms_penalties · dataset g6vv-u9sr
implementedmonthly
Universe: Civil money penalties and denials of payment, about the last three years
Primary identifier: CCN + Fine ID (fines) / CCN + Payment Denial Start Date
Source release (CMS modified): Oct 1, 2026 · published Oct 28, 2026
Retrieved: Nov 7, 2026 · 15,007 rows (+15007 ~0 −0)
Next update (per CMS): Dec 2, 2026
Snapshot sha256: 5b2be235e7cfbba04d3a6fb6… · 3 MB
Terms: US Government work; CMS Provider Data Catalog terms of use
- Fine amounts can be reduced on appeal or waiver after publication.
CMS Inspection Dates
Centers for Medicare & Medicaid Services (CMS) · cms_inspection_dates · dataset svdt-c123
implementedmonthly
Universe: Dates and types of health, fire-safety, complaint and infection-control surveys
Primary identifier: CCN + Survey Date + Type of Survey
Source release (CMS modified): Oct 1, 2026 · published Oct 28, 2026
Retrieved: Nov 7, 2026 · 148,956 rows (+148956 ~0 −0)
Next update (per CMS): Dec 2, 2026
Snapshot sha256: f4997d4adbbc155e3e6472a3… · 8 MB
Terms: US Government work; CMS Provider Data Catalog terms of use
- An inspection with no citations appears here but not in the deficiency files.
CMS Citation Code Look-up
Centers for Medicare & Medicaid Services (CMS) · cms_citation_lookup · dataset tagd-9999
implementedmonthly
Universe: Every F, K and E tag CMS reports in the nursing home datasets
Primary identifier: Deficiency Prefix and Number
Source release (CMS modified): Oct 1, 2026 · published Oct 28, 2026
Retrieved: Nov 7, 2026 · 643 rows (+643 ~0 −0)
Next update (per CMS): Dec 2, 2026
Snapshot sha256: 063ad15eeb92aad2d65d4499… · 0 MB
Terms: US Government work; CMS Provider Data Catalog terms of use
CMS State and US Averages
Centers for Medicare & Medicaid Services (CMS) · cms_state_us_averages · dataset xcdc-v8bm
implementedmonthly
Universe: State and national averages of CMS nursing home measures
Primary identifier: State or Nation
Source release (CMS modified): Oct 1, 2026 · published Oct 28, 2026
Retrieved: Nov 7, 2026 · 54 rows (+54 ~0 −0)
Next update (per CMS): Dec 2, 2026
Snapshot sha256: 07344401d96b360dac5b4739… · 0 MB
Terms: US Government work; CMS Provider Data Catalog terms of use
- Averages are over CMS-certified nursing homes only.
Census national county FIPS codes (2020)
US Census Bureau · us_census_county_codes
implementedannual
Universe: All US counties and equivalents
Primary identifier: STATEFP+COUNTYFP
Source release (CMS modified): —
Retrieved: Nov 7, 2026 · 3,235 rows (+3235 ~0 −0)
Terms: US Government work
- 2020 vintage; Connecticut planning regions replaced counties in 2022 and are not reflected.
California CDPH Licensed and Certified Healthcare Facility Listing
California Department of Public Health (CDPH), Center for Health Care Quality, Licensing & Certification · ca_cdph_facility_listing
implementedmonthly
Universe: Every California skilled nursing facility and intermediate care facility (excluding developmental-disability ICFs) licensed by CDPH, certified or not
Primary identifier: FACID
Source release (CMS modified): Oct 16, 2026 · published Oct 16, 2026
Retrieved: Nov 7, 2026 · 1,195 rows (+1195 ~0 −0)
Snapshot sha256: 5f3889a56f499fa1963d194e… · 7 MB
Terms: California Open Data (CHHS), public domain
- Harvest keeps facility types SNF and ICF only; the listing also covers hospitals, clinics and ICF-DD homes. ICFs run by the Department of State Hospitals (psychiatric / forensic) are excluded in the adapter.
- Licensed beds (CAPACITY) are state-licensed beds and can differ from CMS-certified beds.
- Administrator names and contact emails are in the source but are not published by Carefield.
California CDPH Health Facilities State Enforcement Actions (1997–2024, archived)
California Department of Public Health (CDPH), Licensing & Certification · ca_cdph_enforcement_actions
implementedannual
Universe: State citations and administrative penalties issued to California SNFs and ICFs, 1997 through early 2024
Primary identifier: PENALTY_NUMBER
Source release (CMS modified): Aug 27, 2024 · published Sep 24, 2026
Retrieved: Nov 7, 2026 · 14,703 rows (+14703 ~0 −0)
Snapshot sha256: 95f7fc0eab84032497250e9a… · 3 MB
Terms: California Open Data (CHHS), public domain
- CDPH archived this dataset; actions after early 2024 are only on CDPH's State Enforcement Actions dashboard and are not included.
- State citations are separate from federal CMS deficiencies; the same event can produce both.
- Classes: AA = violation was a direct proximate cause of a patient's death; A = imminent danger or substantial probability of death or serious harm; B = direct or immediate relationship to patient health, safety or security.
California CDSS Community Care Licensing: Residential Care Facilities for the Elderly
California Department of Social Services (CDSS), Community Care Licensing Division · ca_cdss_rcfe
implementedmonthly
Universe: Every licensed residential care facility for the elderly (RCFE) in California, including CCRCs
Primary identifier: facility_number
Source release (CMS modified): Sep 30, 2026 · published Oct 8, 2026
Retrieved: Nov 7, 2026 · 7,962 rows (+0 ~0 −0)
Snapshot sha256: f35887f9d6aed0c857ba6c20… · 3 MB
Terms: California Open Data, public domain
- CDSS updates the open-data file a few times a year; the file date is shown as the as-of date.
- No coordinates in the file; county comes from the source county name.
- Inspection and citation reports are on CDSS Care Facility Search, not in the open data.
Connecticut Nursing Facility Registry
Connecticut Department of Public Health / Office of Policy and Management · ct_dph_nursing_facility_registry
implementedannual
Universe: Chronic and convalescent nursing homes (CCNH) and rest homes with nursing supervision (RHNS)
Primary identifier: ct_credential_numberreporting_year
Source release (CMS modified): Apr 30, 2026 · published Apr 30, 2026
Retrieved: Nov 7, 2026 · 2,771 rows (+2771 ~0 −0)
Terms: CT Open Data
- Annual registry: the latest reporting year per credential is used.
- Rest homes with nursing supervision (RHNS only) are residential care, not nursing homes.
Connecticut Assisted Living Service Agencies
Connecticut Department of Public Health · ct_dph_assisted_living_agencies
implementedmonthly
Universe: Licensed assisted living service agencies (the licensed care provider inside a managed residential community)
Primary identifier: credentialid
Source release (CMS modified): Nov 7, 2026 · published Nov 7, 2026
Retrieved: Nov 7, 2026 · 124 rows (+124 ~0 −0)
Terms: CT Open Data
- Connecticut licenses the assisted living service agency, not the building (managed residential community); the agency address is shown.
Kentucky Long Term Care Directory (OIG)
Kentucky Cabinet for Health and Family Services, Office of Inspector General · ky_oig_long_term_care
implementedmonthly
Universe: Kentucky nursing facilities, nursing homes and ICF beds licensed by OIG (ICF/IID-only homes excluded)
Primary identifier: License #
Source release (CMS modified): Oct 30, 2026 · published Oct 30, 2026
Retrieved: Nov 7, 2026 · 313 rows (+313 ~0 −0)
Snapshot sha256: b5a9825125c1f07724878c35… · 0 MB
Terms: Public record
- No CMS CCN in the file: linked to CMS records by exact street address and ZIP.
- Hospital-based nursing units appear under the hospital's address.
Kentucky Personal Care Home Directory (OIG)
Kentucky Cabinet for Health and Family Services, Office of Inspector General · ky_oig_personal_care_homes
implementedmonthly
Universe: Kentucky personal care homes licensed by OIG
Primary identifier: LICENSE #
Source release (CMS modified): Oct 30, 2026 · published Oct 30, 2026
Retrieved: Nov 7, 2026 · 47 rows (+47 ~0 −0)
Snapshot sha256: 7cb7e82414c1e3e93bc5fd4f… · 0 MB
Terms: Public record
Kentucky Assisted Living Community Directory
Kentucky Cabinet for Health and Family Services, Office of Inspector General · ky_chfs_assisted_living
implementedmonthly
Universe: Kentucky assisted living communities (ALC), with basic-health (ALC-BH) and dementia-care (ALC-DC) licenses
Primary identifier: LICENSE #
Source release (CMS modified): Oct 30, 2026 · published Oct 30, 2026
Retrieved: Nov 7, 2026 · 247 rows (+247 ~0 −0)
Snapshot sha256: a76ac8fef8c0eab847bf3586… · 0 MB
Terms: Public record
- A community with a dementia-care license appears once per license; they are combined into one facility by exact name and address.
Maryland Long Term Care facilities (OHCQ)
Maryland Department of Health, Office of Health Care Quality (OHCQ) · md_ohcq_long_term_care
implementedmonthly
Universe: Nursing homes licensed by Maryland OHCQ
Primary identifier: ohcq_index_no
Source release (CMS modified): Jul 22, 2025 · published Jul 22, 2025
Retrieved: Nov 7, 2026 · 227 rows (+227 ~0 −0)
Terms: Maryland open data
- No CMS CCN in the file: linked to CMS records by exact street address and ZIP.
Maryland Assisted Living programs (OHCQ)
Maryland Department of Health, Office of Health Care Quality (OHCQ) · md_ohcq_assisted_living
implementedmonthly
Universe: Assisted living programs licensed by Maryland OHCQ
Primary identifier: ohcq_index_no
Source release (CMS modified): Jul 22, 2025 · published Jul 22, 2025
Retrieved: Nov 7, 2026 · 1,568 rows (+1568 ~0 −0)
Terms: Maryland open data
Michigan Adult Foster Care / Homes for the Aged statewide file (Homes for the Aged)
Michigan Department of Licensing and Regulatory Affairs (LARA), Bureau of Community and Health Systems · mi_lara_homes_for_aged
implementeddaily
Universe: Michigan homes for the aged (licensed residential care for people 60+, 21+ beds). Adult foster care homes are not included yet: they also serve younger adults with disabilities and the file's population flags are undocumented here.
Primary identifier: license_number
Source release (CMS modified): Nov 7, 2026 · published Nov 7, 2026
Retrieved: Nov 7, 2026 · 351 rows (+351 ~0 −0)
Snapshot sha256: 51fc52098ffd378da9b1b26c… · 1 MB
Terms: Public record
- Adult foster care homes (AF/AS/AM/AL) are excluded for now.
Missouri Long-Term Care Facility Directory
Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation · mo_dhss_ltc_directory
implementedmonthly
Universe: Every Missouri skilled nursing, intermediate care, residential care and assisted living facility licensed by DHSS
Primary identifier: facility_number
Source release (CMS modified): Nov 4, 2026 · published Nov 4, 2026
Retrieved: Nov 7, 2026 · 1,102 rows (+1102 ~0 −0)
Terms: Missouri open data
- ICF here means a state-licensed intermediate care facility for older adults, not ICF/IID.
North Carolina Adult Care Homes / Homes for the Aged listing
North Carolina DHHS, Division of Health Service Regulation (DHSR) · nc_dhsr_adult_care_homes
implementedmonthly
Universe: North Carolina adult care homes (7+ residents), including homes for the aged and special care units
Primary identifier: License #
Source release (CMS modified): Oct 28, 2026 · published Oct 28, 2026
Retrieved: Nov 7, 2026 · 567 rows (+567 ~0 −0)
Snapshot sha256: 5671a352bea147a1b7b1607e… · 0 MB
Terms: Public record
- The DHSR star rating is a state rating for adult care homes, unrelated to CMS stars.
North Carolina Family Care Homes listing
North Carolina DHHS, Division of Health Service Regulation (DHSR) · nc_dhsr_family_care_homes
implementedmonthly
Universe: North Carolina family care homes (2 to 6 residents)
Primary identifier: License #
Source release (CMS modified): Oct 28, 2026 · published Oct 28, 2026
Retrieved: Nov 7, 2026 · 521 rows (+521 ~0 −0)
Snapshot sha256: c6d66684bf04ae0f98c00c64… · 0 MB
Terms: Public record
New York Health Facility General Information (nursing homes, adult homes, enriched housing)
New York State Department of Health (NYSDOH) · ny_doh_health_facilities
implementedmonthly
Universe: NYSDOH-licensed nursing homes (Article 28 RHCF) and adult care facilities (adult homes, enriched housing programs)
Primary identifier: fac_id
Source release (CMS modified): Oct 23, 2026 · published Oct 23, 2026
Retrieved: Nov 7, 2026 · 1,130 rows (+0 ~0 −0)
Terms: Open NY terms of use
- The file does not carry the CMS CCN: nursing homes are linked to CMS records only by exact street address and ZIP.
- Assisted living residence (ALR/EALR/SNALR) status comes from bed certifications in a companion dataset.
New York Health Facility Certification Information (bed certifications)
New York State Department of Health (NYSDOH) · ny_doh_facility_beds
implementedmonthly
Universe: Certified bed counts by category for NY nursing homes and adult care facilities
Primary identifier: fac_idattribute_valuesub_type
Source release (CMS modified): Nov 1, 2026 · published Nov 1, 2026
Retrieved: Nov 7, 2026 · 2,291 rows (+0 ~0 −0)
Terms: Open NY terms of use
Pennsylvania Nursing Homes (Department of Health)
Pennsylvania Department of Health · pa_doh_nursing_homes
implementedmonthly
Universe: Nursing homes licensed by the PA Department of Health
Primary identifier: facility_id_number
Source release (CMS modified): Sep 17, 2026 · published Sep 17, 2026
Retrieved: Nov 7, 2026 · 666 rows (+0 ~0 −0)
Terms: Commonwealth of Pennsylvania open data terms
- No CMS CCN or license number in the file: linked to CMS records by exact street address and ZIP.
Pennsylvania Licensed Personal Care Homes (Department of Human Services)
Pennsylvania Department of Human Services, Office of Long-Term Living · pa_dhs_personal_care_homes
implementedmonthly
Universe: Personal care homes licensed by PA DHS
Primary identifier: objectid
Source release (CMS modified): Nov 1, 2026 · published Nov 1, 2026
Retrieved: Nov 7, 2026 · 991 rows (+0 ~0 −0)
Terms: Commonwealth of Pennsylvania open data terms
- The open file has no license number; the source row id is used as the identifier.
- PA assisted living residences (a separate DHS license) are not in this file.
Utah Licensed Health Care Facilities (nursing care and assisted living)
Utah Department of Health and Human Services, Division of Licensing and Background Checks (DLBC), via UGRC · ut_dlbc_licensed_facilities
implementedmonthly
Universe: Utah nursing care facilities and assisted living facilities (Type I and II)
Primary identifier: ID_NUMBER
Source release (CMS modified): Mar 7, 2026 · published Mar 7, 2026
Retrieved: Nov 7, 2026 · 324 rows (+324 ~0 −0)
Terms: Utah SGID, public
Wyoming Healthcare Facility Directory
Wyoming Department of Health, Healthcare Licensing and Surveys (HLS) · wy_hls_facility_directory
implementedquarterly
Universe: Wyoming nursing homes, assisted living facilities and boarding homes
Primary identifier: License #
Source release (CMS modified): Nov 2, 2026 · published Nov 2, 2026
Retrieved: Nov 7, 2026 · 70 rows (+70 ~0 −0)
Snapshot sha256: 7329a7c91957f90a967971ee… · 0 MB
Terms: Public record
- HLS posts each new directory under a new file name; the URL is updated in the registry when it changes.
Planned
Registered, not yet harvested
| Source | Publisher | Use | Cadence | Notes |
|---|---|---|---|---|
| CMS Survey Summary cms_survey_summary · tbry-pc2d | CMS | Public index | monthly | Aggregated per cycle; citation-level datasets are used for occurrences. |
| CMS MDS Quality Measures cms_mds_quality · djen-97ju | CMS | Public index | quarterly | |
| CMS Medicare Claims Quality Measures cms_claims_quality · ijh5-nb2v | CMS | Public index | quarterly | |
| CMS SNF Quality Reporting Program — Provider Data cms_snf_qrp · fykj-qjee | CMS | Public index | quarterly | |
| CMS Nursing Home Chain Performance Measures cms_chain_performance | CMS | Public index | annual | Published outside the Provider Data Catalog; endpoint to validate. |
| American Community Survey 5-year us_census_acs5 | US Census Bureau | Public index | annual | Estimates carry margins of error; ZCTAs approximate ZIP codes. |
| HUD USPS ZIP Crosswalk hud_usps_crosswalk | HUD | Public index | quarterly | Requires HUD_API_TOKEN. |
| FEMA National Flood Hazard Layer fema_nfhl | FEMA | Paid report context | continuous | Paid-report context only. Flood zone is not a prediction of a specific event. |
| EPA ECHO epa_echo | US EPA | Paid report context | weekly | Paid-report context only. Proximity is not proof of exposure. |
| SEC EDGAR sec_edgar | US SEC | Paid report context | continuous | Consolidated financials are never attributed to one facility. |
| USAspending usaspending | US Treasury | Paid report context | daily | Parent-company matches never imply facility-level receipt. |
State assisted-living and residential-care sources are listed per state on the coverage page. A source appearing in a plan is not a claim that it offers a stable bulk API.