About the data
Freshness
Index build 20261107T152312Z · generated Nov 7, 2026 · schema 1.0.0
Three dates are kept apart: the source release (when CMS processed the data), the source publication date, and our retrieval date. CMS datasets refresh monthly, but staffing (quarterly PBJ) and quality measures follow their own cycles inside each release. Nothing here is real time.
Sources
| Source | Status | Cadence | Source release | Published | Retrieved | Next update |
|---|---|---|---|---|---|---|
| CMS Provider Information | implemented | monthly | Oct 1, 2026 | Oct 28, 2026 | Nov 7, 2026 | Dec 2, 2026 |
| CMS Ownership | implemented | monthly | Oct 1, 2026 | Oct 28, 2026 | Nov 7, 2026 | Dec 2, 2026 |
| CMS Health Deficiencies | implemented | monthly | Oct 1, 2026 | Oct 28, 2026 | Nov 7, 2026 | Dec 2, 2026 |
| CMS Fire Safety Deficiencies | implemented | monthly | Oct 1, 2026 | Oct 28, 2026 | Nov 7, 2026 | Dec 2, 2026 |
| CMS Penalties | implemented | monthly | Oct 1, 2026 | Oct 28, 2026 | Nov 7, 2026 | Dec 2, 2026 |
| CMS Inspection Dates | implemented | monthly | Oct 1, 2026 | Oct 28, 2026 | Nov 7, 2026 | Dec 2, 2026 |
| CMS Citation Code Look-up | implemented | monthly | Oct 1, 2026 | Oct 28, 2026 | Nov 7, 2026 | Dec 2, 2026 |
| CMS State & US Averages | implemented | monthly | Oct 1, 2026 | Oct 28, 2026 | Nov 7, 2026 | Dec 2, 2026 |
| Census county FIPS codes | implemented | annual | — | — | Nov 7, 2026 | — |
| California CDPH Licensed Facility Listing | implemented | monthly | Oct 16, 2026 | Oct 16, 2026 | Nov 7, 2026 | — |
| California CDPH State Enforcement Actions | implemented | annual | Aug 27, 2024 | Sep 24, 2026 | Nov 7, 2026 | — |
| California CDSS Residential Care for the Elderly | implemented | monthly | Sep 30, 2026 | Oct 8, 2026 | Nov 7, 2026 | — |
| Connecticut Nursing Facility Registry | implemented | annual | Apr 30, 2026 | Apr 30, 2026 | Nov 7, 2026 | — |
| Connecticut Assisted Living Service Agencies | implemented | monthly | Nov 7, 2026 | Nov 7, 2026 | Nov 7, 2026 | — |
| Kentucky OIG Long Term Care Directory | implemented | monthly | Oct 30, 2026 | Oct 30, 2026 | Nov 7, 2026 | — |
| Kentucky OIG Personal Care Homes | implemented | monthly | Oct 30, 2026 | Oct 30, 2026 | Nov 7, 2026 | — |
| Kentucky Assisted Living Communities | implemented | monthly | Oct 30, 2026 | Oct 30, 2026 | Nov 7, 2026 | — |
| Maryland OHCQ Long Term Care | implemented | monthly | Jul 22, 2025 | Jul 22, 2025 | Nov 7, 2026 | — |
| Maryland OHCQ Assisted Living | implemented | monthly | Jul 22, 2025 | Jul 22, 2025 | Nov 7, 2026 | — |
| Michigan LARA Homes for the Aged | implemented | daily | Nov 7, 2026 | Nov 7, 2026 | Nov 7, 2026 | — |
| Missouri DHSS Long-Term Care Directory | implemented | monthly | Nov 4, 2026 | Nov 4, 2026 | Nov 7, 2026 | — |
| North Carolina DHSR Adult Care Homes | implemented | monthly | Oct 28, 2026 | Oct 28, 2026 | Nov 7, 2026 | — |
| North Carolina DHSR Family Care Homes | implemented | monthly | Oct 28, 2026 | Oct 28, 2026 | Nov 7, 2026 | — |
| New York DOH Health Facility Information | implemented | monthly | Oct 23, 2026 | Oct 23, 2026 | Nov 7, 2026 | — |
| New York DOH Bed Certifications | implemented | monthly | Nov 1, 2026 | Nov 1, 2026 | Nov 7, 2026 | — |
| Pennsylvania DOH Nursing Homes | implemented | monthly | Sep 17, 2026 | Sep 17, 2026 | Nov 7, 2026 | — |
| Pennsylvania DHS Personal Care Homes | implemented | monthly | Nov 1, 2026 | Nov 1, 2026 | Nov 7, 2026 | — |
| Utah DLBC Licensed Facilities | implemented | monthly | Mar 7, 2026 | Mar 7, 2026 | Nov 7, 2026 | — |
| Wyoming HLS Facility Directory | implemented | quarterly | Nov 2, 2026 | Nov 2, 2026 | Nov 7, 2026 | — |
Index validation
101 checks passed · 0 errors · 0 warnings. Publishing is blocked when any error-level check fails.
| Group | Check | Result | Detail |
|---|---|---|---|
| integrity | unique facility ids | pass | 0 duplicates |
| integrity | one CMS facility per CCN | pass | 0 duplicate CCNs |
| integrity | facility shards exist | pass | 0 missing |
| integrity | operator links resolve | pass | 0 broken |
| integrity | chain links resolve | pass | 0 broken |
| integrity | ZIP links resolve | pass | 0 broken |
| integrity | county links resolve | pass | 0 broken |
| integrity | deficiency type links resolve | pass | 0 broken |
| universe | CMS ratings only on CMS-certified facilities | pass | 0 violations |
| state_layer | CA: CMS homes linked to a state license | pass | 1152 of 1165 |
| state_layer | CA: licensed-only homes carry no CMS ratings | pass | |
| state_layer | CA: state enforcement actions linked | pass | 13303 actions |
| state_layer | CT: CMS homes linked to a state license | pass | 185 of 191 |
| state_layer | CT: licensed-only homes carry no CMS ratings | pass | |
| state_layer | KY: CMS homes linked to a state license | pass | 259 of 266 |
| state_layer | KY: licensed-only homes carry no CMS ratings | pass | |
| state_layer | MD: CMS homes linked to a state license | pass | 202 of 221 |
| state_layer | MD: licensed-only homes carry no CMS ratings | pass | |
| state_layer | MO: CMS homes linked to a state license | pass | 479 of 486 |
| state_layer | MO: licensed-only homes carry no CMS ratings | pass | |
| state_layer | NY: CMS homes linked to a state license | pass | 580 of 592 |
| state_layer | NY: licensed-only homes carry no CMS ratings | pass | |
| state_layer | PA: CMS homes linked to a state license | pass | 626 of 656 |
| state_layer | PA: licensed-only homes carry no CMS ratings | pass | |
| state_layer | UT: CMS homes linked to a state license | pass | 97 of 97 |
| state_layer | UT: licensed-only homes carry no CMS ratings | pass | |
| state_layer | WY: CMS homes linked to a state license | pass | 36 of 36 |
| state_layer | WY: licensed-only homes carry no CMS ratings | pass | |
| residential | residential care rows carry no CMS ratings, CCN-based inspections or citations | pass | 13596 rows |
| residential | residential care excluded from CMS facility counts | pass | |
| residential | CA: residential roster produced facilities | pass | 7943 facilities |
| residential | CA: residential facilities resolved to a county | pass | 0 unresolved |
| residential | CT: residential roster produced facilities | pass | 124 facilities |
| residential | CT: residential facilities resolved to a county | pass | 1 unresolved |
| residential | KY: residential roster produced facilities | pass | 231 facilities |
| residential | KY: residential facilities resolved to a county | pass | 0 unresolved |
| residential | MD: residential roster produced facilities | pass | 1512 facilities |
| residential | MD: residential facilities resolved to a county | pass | 0 unresolved |
| residential | MI: residential roster produced facilities | pass | 351 facilities |
| residential | MI: residential facilities resolved to a county | pass | 0 unresolved |
| residential | MO: residential roster produced facilities | pass | 584 facilities |
| residential | MO: residential facilities resolved to a county | pass | 4 unresolved |
| residential | NC: residential roster produced facilities | pass | 1086 facilities |
| residential | NC: residential facilities resolved to a county | pass | 0 unresolved |
| residential | NY: residential roster produced facilities | pass | 517 facilities |
| residential | NY: residential facilities resolved to a county | pass | 0 unresolved |
| residential | PA: residential roster produced facilities | pass | 990 facilities |
| residential | PA: residential facilities resolved to a county | pass | 0 unresolved |
| residential | UT: residential roster produced facilities | pass | 224 facilities |
| residential | UT: residential facilities resolved to a county | pass | 0 unresolved |
| residential | WY: residential roster produced facilities | pass | 34 facilities |
| residential | WY: residential facilities resolved to a county | pass | 0 unresolved |
| integrity | owner links resolve | pass | 0 broken |
| counts | occurrences = sum over deficiency types | pass | 619069 vs 619069 |
| counts | facility rows = manifest | pass | 28448 vs 28448 |
| counts | active CMS facilities = CMS provider file rows | pass | 14686 vs 14686 |
| counts | occurrences = raw citation rows | pass | 619069 vs 619069 |
| counts | penalties = raw penalty rows | pass | 15007 vs 15007 |
| taxonomy | every deficiency type maps to a concept | pass | 0 unmapped |
| geography | facilities with a resolved county | pass | 5 unresolved |
| geography | nursing homes with coordinates | pass | 52 without coordinates (residential rosters often publish no coordinates: 10299 rows overall) |
| freshness | cms_provider_info harvested within 45 days | pass | 1 days ago (CMS release 2026-10-01) |
| freshness | cms_ownership harvested within 45 days | pass | 1 days ago (CMS release 2026-10-01) |
| freshness | cms_health_deficiencies harvested within 45 days | pass | 1 days ago (CMS release 2026-10-01) |
| freshness | cms_fire_safety_deficiencies harvested within 45 days | pass | 1 days ago (CMS release 2026-10-01) |
| freshness | cms_penalties harvested within 45 days | pass | 1 days ago (CMS release 2026-10-01) |
| freshness | cms_inspection_dates harvested within 45 days | pass | 1 days ago (CMS release 2026-10-01) |
| freshness | cms_citation_lookup harvested within 45 days | pass | 1 days ago (CMS release 2026-10-01) |
| freshness | cms_state_us_averages harvested within 45 days | pass | 1 days ago (CMS release 2026-10-01) |
| freshness | us_census_county_codes harvested within 400 days | pass | 1 days ago (CMS release ?) |
| freshness | ca_cdph_facility_listing harvested within 45 days | pass | 0 days ago (CMS release 2026-10-16) |
| freshness | ca_cdph_enforcement_actions harvested within 400 days | pass | 0 days ago (CMS release 2024-08-27) |
| freshness | ca_cdss_rcfe harvested within 45 days | pass | 0 days ago (CMS release 2026-09-30) |
| freshness | ct_dph_nursing_facility_registry harvested within 400 days | pass | 0 days ago (CMS release 2026-04-30) |
| freshness | ct_dph_assisted_living_agencies harvested within 45 days | pass | 0 days ago (CMS release 2026-11-07) |
| freshness | ky_oig_long_term_care harvested within 45 days | pass | 0 days ago (CMS release 2026-10-30) |
| freshness | ky_oig_personal_care_homes harvested within 45 days | pass | 0 days ago (CMS release 2026-10-30) |
| freshness | ky_chfs_assisted_living harvested within 45 days | pass | 0 days ago (CMS release 2026-10-30) |
| freshness | md_ohcq_long_term_care harvested within 45 days | pass | 0 days ago (CMS release 2025-07-22) |
| freshness | md_ohcq_assisted_living harvested within 45 days | pass | 0 days ago (CMS release 2025-07-22) |
| freshness | mi_lara_homes_for_aged harvested within 3 days | pass | 0 days ago (CMS release 2026-11-07) |
| freshness | mo_dhss_ltc_directory harvested within 45 days | pass | 0 days ago (CMS release 2026-11-04) |
| freshness | nc_dhsr_adult_care_homes harvested within 45 days | pass | 0 days ago (CMS release 2026-10-28) |
| freshness | nc_dhsr_family_care_homes harvested within 45 days | pass | 0 days ago (CMS release 2026-10-28) |
| freshness | ny_doh_health_facilities harvested within 45 days | pass | 0 days ago (CMS release 2026-10-23) |
| freshness | ny_doh_facility_beds harvested within 45 days | pass | 0 days ago (CMS release 2026-11-01) |
| freshness | pa_doh_nursing_homes harvested within 45 days | pass | 0 days ago (CMS release 2026-09-17) |
| freshness | pa_dhs_personal_care_homes harvested within 45 days | pass | 0 days ago (CMS release 2026-11-01) |
| freshness | ut_dlbc_licensed_facilities harvested within 45 days | pass | 0 days ago (CMS release 2026-03-07) |
| freshness | wy_hls_facility_directory harvested within 120 days | pass | 0 days ago (CMS release 2026-11-02) |
| reference | reference facility present | pass | cms-015009 |
| reference | name | pass | BURNS NURSING HOME, INC. |
| reference | CCN | pass | 015009 |
| reference | ZIP | pass | 35653 |
| reference | county FIPS | pass | 01059 |
| reference | state | pass | AL |
| reference | certified beds published | pass | 57 |
| reference | inspections linked | pass | 6 |
| reference | ownership linked | pass | 7 |
| reference | every finding resolves to a type | pass | |
| reference | state page lists facility | pass |
County assignment
name_match: 26,518point_in_polygon: 1,568nearest_boundary: 6unresolved: 5source_county_code: 351