The Long Term Care Community Coalition (LTCCC) released on October 7, 2026, its latest national nursing home provider data report, offering searchable, facility-level information for 14,690 federally certified nursing homes.
The reports organize complex federal data into user-friendly Excel files that enable families, advocates, ombudsmen, attorneys, researchers, journalists, and policymakers to examine nursing home staffing, ratings, inspection results, ownership, quality measures, and more.
The updated files are available on LTCCC’s U.S. Nursing Home Ratings & Info page:
- National Provider File: Facility-level ratings, staffing data, inspection results, quality measures, ownership information, and enforcement data for Medicare- and Medicaid-certified nursing homes nationwide.
- Problem Facilities File: A focused list of nursing homes identified as Special Focus Facilities, Special Focus Facility Candidates, or one-star facilities.
Key National Findings
1. More than 9 in 10 Nursing Homes Fall Below Expected Staffing
- The average nursing home reported just 3.86 hours of nurse staffing per resident per day, compared with 4.99 hours expected based on resident acuity.
- Chain-affiliated facilities reported even lower staffing, averaging 3.70 hours per resident day. Approximately 96% of chain facilities with available data fell below expected staffing.
- Staffing was especially poor among facilities identified as having serious quality problems. These homes averaged only 3.49 staffing hours per resident day, and nearly 98% fell below expected staffing.
- The share of nursing homes falling below expected staffing has increased since LTCCC’s February 2026 report, when 87% of facilities were below expected staffing and facilities averaged 3.90 staffing hours per resident day.
2. More than 294,000 Residents Live in Problem Facilities
Nationwide, more than one in five nursing homes are identified as Special Focus Facilities, Special Focus Facility Candidates, or one-star facilities. Together, these facilities care for approximately 294,000 residents.
The latest data identify:
- 84 Special Focus Facilities, which have a history of serious quality problems;
- 441 Special Focus Facility Candidates;
- 3,015 nursing homes with one-star overall ratings; and
- 1,426 facilities displaying CMS’s federal abuse icon, indicating that they have been cited for abuse that led to resident harm or potential harm within the applicable CMS reporting period.
3. Problem Facilities Account for a Disproportionate Share of Fines
Over the approximately three-year period covered by the federal enforcement data:
- 6,514 nursing homes received one or more fines;
- Facilities were assessed approximately $456.8 million in fines; and
- CMS imposed 15,696 penalties, including fines and payment denials.
- Problem Facilities represent approximately 22% of nursing homes nationwide but account for about 61% of the fines assessed. Nevertheless, 610 Problem Facilities had no reported federal penalties during the period covered by the data.
4. More than 1,000 Nursing Homes Have Gone Over Two Years Without a Standard Health Inspection
The data identify 1,018 nursing homes whose most recent standard health inspection occurred more than two years ago.
Regular inspections are a fundamental safeguard for identifying poor care and holding facilities accountable. Long gaps between surveys may leave serious problems undiscovered or unaddressed while outdated inspection results continue to influence the information available to residents and families.
“These data show that inadequate staffing remains the norm in U.S. nursing homes, not the exception,” said Richard Mollot, Executive Director of LTCCC. “More than 90% of facilities are providing less nursing care than expected for their residents, while hundreds of thousands of people live in facilities with records of serious quality problems. Residents deserve meaningful oversight, sufficient staffing, and enforcement that holds providers accountable for meeting basic care standards.”
Using LTCCC’s Nursing Home Data
The Excel files can be filtered by state, county, or city and sorted by key measures. Users can compare nursing homes based on:
- Reported and expected staffing levels;
- Overall, health inspection, staffing, and quality-measure ratings;
- Health inspection deficiencies;
- Fines, payment denials, and other enforcement actions;
- Ownership type and chain affiliation; and
- Additional quality and compliance indicators.
Families can use the reports to research and compare nursing homes in their communities. Advocates, ombudsmen, attorneys, researchers, journalists, and policymakers can use them to identify troubling patterns across facilities, owners, chains, and geographic areas and to support stronger oversight and accountability.
Access the updated reports and additional nursing home data on LTCCC’s Nursing Home Ratings & Info page.
Contact Elder Law Attorneys Friedman & Ranzenhofer, PC at (716) 543-7364 if you or a family member are the victims of nursing home abuse.
The Long Term Care Community Coalition (LTCCC) released on October 7, 2026, its latest national nursing home provider data report, offering searchable, facility-level information for 14,690 federally certified nursing homes.
The reports organize complex federal data into user-friendly Excel files that enable families, advocates, ombudsmen, attorneys, researchers, journalists, and policymakers to examine nursing home staffing, ratings, inspection results, ownership, quality measures, and more.
The updated files are available on LTCCC’s U.S. Nursing Home Ratings & Info page:
- National Provider File: Facility-level ratings, staffing data, inspection results, quality measures, ownership information, and enforcement data for Medicare- and Medicaid-certified nursing homes nationwide.
- Problem Facilities File: A focused list of nursing homes identified as Special Focus Facilities, Special Focus Facility Candidates, or one-star facilities.
Key National Findings
1. More than 9 in 10 Nursing Homes Fall Below Expected Staffing
- The average nursing home reported just 3.86 hours of nurse staffing per resident per day, compared with 4.99 hours expected based on resident acuity.
- Chain-affiliated facilities reported even lower staffing, averaging 3.70 hours per resident day. Approximately 96% of chain facilities with available data fell below expected staffing.
- Staffing was especially poor among facilities identified as having serious quality problems. These homes averaged only 3.49 staffing hours per resident day, and nearly 98% fell below expected staffing.
- The share of nursing homes falling below expected staffing has increased since LTCCC’s February 2026 report, when 87% of facilities were below expected staffing and facilities averaged 3.90 staffing hours per resident day.
2. More than 294,000 Residents Live in Problem Facilities
Nationwide, more than one in five nursing homes are identified as Special Focus Facilities, Special Focus Facility Candidates, or one-star facilities. Together, these facilities care for approximately 294,000 residents.
The latest data identify:
- 84 Special Focus Facilities, which have a history of serious quality problems;
- 441 Special Focus Facility Candidates;
- 3,015 nursing homes with one-star overall ratings; and
- 1,426 facilities displaying CMS’s federal abuse icon, indicating that they have been cited for abuse that led to resident harm or potential harm within the applicable CMS reporting period.
3. Problem Facilities Account for a Disproportionate Share of Fines
Over the approximately three-year period covered by the federal enforcement data:
- 6,514 nursing homes received one or more fines;
- Facilities were assessed approximately $456.8 million in fines; and
- CMS imposed 15,696 penalties, including fines and payment denials.
- Problem Facilities represent approximately 22% of nursing homes nationwide but account for about 61% of the fines assessed. Nevertheless, 610 Problem Facilities had no reported federal penalties during the period covered by the data.
4. More than 1,000 Nursing Homes Have Gone Over Two Years Without a Standard Health Inspection
The data identify 1,018 nursing homes whose most recent standard health inspection occurred more than two years ago.
Regular inspections are a fundamental safeguard for identifying poor care and holding facilities accountable. Long gaps between surveys may leave serious problems undiscovered or unaddressed while outdated inspection results continue to influence the information available to residents and families.
“These data show that inadequate staffing remains the norm in U.S. nursing homes, not the exception,” said Richard Mollot, Executive Director of LTCCC. “More than 90% of facilities are providing less nursing care than expected for their residents, while hundreds of thousands of people live in facilities with records of serious quality problems. Residents deserve meaningful oversight, sufficient staffing, and enforcement that holds providers accountable for meeting basic care standards.”
Using LTCCC’s Nursing Home Data
The Excel files can be filtered by state, county, or city and sorted by key measures. Users can compare nursing homes based on:
- Reported and expected staffing levels;
- Overall, health inspection, staffing, and quality-measure ratings;
- Health inspection deficiencies;
- Fines, payment denials, and other enforcement actions;
- Ownership type and chain affiliation; and
- Additional quality and compliance indicators.
Families can use the reports to research and compare nursing homes in their communities. Advocates, ombudsmen, attorneys, researchers, journalists, and policymakers can use them to identify troubling patterns across facilities, owners, chains, and geographic areas and to support stronger oversight and accountability.
Access the updated reports and additional nursing home data on LTCCC’s Nursing Home Ratings & Info page.
Contact Elder Law Attorneys Friedman & Ranzenhofer, PC at (716) 543-7364 if you or a family member are the victims of nursing home abuse.