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CMS NH PenaltiesCMS NH Penalties (sub-join of Deficiencies)
U.S. Centers for Medicare and Medicaid Services · Tier-1 · research-only (never on individual profiles)
Civil-money penalties + denial-of-payment events; ~$480M cumulative. Sub-join of NH Health Deficiencies via Survey Event ID. Data-only treatment — surfaces in audit-pack export only; no dedicated brand-hub page.
How this source shows up on Fonteum.
Sub-join. Audit-pack export field for /deficiencies methodology-versioned customer exports.
What this source does NOT mean
Not a standalone surface. Joins to Deficiencies via Survey Event ID; absent that join, raw penalty rows lack the citation context needed to interpret them.
Research and data questions this source supports.
- Surface a nursing home's penalty history — civil monetary penalty amounts, dates, and payment status — on Care Compare brand-hub pages.
- Build an enforcement action leaderboard that identifies which states and chains have the highest cumulative CMPs over a 3-year window.
- Cross-reference penalty data with ownership chains (from SNF All Owners) to identify whether private equity-owned facilities have higher penalty rates.
- Support M&A diligence on nursing home targets by quantifying historical enforcement exposure before transaction close.
- Power a policy study on the relationship between CMS deficiency citation severity and the probability and size of civil monetary penalties.
Dataset size: 2,553 payment denials + $467M CMPs across 6,919 facilities (3-year dataset)
Per-field display contract.
Every field below has a `display_allowed` flag in the §94 provenance schema. Write-locked fields are captured to provenance for audit but never rendered on profile pages.
Research-only — never on profiles
5 fieldsWhat we can’t infer from this source.
- Some penalty entries are placeholders pending administrative adjudication.
- Finalization lag 3–6 months behind Deficiencies publication.
- Data-only sub-join — does not have a dedicated brand-hub page; joins to /deficiencies via Survey Event ID.
Authority, license, refresh cadence.
Authority
U.S. Centers for Medicare and Medicaid Services
Tier
Tier-1 · research-only (never on individual profiles)
Refresh cadence
Quarterly (trails Deficiencies 3–6 months for finalized penalty amounts).
License
U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS NH Penalties · Snapshot {YYYY-MM-DD}'. License ↗
Attribution requirement
Source: CMS NH Penalties · Snapshot {YYYY-MM-DD}
What the source allows.
U.S. government public-domain works. PDC publishes the dataset at data.cms.gov with explicit redistribution rights.
What a single field looks like in the graph.
A worked example. Every field surfaced from this source carries this shape of provenance line — source · last checked · display rule · confidence (when applicable).
Field
Per-event penalty row (audit-pack only)
Sample value
Civil money penalty · $58,400 · finalized 2025-10-04 · joined to Deficiency F689 G via Survey Event ID
Provenance line
Source: CMS NH Penalties · Snapshot {YYYY-MM-DD} · Display rule: audit-pack-only sub-join via Survey Event ID; no dedicated brand-hub page
Official API, bulk download, and Fonteum endpoints.
Official API / download
Fonteum surface
Common questions about CMS NH Penalties.
- What is the CMS Nursing Home Penalties dataset?
- The CMS Nursing Home Penalties dataset records all enforcement actions taken against Medicare- and Medicaid-certified nursing facilities, including Civil Monetary Penalties (CMPs), temporary management imposition, denial of payment for new admissions, and termination from the Medicare/Medicaid program. Each row represents one enforcement action with the facility CCN, penalty type, amount, date imposed, and payment status.
- What is a Civil Monetary Penalty (CMP) for a nursing home?
- A Civil Monetary Penalty (CMP) is a financial sanction CMS imposes on nursing homes for deficiency citations above certain severity thresholds. Per-day CMPs accrue for each day a deficiency remains uncorrected; per-instance CMPs apply for isolated serious violations. The current CMP cap is $21,393 per day for immediate jeopardy violations (2025 inflation-adjusted). Fonteum's NH Penalties study documents $467M in CMPs across a 3-year dataset.
- What is the Fonteum Nursing Home Penalties enforcement study?
- Fonteum's published study on nursing home penalty enforcement covers a 3-year dataset of $467M in civil monetary penalties and 2,553 payment denials across 6,919 facilities. The study uses the CMS Nursing Home Health Deficiencies dataset joined to the Penalties dataset via Survey Event ID. Full study and methodology at fonteum.com/research/nursing-home-deficiency-harm-rate-2026.
- Where can I download the CMS nursing home penalties data?
- CMS publishes the Nursing Home Penalties dataset at data.cms.gov/provider-data. The file is updated quarterly and is U.S. government public-domain data. The dataset joins to the Health Deficiencies file via Survey Event ID.
- How does a nursing home contest or appeal a CMP?
- A nursing home may contest a CMP by requesting an informal dispute resolution (IDR) within 10 business days of receiving the enforcement notice, or by requesting an administrative hearing before an Administrative Law Judge (ALJ) within 60 days. CMS reduces CMPs by 35% for facilities that waive the right to a hearing and pay promptly. Fonteum surfaces payment_status in the penalties dataset to distinguish settled from contested CMPs.
Where this source already shows up.
Related sources in the graph
- /sources → The full source library — every dataset Fonteum cites.
- /data-provenance → The provider graph — pipeline diagram, source-family clusters, field-level provenance examples, display rules.
- /methodology → Network-wide sourcing, refresh cadence, and corrections policy.
- /editorial-policy → Independence, sourcing, conflicts, corrections, retractions.