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1,322,867 nurse-staffing records · CMS PBJ
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FOR · COMPLIANCE & RISK OFFICERS

Exclusion screening. Daily. Auditable.

Screen workforce and vendors against 68,055 OIG exclusion records, 16,832 civil penalty findings, and 418,148 deficiencies — refreshed within 24 hours.

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Federal source data only. No synthetic records. No self-reported fields.

OIG exclusion records

Full LEIE export. Monthly refresh from oig.hhs.gov/exclusions.

Civil penalty findings

CMS Care Compare 3-year nursing home penalties dataset.

Deficiencies indexed

NH Health Deficiency citations, scope/severity tagged, 6,919 facilities.

OIG LEIE · 68,055 records

The federal exclusion list, queryable by NPI.

The OIG LEIE is the authoritative federal record of individuals and entities excluded from participation in Medicare, Medicaid, and all federal healthcare programs. Fonteum maintains a refreshed, NPI-joined copy updated within 24 hours of each monthly OIG release.

Both mandatory exclusion categories (42 U.S.C. §1320a-7(a)) and permissive categories (§1320a-7(b)) are enumerated. Reinstatement dates and waiver references surface when present. Source: oig.hhs.gov/exclusions.

View the /sanctions brand-hub →

OIG Exclusion Check · Demo

Demo mode — pilot access required for production API. Request a pilot →


Civil Monetary Penalty Exposure · Demo

Demo mode — pilot access required for production API. Request a pilot →

Civil Monetary Penalties · 16,832 findings

Three years of penalty actions. Per finding, per facility.

CMS Care Compare surfaces civil monetary penalties assessed against nursing facilities over a rolling 3-year window: $467M in fines and 2,553 payment denials across 6,919 facilities. Each finding includes the penalty amount, violation type, survey date, and whether a payment denial accompanied the fine.

CCN-keyed — any facility in your portfolio is cross-joinable to its penalty history, deficiency record, and staffing posture in a single query.


Staffing rule compliance · deficiency citations

1,322,867 staffing records. 418,148 deficiency citations.

CMS finalized a minimum staffing rule for nursing facilities in April 2024. Fonteum's PBJ staffing layer provides the per-quarter, per-facility, per-staff-type data required to assess compliance: RN hours per resident day, total nurse staffing hours, and turnover rate — all from the federally mandated Payroll-Based Journal submission.

5.59%

G+ deficiency rate

G-level and above indicates actual harm or immediate jeopardy. IL leads at 4.57 citations/facility vs NH at 0.31 — a 14.7× disparity.

14,635

Facilities in deficiency dataset

Scope/severity tagged across all 9 levels (A–L). Survey date, citation type, and corrective action timeline included.

24 h

Refresh window

Within 24 hours of the CMS monthly release. Methodology version and snapshot date on every export.

Explore the NH deficiency dataset →

Audit trail · OCR readiness

Every check is a retrievable record.

OIG guidelines and CMS conditions of participation require organizations to screen employees and contractors against the exclusion list before hire and on a recurring basis. An OCR investigation or CMS audit will ask for the date and method of each screening. Fonteum exports are designed to be that record — not a checkbox, but a timestamped, versioned, source-cited artifact.

01

Every check logged with UTC timestamp, methodology version, and source snapshot date.

02

Source URL on every record traces to the originating federal dataset row.

03

Methodology version pinned at export time — the same version is retrievable six months later.

04

CSV and JSON export formats include provenance columns by default; no post-processing required.

“The audit artifact your compliance officer attaches to the response — not a vendor statement that something was checked.”

Coverage

Four checks. One data layer.

Exclusion check

Every NPI screened against the full OIG LEIE monthly export. Mandatory and permissive exclusion types enumerated. Reinstatement dates surfaced where present.

Penalty cross-reference

CCN-keyed civil monetary penalty history joined across the 3-year CMS dataset. Per-finding violation type, penalty amount, and payment-denial count.

Deficiency citations

418,148 nursing home deficiency citations indexed by survey date, scope/severity tag, and facility CCN. G-level and above flagged for immediate review.

Staffing-rule compliance

1,322,867 PBJ staffing records cross-referenced against CMS minimum staffing rule thresholds. Per-quarter, per-facility, per-staff-type breakdown.

Next step

A 30-minute discovery call. No commitment.

We scope the datasets relevant to your compliance program, walk through the audit-trail format, and show a live export. If it fits, we agree on a 90-day pilot.

Request a pilot →Explore exclusion data →

Compliance posture

Methodology · Corrections log · Editorial policy

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Product

  • Data
  • API
  • Methodology
  • Sources
  • Freshness
  • Citations

For buyers

  • AI agents
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  • Researchers
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Reference

  • Compare
  • llms.txt
  • Agent card
  • Audit pack
  • Pilot intake
  • Research

Sourced from CMS and HHS-OIG. Fonteum, Inc., Delaware C-corp. © 2026.