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CMS NH DeficienciesCMS NH Health Deficiencies (per-citation)
U.S. Centers for Medicare and Medicaid Services · Tier-1 · research-only (never on individual profiles)
~419,400 individual deficiency citations across ~14,700 Medicare-certified nursing homes — each with scope (B–L) + severity letter, F-tag taxonomy, deficiency category, and Survey Event ID. NH Penalties dataset joins via Survey Event ID and exposes ~$480M in cumulative civil-money penalties.
How this source shows up on Fonteum.
Drives the brand-hub `/deficiencies` surface. Per-citation transparency layer; NH Penalties sub-join surfaces in audit-pack export only.
What this source does NOT mean
Citation rate is NOT a facility-quality signal at state aggregate. The 9× SD-vs-NV state-survey-rigor disparity is the dominant signal — methodology MD frames this explicitly.
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.
Renders on profile
5 fieldsWhat we can’t infer from this source.
- 9× SD-vs-NV citation-rate disparity is a state-survey-system signal, not a facility-quality signal.
- iQIES July 2025 migration changed legacy schema; pre/post-migration citations not directly comparable for some F-tags.
- CMS February 2026 schema change removed complaint-allegation counts.
- F-tag definitions changed for some categories (e.g., F689 falls expanded January 2017); time-series comparison requires explicit cohort flagging.
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 (citation backlog ~6 months; iQIES July 2025 migration affected legacy schema; CMS February 2026 schema change removed complaint-allegation counts).
License
U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS NH Health Deficiencies · Snapshot {YYYY-MM-DD}'. License ↗
Attribution requirement
Source: CMS NH Health Deficiencies · 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-citation row (display)
Sample value
F689 falls · scope/severity G · 2025-08-12 survey · facility CCN 015XXX
Provenance line
Source: CMS NH Health Deficiencies · Snapshot {YYYY-MM-DD} · Display rule: per-citation F-tag + scope/severity + survey-date render on /deficiencies module + per-facility pages
Where this source already shows up.
- /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.