Identity & licensure
State license IDs, facility identities, and source-native classes.
Federal + state senior-care intelligence
Research the provider. Then research the evidence around them.
Connect provider identity to licensing, CMS certification, inspections, deficiencies, enforcement, staffing, quality observations, ownership, and state regulatory records — each kept in its source-native class. Research senior care without being sold senior care.
We cite the evidence. You decide.
Research senior care
What do you want to find out?
Natural language is mapped to a structured plan over acquired CMS and state evidence. Provider classes stay separate; missing evidence is not zero.
The evidence around a provider
One identity can connect to several official records
Availability varies by class, jurisdiction, and source clock. A state license is not a CMS certification, and missing is not zero.
Federal certification
CMS CCNs and separate Nursing Home, Home Health, and Hospice directories.
Inspection & regulation
Inspection events, deficiencies, fire citations, and enforcement records.
Care operations
Publication-eligible staffing summaries, quality, and experience observations.
Ownership & change
Traceable change-of-ownership events where CMS publishes them.
Official evidence inventory
The data moat, without a fake total
Every measure retains its own grain, geography, provider class, accepted artifact, and source clock. Incompatible measures are never added together.
Federal directories & certification
14,690
Current nursing homes
14,690 current of 14,690 current directory
- Grain
- current directory provider
- Class / geography
- nursing home · United States / CMS directory geography
- Source as of
- 2026-08-01
- Retrieved
- Not reported
Trace this measure
Source: nursing-home-provider-information
Accepted artifact: senior-network-metrics-v1.json
Does not count: Known CCNs are not added into current. Absence from the current directory is not proof of closure.
Open research destination →12,460
Current home health agencies
12,460 current of 12,460 current directory
- Grain
- current directory provider
- Class / geography
- home health · United States / CMS directory geography
- Source as of
- 2026-05-27
- Retrieved
- Not reported
Trace this measure
Source: home-health-care-agencies
Accepted artifact: senior-network-metrics-v1.json
Does not count: An office address is not a verified service area.
Open research destination →6,669
Current hospice providers
6,669 GI current of 6,911 typed identities
- Grain
- current directory provider
- Class / geography
- hospice · United States / CMS directory geography
- Source as of
- 2026-08-19
- Retrieved
- Not reported
Trace this measure
Source: hospice-general-information
Accepted artifact: senior-network-metrics-v1.json
Does not count: Evidence-only identities are not current GI providers and are not proof of closure.
Open research destination →210
Colorado CMS Nursing Home overlay
Accepted CMS Nursing Home identities already in the national geography partition.
- Grain
- CMS Nursing Home CCN in Colorado geography
- Class / geography
- Nursing Home · Colorado
- Source as of
- 2026-08-01
- Retrieved
- 2026-08-26T20:24:52.158102+00:00
Trace this measure
Source: CMS Provider Data Catalog
Accepted artifact: artifacts/co-sen-001-public-snapshot.json
Does not count: National CMS totals (already included); Assisted Living Residences; a combined Colorado provider count.
Open research destination →222
Colorado CMS Home Health overlay
Accepted CMS Home Health identities already in the national geography partition.
- Grain
- CMS Home Health CCN in Colorado geography
- Class / geography
- Home Health · Colorado
- Source as of
- 2026-05-27
- Retrieved
- 2026-08-26T21:08:16.274819+00:00
Trace this measure
Source: CMS Provider Data Catalog
Accepted artifact: artifacts/co-sen-001-public-snapshot.json
Does not count: National CMS totals (already included); CDPHE Home Care Agencies; a service area.
Open research destination →88
Colorado CMS Hospice overlay
Accepted CMS Hospice identities already in the national geography partition.
- Grain
- CMS Hospice CCN in Colorado geography
- Class / geography
- Hospice · Colorado
- Source as of
- 2026-08-19
- Retrieved
- 2026-08-26T22:15:06.243039+00:00
Trace this measure
Source: CMS Provider Data Catalog
Accepted artifact: artifacts/co-sen-001-public-snapshot.json
Does not count: National CMS totals (already included); Home Health agencies; a combined provider count.
Open research destination →666
Illinois CMS nursing-home providers
Accepted CMS Illinois overlay identities.
- Grain
- CMS Nursing Home CCN in Illinois geography
- Class / geography
- Nursing Home · Illinois
- Source as of
- 2026-08-01
- Retrieved
- 2026-08-26T20:24:52.158102+00:00
Trace this measure
Source: CMS Provider Information
Accepted artifact: artifacts/il-sen-001-public-snapshot.json
Does not count: IDPH license census, Supportive Living sites, or a combined Illinois provider total.
Open research destination →356
Georgia CMS Nursing Home overlay
Accepted CMS Nursing Home identities already in the national geography partition.
- Grain
- CMS Nursing Home CCN in Georgia geography
- Class / geography
- Nursing Home · Georgia
- Source as of
- 2026-08-01
- Retrieved
- 2026-08-26T20:24:52.158102+00:00
Trace this measure
Source: CMS Provider Data Catalog
Accepted artifact: artifacts/ga-sen-001-public-snapshot.json
Does not count: National CMS totals (already included); Georgia Personal Care Homes; Assisted Living Communities; a combined Georgia provider count.
Open research destination →105
Georgia CMS Home Health overlay
Accepted CMS Home Health identities already in the national geography partition.
- Grain
- CMS Home Health CCN in Georgia geography
- Class / geography
- Home Health · Georgia
- Source as of
- 2026-05-27
- Retrieved
- 2026-08-26T21:08:16.274819+00:00
Trace this measure
Source: CMS Provider Data Catalog
Accepted artifact: artifacts/ga-sen-001-public-snapshot.json
Does not count: National CMS totals (already included); Georgia Private Home Care Providers; a service area.
Open research destination →261
Georgia CMS Hospice overlay
Accepted CMS Hospice identities already in the national geography partition.
- Grain
- CMS Hospice CCN in Georgia geography
- Class / geography
- Hospice · Georgia
- Source as of
- 2026-08-19
- Retrieved
- 2026-08-26T22:15:06.243039+00:00
Trace this measure
Source: CMS Provider Data Catalog
Accepted artifact: artifacts/ga-sen-001-public-snapshot.json
Does not count: National CMS totals (already included); a Georgia state hospice license; a combined provider count.
Open research destination →Quality & experience observations
1,248,650
MDS observations
1,248,650 MDS observations
- Grain
- mds observation
- Class / geography
- nursing home · United States / CMS directory geography
- Source as of
- 2026-08-01
- Retrieved
- Not reported
Trace this measure
Source: nursing-home-mds-quality-measures
Accepted artifact: senior-network-metrics-v1.json
Does not count: An MDS observation is not an inspection and is not a provider. Measure-period rows are not star ratings.
Open research destination →199,360
Home Health quality observations
199,360 Home Health quality observations
- Grain
- quality observation
- Class / geography
- home health · United States / CMS directory geography
- Source as of
- 2026-05-27
- Retrieved
- Not reported
Trace this measure
Source: home-health-care-agencies
Accepted artifact: senior-network-metrics-v1.json
Does not count: Home Health quality observations are not Nursing Home MDS observations.
Open research destination →74,760
Home Health HHCAHPS observations
74,760 HHCAHPS observations
- Grain
- quality observation
- Class / geography
- home health · United States / CMS directory geography
- Source as of
- 2026-06-10
- Retrieved
- Not reported
Trace this measure
Source: home-health-patient-survey-hhcahps
Accepted artifact: senior-network-metrics-v1.json
Does not count: HHCAHPS is a survey family, not a CMS Quality of Patient Care star.
Open research destination →453,492
Hospice quality observations
453,492 Hospice quality observations
- Grain
- quality observation
- Class / geography
- hospice · United States / CMS directory geography
- Source as of
- 2026-08-07
- Retrieved
- Not reported
Trace this measure
Source: hospice-provider-data
Accepted artifact: senior-network-metrics-v1.json
Does not count: Hospice quality observations are not an overall CMS star.
Open research destination →140,049
Hospice CAHPS observations
140,049 CAHPS Hospice observations
- Grain
- quality observation
- Class / geography
- hospice · United States / CMS directory geography
- Source as of
- 2026-08-07
- Retrieved
- Not reported
Trace this measure
Source: hospice-provider-cahps
Accepted artifact: senior-network-metrics-v1.json
Does not count: CAHPS Hospice Survey evidence is not an overall CMS star.
Open research destination →Inspections & deficiencies
200,327
Fire citations
200,327 fire citations
- Grain
- fire citation
- Class / geography
- nursing home · United States / CMS directory geography
- Source as of
- 2026-08-01
- Retrieved
- Not reported
Trace this measure
Source: nursing-home-fire-safety-deficiencies
Accepted artifact: senior-network-metrics-v1.json
Does not count: A fire citation is not a provider and is not a health deficiency.
Open research destination →149,978
Inspections
149,978 inspection events
- Grain
- inspection event
- Class / geography
- nursing home · United States / CMS directory geography
- Source as of
- 2026-08-01
- Retrieved
- Not reported
Trace this measure
Source: nursing-home-inspection-dates
Accepted artifact: senior-network-metrics-v1.json
Does not count: An inspection is not a deficiency and is not an enforcement action. Stacked historical ingest copies are not added into this public count.
Open research destination →419,479
Health deficiencies
419,479 health deficiencies
- Grain
- health deficiency
- Class / geography
- nursing home · United States / CMS directory geography
- Source as of
- 2026-08-01
- Retrieved
- Not reported
Trace this measure
Source: nursing-home-health-deficiencies
Accepted artifact: senior-network-metrics-v1.json
Does not count: A deficiency is not automatically an enforcement action.
Open research destination →7,032
Virginia DSS ALF inspection observations
Inspection-level observations with complaintNumber and violations Y/N flags.
- Grain
- one DSS inspection row = one observation
- Class / geography
- Assisted Living · Virginia
- Source as of
- Not reported
- Retrieved
- 2026-09-10T16:02:10Z
Trace this measure
Source: Virginia DSS DOLP facility-detail JSON
Accepted artifact: artifacts/va-sen-001-public-snapshot.json
Does not count: Substantiated complaints; deficiency counts; a ranking.
Open research destination →Enforcement & regulatory history
15,694
Enforcement records
15,694 enforcement records
- Grain
- enforcement record
- Class / geography
- nursing home · United States / CMS directory geography
- Source as of
- 2026-08-01
- Retrieved
- Not reported
Trace this measure
Source: nursing-home-penalties
Accepted artifact: senior-network-metrics-v1.json
Does not count: Every CMS row is not a regulatory action of the same kind. Fines and payment denials stay separate grains.
Open research destination →77,219
Florida regulatory observations
Accepted attributable state regulatory observations.
- Grain
- state regulatory observation
- Class / geography
- Florida state provider classes · Florida
- Source as of
- 2026-08-27
- Retrieved
- Not reported
Trace this measure
Source: Florida AHCA
Accepted artifact: florida-intelligence.json
Does not count: A count of unsafe providers, criminal convictions, or current conditions.
Open research destination →1,146
NJDOH enforcement occurrences indexed
Official index occurrences retained in the accepted corpus.
- Grain
- indexed enforcement occurrence / URL
- Class / geography
- NJDOH regulated facilities · New Jersey
- Source as of
- Not reported
- Retrieved
- Not reported
Trace this measure
Source: NJDOH enforcement corpus
Accepted artifact: 92e0742f77f2f55a5ccd6217c5caa779f3281fd26b1d91c14e2df11ae144011a
Does not count: Unique actions, downloaded PDFs, or profile-attributable findings.
Open research destination →1,144
NJDOH enforcement documents downloaded
1,144 downloaded document occurrences. The accepted corpus separately reports 1,131 unique content hashes.
- Grain
- downloaded document occurrence
- Class / geography
- NJDOH regulated facilities · New Jersey
- Source as of
- Not reported
- Retrieved
- Not reported
Trace this measure
Source: NJDOH enforcement corpus
Accepted artifact: 92e0742f77f2f55a5ccd6217c5caa779f3281fd26b1d91c14e2df11ae144011a
Does not count: Unique legal actions, violations, or safe provider attachments; downloaded occurrences and deduplicated content hashes are different grains.
Open research destination →Staffing & care operations
14,487
Staffing records
14,487 PBJ quarterly summaries
- Grain
- pbj quarter summary
- Class / geography
- nursing home · United States / CMS directory geography
- Source as of
- 2026-07-29
- Retrieved
- Not reported
Trace this measure
Source: payroll-based-journal-daily-nurse-staffing
Accepted artifact: senior-network-metrics-v1.json
Does not count: A staffing observation is not a facility. Daily PBJ hour rows are a different grain and are not the public staffing count.
Open research destination →Ownership & change
5,227
Nursing Home CHOW events
5,227 CHOW events
- Grain
- chow event
- Class / geography
- nursing home · United States / CMS directory geography
- Source as of
- 2026-08-24
- Retrieved
- Not reported
Trace this measure
Source: skilled-nursing-facility-change-of-ownership
Accepted artifact: senior-network-metrics-v1.json
Does not count: A CHOW record is not a sale and is not a quality finding. CMS does not publish Home Health or Hospice CHOW event files.
Open research destination →Identity & licensure
6,983
Florida AHCA current identities
Current identities in the accepted AHCA state snapshot.
- Grain
- current AHCA provider identity
- Class / geography
- Florida state provider classes · Florida
- Source as of
- 2026-08-27
- Retrieved
- Not reported
Trace this measure
Source: Florida AHCA
Accepted artifact: florida-intelligence.json
Does not count: Historical providers or a unique corporate-organization count.
Open research destination →893
New Jersey long-term-care identities
State long-term-care facility identity rows.
- Grain
- NJDOH All_LTC source row
- Class / geography
- NJDOH long-term care classes · New Jersey
- Source as of
- 2026-08-31
- Retrieved
- Not reported
Trace this measure
Source: NJDOH
Accepted artifact: 92e0742f77f2f55a5ccd6217c5caa779f3281fd26b1d91c14e2df11ae144011a
Does not count: All_Acute rows, CMS providers, or unique organizations.
Open research destination →15,097
California CDPH ELMS locations
Accepted ELMS healthcare-facility location rows.
- Grain
- licensed/certified facility location (FACID)
- Class / geography
- CDPH facility types · California
- Source as of
- 2026-08-17
- Retrieved
- 2026-09-03T18:02:21Z
Trace this measure
Source: CDPH ELMS
Accepted artifact: 13dd705e7d3e3896f4e8cb03fcae731d3a38bb3070b1943e84e9bd015b7879e0
Does not count: RCFE rows, CMS providers, or unique corporate organizations.
Open research destination →1,152
California exact SNF CCN crosswalks
Accepted exact CCN identity relationships.
- Grain
- exact state facility-to-CMS CCN relationship
- Class / geography
- Nursing Home · California
- Source as of
- Not reported
- Retrieved
- 2026-09-03T18:02:21Z
Trace this measure
Source: CDPH ELMS + CMS
Accepted artifact: 13dd705e7d3e3896f4e8cb03fcae731d3a38bb3070b1943e84e9bd015b7879e0
Does not count: Endorsements, fuzzy matches, or unique organizations.
Open research destination →1,175
Texas HHSC nursing-facility rows
State nursing-facility licensing rows.
- Grain
- HHSC nursing-facility directory row
- Class / geography
- Nursing Facility · Texas
- Source as of
- 2026-09-03
- Retrieved
- 2026-09-04T13:53:53Z
Trace this measure
Source: Texas HHSC
Accepted artifact: 21a477348aa7e5f8de242acaa64526633a454ee4bbd59e232feefa5aa34ef407
Does not count: CMS Nursing Homes or a combined provider universe.
Open research destination →1,149
Texas exact NF-to-CMS matches
Accepted exact state NF-to-CMS Nursing Home links.
- Grain
- exact CCN relationship
- Class / geography
- Nursing Facility / Nursing Home · Texas
- Source as of
- 2026-09-03
- Retrieved
- 2026-09-04T13:53:53Z
Trace this measure
Source: Texas HHSC + CMS
Accepted artifact: 21a477348aa7e5f8de242acaa64526633a454ee4bbd59e232feefa5aa34ef407
Does not count: Endorsements; unmatched does not mean unlicensed or uncertified.
Open research destination →193
Washington exact state NH-to-CMS matches
Accepted exact CCN identity relationships.
- Grain
- exact state nursing-home-to-CMS CCN relationship
- Class / geography
- Nursing Home · Washington
- Source as of
- Not reported
- Retrieved
- 2026-09-04T16:38:57Z
Trace this measure
Source: Washington DSHS + CMS
Accepted artifact: 2ad2b2ec7cdf0c1c32aae8980ea4b1f921e264cf49705881ce31671faaf220a4
Does not count: State-only residential settings or endorsements.
Open research destination →11,555
Arizona ADHS all licensed-facility GIS features
All licensed-facility features in the accepted GIS extract.
- Grain
- ADHS GIS licensed-facility feature
- Class / geography
- All ADHS licensed facility classes · Arizona
- Source as of
- 2025-02-03
- Retrieved
- 2026-09-04T18:37:40Z
Trace this measure
Source: Arizona ADHS GIS
Accepted artifact: 9f5d149051c58c88a4284c27594cf81de0912192d9b2c96397ed8af61dfc94a7
Does not count: Senior facilities; the file includes non-senior classes.
Open research destination →140
Arizona exact state NH-to-CMS matches
Accepted exact Nursing Home identity relationships.
- Grain
- exact state license-to-CMS CCN relationship
- Class / geography
- Nursing Home · Arizona
- Source as of
- 2025-02-03
- Retrieved
- 2026-09-04T18:37:40Z
Trace this measure
Source: Arizona ADHS + CMS
Accepted artifact: 9f5d149051c58c88a4284c27594cf81de0912192d9b2c96397ed8af61dfc94a7
Does not count: Endorsements; unmatched does not mean unlicensed or uncertified.
Open research destination →172
Arizona exact Home Health crosswalks
Accepted exact Home Health identity relationships.
- Grain
- exact state license-to-CMS CCN relationship
- Class / geography
- Home Health · Arizona
- Source as of
- 2025-02-03
- Retrieved
- 2026-09-04T18:37:40Z
Trace this measure
Source: Arizona ADHS + CMS
Accepted artifact: 9f5d149051c58c88a4284c27594cf81de0912192d9b2c96397ed8af61dfc94a7
Does not count: All state Home Health rows or endorsements.
Open research destination →232
Arizona exact Hospice crosswalks
Accepted exact Hospice identity relationships.
- Grain
- exact state license-to-CMS CCN relationship
- Class / geography
- Hospice · Arizona
- Source as of
- 2025-02-03
- Retrieved
- 2026-09-04T18:37:40Z
Trace this measure
Source: Arizona ADHS + CMS
Accepted artifact: 9f5d149051c58c88a4284c27594cf81de0912192d9b2c96397ed8af61dfc94a7
Does not count: All state Hospice rows or endorsements.
Open research destination →573
Virginia DSS Assisted Living Facilities
Complete official licensed ALF search universe.
- Grain
- licensed ALF; VA-DSS-ALF:{licenseId}
- Class / geography
- Assisted Living · Virginia
- Source as of
- Not reported
- Retrieved
- 2026-09-10T16:02:10Z
Trace this measure
Source: Virginia DSS DOLP search JSON
Accepted artifact: artifacts/va-sen-001-public-snapshot.json
Does not count: Nursing homes; Adult Day Centers; occupancy; a combined Virginia senior-provider total.
Open research destination →82
Virginia DSS Adult Day Centers
Complete official licensed Adult Day Center search universe.
- Grain
- licensed Adult Day Center
- Class / geography
- Adult Day · Virginia
- Source as of
- Not reported
- Retrieved
- 2026-09-10T16:02:10Z
Trace this measure
Source: Virginia DSS DOLP search JSON
Accepted artifact: artifacts/va-sen-001-public-snapshot.json
Does not count: Assisted Living Facilities; Nursing Homes; a combined provider total.
Open research destination →527
New York Adult Care Facility identities
Adult Home and Enriched Housing Facility IDs with operating certificates.
- Grain
- NYSDOH Facility ID with operating certificate (AH or EHP)
- Class / geography
- Adult Care · New York
- Source as of
- 2026-09-01
- Retrieved
- 2026-09-11T16:00:00Z
Trace this measure
Source: Health Facility General Information
Accepted artifact: artifacts/ny-sen-001-public-snapshot.json
Does not count: Nursing homes; a sum of ALR/EALR/SNALR/ALP designations; occupancy.
Open research destination →595
Illinois IDPH Home Health licenses
Current IDPH Home Health license rows.
- Grain
- IDPH Home Health license_number
- Class / geography
- Home Health Agency (state license) · Illinois
- Source as of
- 2026-04-28
- Retrieved
- 2026-09-12T15:47:12Z
Trace this measure
Source: IDPH Open Data p7mg-cnpx
Accepted artifact: artifacts/il-sen-001-public-snapshot.json
Does not count: CMS Home Health CCNs; Home Nursing; Home Services.
Open research destination →128
Oregon ODHS open Nursing Facility identities
Open ODHS Nursing Facility identities.
- Grain
- ODHS Provider ID where Type=NF and Status=Open
- Class / geography
- Nursing Facility (state license) · Oregon
- Source as of
- Not reported
- Retrieved
- 2026-09-16T15:24:44Z
Trace this measure
Source: ODHS Licensed Long-Term Care Settings Search
Accepted artifact: artifacts/or-sen-001-public-snapshot.json
Does not count: CMS Nursing Home CCNs; ALF; RCF; AFH; a combined Oregon facilities total.
Open research destination →659
Pennsylvania DOH nursing-home license identities
DOH nursing-home license rows.
- Grain
- PA-DOH-NCF facility ID from September 2026 licensure/ownership table
- Class / geography
- Nursing home (state license) · Pennsylvania
- Source as of
- Not reported
- Retrieved
- 2026-09-16T20:15:00Z
Trace this measure
Source: DOH Licensure and Ownership Information
Accepted artifact: artifacts/pa-sen-001-public-snapshot.json
Does not count: CMS Nursing Home CCNs; Home Health; Home Care; PCH monthly homes; a combined Pennsylvania facilities total.
Open research destination →568
North Carolina DHSR Adult Care Home license identities
DHSR Adult Care Home license rows.
- Grain
- NC-DHSR-ACH HAL license from 2026-07-30 Adult Care Home listing
- Class / geography
- Adult Care Home (state license) · North Carolina
- Source as of
- 2026-07-30
- Retrieved
- 2026-09-17T19:39:21Z
Trace this measure
Source: DHSR Licensed Facilities Adult Care Home Listing
Accepted artifact: artifacts/nc-sen-001-public-snapshot.json
Does not count: Family Care Homes; Nursing Homes; CMS Nursing Home CCNs; a combined North Carolina facilities total.
Open research destination →923
Ohio ODH nursing-home license identities
ODH nursing-home license rows.
- Grain
- ODH OneSource f_licenseno OH##### ACTIVE nursing home
- Class / geography
- Nursing home (state license) · Ohio
- Source as of
- 2026-08-10
- Retrieved
- 2026-09-18T13:26:20Z
Trace this measure
Source: ODH OneSource Nursing Homes Licensed and Certified in Ohio
Accepted artifact: artifacts/oh-sen-001-public-snapshot.json
Does not count: Residential Care Facilities; CMS Nursing Home CCNs; Home Health; Hospice; a combined Ohio facilities total.
Open research destination →347
Massachusetts DPH nursing-home rows
DPH nursing-home rows on the state facility workbook.
- Grain
- DPH facility ID, type Nursing Home
- Class / geography
- Nursing home (state license) · Massachusetts
- Source as of
- 2026-09-08
- Retrieved
- 2026-09-24T16:37:44Z
Trace this measure
Source: DPH Licensed or Certified Health Care Facility/Agency Listing
Accepted artifact: artifacts/ma-sen-001-public-snapshot.json
Does not count: Rest Homes; Assisted Living Residences; CMS Nursing Home CCNs; Home Health; Hospice; a combined Massachusetts facilities total.
Open research destination →58
Massachusetts DPH Rest Home rows
DPH Rest Home rows on the state facility workbook.
- Grain
- DPH facility ID, type Rest Home
- Class / geography
- Rest Home (state license) · Massachusetts
- Source as of
- 2026-09-08
- Retrieved
- 2026-09-24T16:37:44Z
Trace this measure
Source: DPH Licensed or Certified Health Care Facility/Agency Listing
Accepted artifact: artifacts/ma-sen-001-public-snapshot.json
Does not count: Nursing Homes; Assisted Living Residences; a combined Massachusetts facilities total.
Open research destination →272
Massachusetts AGE certified Assisted Living Residences
Certified Assisted Living Residences on the AGE list.
- Grain
- Residence row on the AGE certified ALR list
- Class / geography
- Assisted Living Residence (state certification) · Massachusetts
- Source as of
- 2026-06-25
- Retrieved
- 2026-09-24T16:37:52Z
Trace this measure
Source: AGE list of certified Assisted Living Residences
Accepted artifact: artifacts/ma-sen-001-public-snapshot.json
Does not count: Rest Homes; Nursing Homes; ALR units; a combined Massachusetts facilities total.
Open research destination →326
Tennessee HFC Nursing Home licenses
Nursing Home licenses on the HFC July 2026 bed report.
- Grain
- License number on the HFC Nursing Home Full Bed Report
- Class / geography
- Nursing home (state license) · Tennessee
- Source as of
- 2026-07
- Retrieved
- 2026-09-24T21:55:44+00:00
Trace this measure
Source: HFC Nursing Home Full Bed Report
Accepted artifact: artifacts/tn-sen-001-public-snapshot.json
Does not count: Assisted Care Living Facilities; Residential Homes for the Aged; CMS Nursing Home CCNs; beds; a combined Tennessee facilities total.
Open research destination →331
Tennessee HFC Assisted Care Living Facilities
ACLF licenses on the HFC July 2026 bed report.
- Grain
- License number on the HFC ACLF Full Bed Report
- Class / geography
- Assisted Care Living Facility (state license) · Tennessee
- Source as of
- 2026-07
- Retrieved
- 2026-09-24T21:55:46+00:00
Trace this measure
Source: HFC Assisted Care Living Facilities Full Bed Report
Accepted artifact: artifacts/tn-sen-001-public-snapshot.json
Does not count: Nursing Homes; Residential Homes for the Aged; beds; a combined Tennessee facilities total.
Open research destination →39
Tennessee HFC Residential Homes for the Aged
RHA licenses on the HFC July 2026 bed report.
- Grain
- License number on the HFC Home for the Aged Full Bed Report
- Class / geography
- Residential Home for the Aged (state license) · Tennessee
- Source as of
- 2026-07
- Retrieved
- 2026-09-24T21:55:47+00:00
Trace this measure
Source: HFC Residential Home for the Aged Full Bed Report
Accepted artifact: artifacts/tn-sen-001-public-snapshot.json
Does not count: Assisted Care Living Facilities; Nursing Homes; Adult Care Homes; beds; a combined Tennessee facilities total.
Open research destination →58
Nevada HCQC Skilled Nursing licenses
Active Facility for Skilled Nursing licenses in the HCQC facility search.
- Grain
- Active SNF credential number in the HCQC facility search
- Class / geography
- Skilled nursing facility (state license) · Nevada
- Source as of
- Not reported
- Retrieved
- 2026-09-25T18:50:31Z
Trace this measure
Source: HCQC public facility search
Accepted artifact: artifacts/nv-sen-001-public-snapshot.json
Does not count: Hospital distinct-part SNFs; Residential Facilities for Groups; CMS Nursing Home CCNs; beds; a combined Nevada facilities total.
Open research destination →438
Nevada HCQC Residential Facilities for Groups
Active Residential Facility for Groups licenses, with or without endorsements.
- Grain
- Active AGC credential number in the HCQC facility search
- Class / geography
- Residential Facility for Groups (state license) · Nevada
- Source as of
- Not reported
- Retrieved
- 2026-09-25T18:52:17Z
Trace this measure
Source: HCQC public facility search
Accepted artifact: artifacts/nv-sen-001-public-snapshot.json
Does not count: Assisted living as a whole class (only endorsed RFGs); Skilled Nursing; Homes for Individual Residential Care; beds; a combined Nevada facilities total.
Open research destination →74
Nevada RFGs with the Assisted Living endorsement
Residential Facilities for Groups that hold the state Assisted Living endorsement.
- Grain
- RFG whose HCQC detail page prints the ASSISTED LIVING SERVICES endorsement
- Class / geography
- Assisted living (endorsed RFG) · Nevada
- Source as of
- Not reported
- Retrieved
- 2026-09-25T18:52:17Z
Trace this measure
Source: HCQC facility detail pages
Accepted artifact: artifacts/nv-sen-001-public-snapshot.json
Does not count: RFGs without the endorsement; Alzheimer's-only endorsements; Skilled Nursing; a combined Nevada facilities total.
Open research destination →335
Minnesota MDH Nursing Home licenses
Nursing Home licenses in the MDH daily directory.
- Grain
- Nursing Homes row in the MDH Health Care Provider Directory
- Class / geography
- Nursing home (state license) · Minnesota
- Source as of
- Not reported
- Retrieved
- 2026-09-26T14:14:38Z
Trace this measure
Source: MDH Health Care Provider Directory
Accepted artifact: artifacts/mn-sen-001-public-snapshot.json
Does not count: Boarding Care Homes; CMS Nursing Home CCNs; beds; a combined Minnesota facilities total.
Open research destination →1,571
Minnesota Assisted Living Facility licenses
Assisted Living Facility licenses (not dementia care, not provisional).
- Grain
- ASSISTED LIVING FACILITY row in the MDH directory
- Class / geography
- Assisted Living Facility (state license) · Minnesota
- Source as of
- Not reported
- Retrieved
- 2026-09-26T14:14:40Z
Trace this measure
Source: MDH Health Care Provider Directory
Accepted artifact: artifacts/mn-sen-001-public-snapshot.json
Does not count: Assisted Living Facility with Dementia Care; provisional licenses; Boarding Care; a combined Minnesota facilities total.
Open research destination →601
Minnesota Assisted Living Facility with Dementia Care licenses
Assisted Living Facility with Dementia Care licenses, a separate MDH license type.
- Grain
- ASSISTED LIVING FACILITY DEMENTIA CARE row in the MDH directory
- Class / geography
- Assisted Living Facility with Dementia Care (state license) · Minnesota
- Source as of
- Not reported
- Retrieved
- 2026-09-26T14:14:40Z
Trace this measure
Source: MDH Health Care Provider Directory
Accepted artifact: artifacts/mn-sen-001-public-snapshot.json
Does not count: Facilities that only advertise memory care; Assisted Living Facility licenses; provisional licenses; a combined total.
Open research destination →State-specific care ecosystems
7,939
California licensed RCFE rows
Rows marked LICENSED in the dated accepted RCFE file.
- Grain
- licensed RCFE / CCRC facility row
- Class / geography
- Residential Care Facilities for the Elderly · California
- Source as of
- 2025-05-25
- Retrieved
- 2026-09-03T18:02:21Z
Trace this measure
Source: CDSS CCLD
Accepted artifact: 13dd705e7d3e3896f4e8cb03fcae731d3a38bb3070b1943e84e9bd015b7879e0
Does not count: Nursing homes, CMS certification, or a September 2026 live total.
Open research destination →2,000
Texas HHSC assisted-living rows
Source-native Texas ALF rows.
- Grain
- HHSC assisted-living directory row
- Class / geography
- Assisted Living Facility · Texas
- Source as of
- 2026-09-03
- Retrieved
- 2026-09-04T13:53:53Z
Trace this measure
Source: Texas HHSC
Accepted artifact: 21a477348aa7e5f8de242acaa64526633a454ee4bbd59e232feefa5aa34ef407
Does not count: Nursing facilities or CMS Nursing Homes.
Open research destination →8,799
Texas HHSC HCSSA rows
State HCSSA directory rows with source-native service fields.
- Grain
- HHSC HCSSA directory row
- Class / geography
- Home and Community Support Services Agency · Texas
- Source as of
- 2026-09-03
- Retrieved
- 2026-09-04T13:53:53Z
Trace this measure
Source: Texas HHSC / TULIP
Accepted artifact: 21a477348aa7e5f8de242acaa64526633a454ee4bbd59e232feefa5aa34ef407
Does not count: CMS Home Health agencies, service areas, or unique organizations.
Open research destination →6,968
Washington current residential GIS rows
Current GIS rows under the artifact's archive-date rule.
- Grain
- current DSHS residential GIS location
- Class / geography
- AFH, ALF, ESF and adjacent source classes · Washington
- Source as of
- Not reported
- Retrieved
- 2026-09-04T16:38:57Z
Trace this measure
Source: Washington DSHS RCS
Accepted artifact: 2ad2b2ec7cdf0c1c32aae8980ea4b1f921e264cf49705881ce31671faaf220a4
Does not count: CMS providers or proof of license good standing.
Open research destination →6,179
Washington Adult Family Homes
Source-native AFH locations.
- Grain
- AFH license location
- Class / geography
- Adult Family Home · Washington
- Source as of
- Not reported
- Retrieved
- 2026-09-04T16:38:57Z
Trace this measure
Source: Washington DSHS RCS
Accepted artifact: 2ad2b2ec7cdf0c1c32aae8980ea4b1f921e264cf49705881ce31671faaf220a4
Does not count: Assisted Living Facilities, Nursing Homes, or CMS providers.
Open research destination →1,719
Arizona Assisted Living Homes
Source-native Assisted Living Home locations.
- Grain
- licensed Assisted Living Home location
- Class / geography
- Assisted Living Home · Arizona
- Source as of
- 2025-02-03
- Retrieved
- 2026-09-04T18:37:40Z
Trace this measure
Source: Arizona ADHS
Accepted artifact: 9f5d149051c58c88a4284c27594cf81de0912192d9b2c96397ed8af61dfc94a7
Does not count: Assisted Living Centers, Adult Foster Care, or Nursing Homes.
Open research destination →169
Illinois HFS Supportive Living operational sites
Official HFS operational site total.
- Grain
- HFS operational SLP site
- Class / geography
- Supportive Living Program · Illinois
- Source as of
- 2026-02-06
- Retrieved
- 2026-09-12T15:47:12Z
Trace this measure
Source: HFS OperationalSites.pdf
Accepted artifact: artifacts/il-sen-001-public-snapshot.json
Does not count: Nursing homes; assisted living; CMS SNFs.
Open research destination →Public research surfaces
19
Published state intelligence pages
Live state research destinations backed by accepted artifacts.
- Grain
- published state intelligence route
- Class / geography
- Multiple source-native classes · FL, NJ, CA, TX, WA, AZ, CO, VA, NY, IL, OR, PA, NC, OH, GA, MA, TN, NV, MN
- Source as of
- Not reported
- Retrieved
- Not reported
Trace this measure
Source: SeniorTrustHub accepted state artifacts
Accepted artifact: Accepted state publication artifacts
Does not count: A national template, ranking, or claim of identical state coverage.
Open research destination →4
Provider-class research surfaces
Separate public class research surfaces: Nursing Home search plus Home Health, Hospice, and state-regulated Assisted Living routes.
- Grain
- published class route or class-filtered search surface
- Class / geography
- Nursing Home, Home Health, Hospice, Assisted Living · United States / class-dependent
- Source as of
- Not reported
- Retrieved
- Not reported
Trace this measure
Source: SeniorTrustHub
Accepted artifact: production route manifest
Does not count: Four equivalent national regulatory universes; Assisted Living is state-regulated.
Open research destination →State + federal identity
State licensing and CMS evidence answer different questions
Arizona exact relationships
State license identity + CMS CCN
140 Nursing Home, 172 Home Health, and 232 Hospice exact joins.
Exact crosswalk does not mean endorsement. Unmatched does not mean unlicensed or uncertified.
Washington distinct universes
State-only residential care ≠ CMS provider
6,179 Adult Family Homes and 557 Assisted Living Facilities remain outside the CMS class totals.
AFH is not ALF. Neither class is automatically a CMS Nursing Home.
State of the record
What is in the research universe
These are snapshot metrics, not findings about quality. Nursing Home, Home Health, and Hospice remain separate CMS directories. They are not added into one combined directory total.
14,690
Current Nursing Homes
Official as-of 2026-08-01 · Retrieved 2026-08-26
Trace this number
Current CMS Nursing Home Provider Information directory identities. Identity is CMS CCN.
- Current directory: 14,690
- Known CCNs in research graph: 14,696
Method: Count of current Nursing Home directory rows in senior-hub-intel-v1. Payload key: nursingHome.current
- Known CCNs (14,696) are not added into current. Absence from current is not proof of closure.
12,460
Current Home Health agencies
Official as-of 2026-05-27 · Retrieved 2026-08-26
Trace this number
Current CMS Home Health Care Agencies directory identities. Identity is CMS Home Health CCN.
- Current directory: 12,460
Method: Count of current Home Health directory rows in senior-hub-intel-v1. Payload key: homeHealth.current
- An office address is not a verified service area.
6,669
Current Hospice providers (GI)
Official as-of 2026-08-19 · Retrieved 2026-08-26
Trace this number
Current CMS Hospice General Information directory identities. Identity is CMS Hospice CCN.
- Current GI directory: 6,669
- Typed hospice identities: 6,911
- Quality-file-only identities: 242
Method: GI current count. Typed minus GI equals evidence-only identities. Payload key: hospice.current
- Evidence-only identities are not current GI providers and are not proof of closure.
5,227
Nursing Home CHOW events
Official as-of 2026-08-24 · Retrieved 2026-08-15
Trace this number
CMS Skilled Nursing Facility Change of Ownership events in the research graph.
- CHOW events: 5,227
- Providers with CHOW history: 5,172
Method: Event count from SNF CHOW source family. Payload key: nursingHome.chow.events
- A CHOW record is not a sale and is not a quality finding.
- CMS does not publish Home Health or Hospice CHOW event files.
Indexed CMS evidence
Evidence depth by source-native grain
These counts come from the SeniorTrustHub senior-network-metrics-v1 publication contract. Each family keeps its CMS grain. They are not provider counts and are not one combined evidence total.
1,248,650
MDS observations
Official as-of 2026-08-01 · Grain mds observation
Trace this number
Facility-measure-period MDS quality-measure observations in the current CMS release.
- Current-release MDS observations: 1,248,650
Method: count(*) FROM facility_quality_measure_observation in the current cms_source_freshness release. Payload key: evidenceFamilies.mds_observations.currentReleaseCount
Source systems: nursing-home-mds-quality-measures. Manifest generated 2026-09-26.
- An MDS observation is not an inspection and is not a provider.
- Measure-period rows are not star ratings.
200,327
Fire citations
Official as-of 2026-08-01 · Grain fire citation
Trace this number
Fire-safety citation rows in the current CMS Fire Safety Deficiencies release.
- Current-release fire citations: 200,327
Method: count(*) FROM fire_safety_citation in the current cms_source_freshness release. Payload key: evidenceFamilies.fire_citations.currentReleaseCount
Source systems: nursing-home-fire-safety-deficiencies. Manifest generated 2026-09-26.
- A fire citation is not a provider and is not a health deficiency.
149,978
Inspections
Official as-of 2026-08-01 · Grain inspection event
Trace this number
Inspection events in the current CMS Inspection Dates release. Not stacked historical ingest copies.
- Current-release inspection events: 149,978
- All ingested releases (internal): 299,683
Method: count(*) FROM inspection_event constrained to the current cms_source_freshness release. Payload key: evidenceFamilies.inspection_events.currentReleaseCount
Source systems: nursing-home-inspection-dates. Manifest generated 2026-09-26.
- An inspection is not a deficiency and is not an enforcement action.
- Stacked historical ingest copies are not added into this public count.
419,479
Health deficiencies
Official as-of 2026-08-01 · Grain health deficiency
Trace this number
Health deficiency findings in the current CMS Health Deficiencies release.
- Current-release health deficiencies: 419,479
Method: count(*) FROM deficiency_finding constrained to the current cms_source_freshness release. Payload key: evidenceFamilies.health_deficiencies.currentReleaseCount
Source systems: nursing-home-health-deficiencies. Manifest generated 2026-09-26.
- A deficiency is not automatically an enforcement action.
15,694
Enforcement records
Official as-of 2026-08-01 · Grain enforcement record
Trace this number
CMS penalty_enforcement rows in the current Penalties release, including fines and payment denials.
- Current-release enforcement records: 15,694
- Civil monetary penalties: 13,254
- Payment denials: 2,440
Method: count(*) FROM penalty_enforcement constrained to the current cms_source_freshness release. Payload key: evidenceFamilies.enforcement_records.currentReleaseCount
Source systems: nursing-home-penalties. Manifest generated 2026-09-26.
- Every CMS row is not a regulatory action of the same kind. Fines and payment denials stay separate grains.
14,487
Staffing records
Official as-of 2026-07-29 · Grain pbj quarter summary
Trace this number
PBJ quarterly staffing summaries in the current CMS staffing release. Not daily hour rows and not facilities.
- Current-release quarterly summaries: 14,487
- Current-release daily rows (internal): 1,303,830
Method: count(*) FROM pbj_staffing_quarter_summary in the current cms_source_freshness release. Payload key: evidenceFamilies.pbj_quarter_summaries.currentReleaseCount
Source systems: payroll-based-journal-daily-nurse-staffing. Manifest generated 2026-09-26.
- A staffing observation is not a facility.
- Daily PBJ hour rows are a different grain and are not the public staffing count.
5,227
Nursing Home CHOW events
Official as-of 2026-08-24 · Grain chow event
Trace this number
SNF change-of-ownership events in the research graph.
- CHOW events: 5,227
- Providers with CHOW history: 5,172
Method: count(*) FROM ownership_change_event. Payload key: evidenceFamilies.chow_events.currentReleaseCount
Source systems: skilled-nursing-facility-change-of-ownership. Manifest generated 2026-09-26.
- A CHOW record is not a sale and is not a quality finding.
- CMS does not publish Home Health or Hospice CHOW event files.
What the data says
Three national evidence stories
Each story is a benchmark or a coverage gap. None is a ranking of providers or states.
BENCHMARK
Senior care is three federal markets, not one directory
CMS currently lists 14,690 Nursing Homes, 12,460 Home Health agencies, and 6,669 Hospice providers in separate directories. They use different identifiers and measures.
| Class / measure | Value |
|---|---|
| Nursing Homes | CMS CCN |
| Home Health | Home Health CCN |
| Hospice (GI) | Hospice CCN |
Explain this chart
What am I looking at? Current CMS directory identities by provider class. These are not one population.
Why might this matter? Families often hear “senior care” as one category. Public evidence is assembled by regulated class. Mixing the three totals would invent a market that CMS does not publish.
What this does not mean
- That one class is better or safer than another.
- That adding the three numbers counts unique companies or unique people.
- That Assisted Living is included in these national CMS directories.
Official as-of 2026-08-19 · Retrieved 2026-08-26
GAP
Published CMS star coverage is not the same in every class
14,562 of 14,690 (99.1%) current Nursing Homes have a CMS overall star. 8,050 of 12,460 (64.6%) current Home Health agencies have a Quality of Patient Care star. Hospice has no CMS overall star in this directory.
| Class / measure | Value |
|---|---|
| Nursing Home overall star | 14,562 of 14,690 (99.1%) |
| Home Health Quality of Patient Care star | 8,050 of 12,460 (64.6%) |
| Hospice overall star | Not a CMS overall-star program in this directory |
Explain this chart
What am I looking at? Share of the current class directory with a published CMS star of that class’s type.
Why might this matter? A missing star is evidence availability, not a zero. Hospice quality uses other CMS families (quality measures and CAHPS), not an overall star.
What this does not mean
- That Nursing Homes are higher quality than Home Health or Hospice.
- That a missing Home Health star means poor care.
- That SeniorTrustHub has scored these classes.
Official as-of 2026-08-19 · Retrieved 2026-08-26
GAP
Ownership evidence is uneven — and UNKNOWN is not a clean history
CURRENT OWNED_BY evidence is on file for 12,562 of 14,690 (85.5%) Nursing Homes, 8,884 of 12,460 (71.3%) Home Health agencies, and 4,399 of 6,669 (66.0%) Hospice providers. Internal graph-edge counts are not a homepage measure. Nursing Home CHOW events exist (5,227); Home Health and Hospice CHOW files do not.
| Class / measure | Value |
|---|---|
| Nursing Homes | 12,562 of 14,690 (85.5%) |
| Home Health | 8,884 of 12,460 (71.3%) |
| Hospice | 4,399 of 6,669 (66.0%) |
Explain this chart
What am I looking at? Share of each current directory with resolved CURRENT OWNED_BY evidence.
Why might this matter? Public ownership files help families see connected organizations. Missing or UNKNOWN links mean the published graph is incomplete, not that a provider is independent or trustworthy.
What this does not mean
- That a larger ownership network is better or worse care.
- That UNKNOWN is a former owner or a confirmed sale.
- That Home Health or Hospice have no owners — CMS does not publish class-equivalent CHOW files.
Official as-of 2026-08-24 · Retrieved 2026-08-26
Evidence depth
How complete is the research?
Coverage describes whether SeniorTrustHub has published evidence for a family and class. It does not describe how trustworthy a provider is.
| Evidence family | Class | Coverage | Status |
|---|---|---|---|
| Identity | Nursing Homes | 14,690 of 14,690 (100.0%) | strong |
| Identity | Home Health | 12,460 of 12,460 (100.0%) | strong |
| Identity | Hospice | 6,669 GI of 6,911 typed | partial |
| Consumer / quality evidence | Nursing Homes | 14,562 of 14,690 (99.1%) | strong |
| Consumer / quality evidence | Home Health | 8,050 of 12,460 (64.6%) | partial |
| Consumer / quality evidence | Hospice | No CMS overall star. Quality measures and CAHPS are separate families. | unavailable |
| Ownership / affiliations | Nursing Homes | 12,562 of 14,690 (85.5%) | partial |
| Ownership / affiliations | Home Health | 8,884 of 12,460 (71.3%) | partial |
| Ownership / affiliations | Hospice | 4,399 of 6,669 (66.0%) | partial |
| Regulatory history | Nursing Homes | 14,687 of 14,690 (100.0%) | strong |
| Regulatory history | Home Health | Not a CMS national inspection/enforcement file on this hub | unavailable |
| Regulatory history | Hospice | Not a CMS national inspection/enforcement file on this hub | unavailable |
| Licensing / registration | Florida AHCA (state enrichment) | 6,983 current AHCA identities | partial |
| Licensing / registration | New Jersey NJDOH (state enrichment) | 893 All_LTC identities; 1,430 All_Acute identities (not a combined total) | partial |
| Licensing / registration | California CDPH / CCLD / HCAI (state enrichment) | 15,097 ELMS locations; 7,939 RCFE LICENSED as of 2025-05-25 (not a combined total) | partial |
| Licensing / registration | Texas HHSC / TULIP (state enrichment) | 1,175 HHSC NF rows; 2,000 ALF rows; 8,799 HCSSA rows (not a combined total). TULIP is search-only. | partial |
| Licensing / registration | Arizona ADHS (state enrichment) | 1,719 Assisted Living Homes; 328 Assisted Living Centers; 25 Adult Foster Care (not a combined total). GIS clock 2025-02-03. | partial |
| Licensing / registration | Colorado CDPHE (state enrichment) | 210 CMS Nursing Homes; 222 CMS Home Health; 88 CMS Hospice (not a combined total). CDPHE Find and Compare is search-only. | partial |
| Licensing / registration | Virginia DSS (state enrichment) | 573 DSS Assisted Living Facilities; 82 Adult Day Centers; 289 CMS Nursing Homes (not a combined total). | partial |
| Licensing / registration | Illinois IDPH / HFS (state enrichment) | 666 CMS Nursing Homes; 595 IDPH Home Health licenses; 169 HFS Supportive Living sites (not a combined total). | partial |
| Licensing / registration | Oregon ODHS / OHA (state enrichment) | 128 ODHS open Nursing Facilities; 240 ODHS open Assisted Living; 128 CMS Nursing Homes (not a combined total). | partial |
| Licensing / registration | Pennsylvania DHS / DOH (state enrichment) | 659 DOH nursing-home license rows; 659 DOH Home Health rows; 4,656 DOH Home Care rows (not a combined total). | partial |
| Licensing / registration | North Carolina DHSR (state enrichment) | 568 DHSR Adult Care Homes; 515 Family Care Homes; 423 Nursing Homes (not a combined total). | partial |
| Licensing / registration | Ohio ODH / AGE (state enrichment) | 923 ODH nursing-home licenses; 812 ODH Residential Care Facilities (not a combined total). | partial |
| Licensing / registration | Georgia DCH HFRD (state research) | 356 CMS Nursing Homes; 105 CMS Home Health; 261 CMS Hospice. Georgia state license rosters were not acquired. | partial |
| Licensing / registration | Massachusetts DPH / AGE (state research) | 347 DPH Nursing Homes; 58 DPH Rest Homes; 272 AGE-certified Assisted Living Residences. Separate classes, not added. | partial |
| Licensing / registration | Tennessee HFC (state research) | 326 HFC Nursing Homes; 331 Assisted Care Living Facilities; 39 Residential Homes for the Aged. Separate classes, not added. | partial |
| Licensing / registration | Nevada HCQC (state research) | 58 HCQC Skilled Nursing licenses; 438 Residential Facilities for Groups, 74 with the Assisted Living endorsement; 145 Homes for Individual Residential Care. Separate classes, not added. | partial |
| Licensing / registration | Minnesota MDH (state research) | 335 MDH Nursing Home licenses; 1,571 Assisted Living Facilities and 601 Assisted Living Facilities with Dementia Care; 14 Boarding Care Homes. Separate classes, not added. | partial |
What we don't know
Where the record is incomplete
- Most U.S. states do not yet have a SeniorTrustHub state-intelligence page. Florida, New Jersey, California, Texas, Washington, Arizona, Colorado, and Virginia currently have state intelligence pages.
- CMS stars, staffing, inspections, and penalties are not interchangeable across Nursing Home, Home Health, and Hospice.
- Internal ownership graph edges are not homepage publication measures. Missing public ownership evidence is not proof of independence.
- Home Health and Hospice have no CMS CHOW event file in this research graph.
- Assisted Living is state-regulated and is not a CMS national directory class.
- No authoritative nationwide AHCA↔CMS File Number to CCN bridge is published. Internal candidates are not shown here.
Things you may still want to verify directly
- Ask the provider who currently owns and operates the location.
- Read the latest inspection packet or survey, not only a star summary.
- Confirm whether Home Health or Hospice service area includes the county you care about.
- If the person needs a state-licensed setting such as assisted living, check that state’s regulator — not only CMS.
State intelligence coverage & source freshness
State intelligence now available
These entries project accepted state artifacts. Source-as-of dates are agency evidence clocks—not dates the state was added to SeniorTrustHub and not changes in provider quality.
Source as of: 2026-08-27
Florida intelligence
Assisted Living, Adult Family Care Home, state NH/HHA/Hospice
AHCA identities with class-specific CMS context · State regulatory observations plus federal evidence
Source as of: 2026-08-31
New Jersey intelligence
Long-term care, acute/program classes, PACE
State facility IDs; conservative class-specific crosswalks · Indexed corpus; only safe identity attachments publish
Source as of: Varies by source
California intelligence
ELMS facility types, RCFE, HCO
1,152 exact SNF CCN relationships · Source-native status; structured statewide enforcement not acquired
Source as of: Varies by source
Texas intelligence
Nursing Facility, ALF, HCSSA
1,149 exact NF-to-CMS matches · Partial state enforcement plus federal NH evidence
Source as of: Varies by source
Washington intelligence
6,179 Adult Family Homes / 557 Assisted Living Facilities / 16 Enhanced Services Facilities
198 state Nursing Homes · 193 CMS Nursing Homes · 193 exact matches · State bulk enforcement not acquired; federal NH evidence remains
Source as of: Varies by source
Arizona intelligence
1,719 Assisted Living Homes · 328 Assisted Living Centers · 25 Adult Foster Care
Exact joins: NH 140, HHA 172, Hospice 232 · Open-search state evidence; missing bulk is unknown
Source as of: Varies by source
Colorado intelligence
CMS Nursing Home / Home Health / Hospice overlays; ALR, HCA, hospice, and NHA as separate state classes without a current bulk roster
210 CMS Nursing Homes · 222 CMS Home Health · 88 CMS Hospice · CDPHE search/path · Open-search state inspection/occurrence path; 2017 GIS excluded; missing bulk is unknown
Source as of: Varies by source
Virginia intelligence
573 Assisted Living Facilities · 82 Adult Day Centers
573 DSS ALF · 82 Adult Day · 289 CMS Nursing Homes · Complete DSS ALF inspection-observation flags; VDH nursing-home portal remains search-only
Source as of: Varies by source
New York intelligence
527 Adult Care Facilities · 597 NYSDOH Nursing Home Profile facilities
527 ACF · 597 state NH · 594 exact Profile CCNs · 593 CMS Nursing Homes · Nursing Home Profile surveys/citations/fines plus Do Not Refer observations; ACF Health Profiles inspections remain a research path
Source as of: Varies by source
Illinois intelligence
666 CMS Nursing Homes · 595 IDPH Home Health licenses · 169 HFS Supportive Living sites
666 CMS NH · 595 IDPH HHA licenses · state and CMS identities remain separate · Current NH/AL license censuses remain LLCS search-only; CMS survey evidence reused on exact CCN
Source as of: Varies by source
Oregon intelligence
128 ODHS open Nursing Facilities · 240 ODHS open Assisted Living
128 ODHS NF · 128 CMS Nursing Homes · identities remain separate · ODHS inspections, substantiated violations, and license-condition regulatory actions; public actions currently exclude revocation notices
Source as of: Not reported
Pennsylvania intelligence
659 DOH nursing-home rows · 659 Home Health · 4656 Home Care
659 DOH NH · 656 CMS Nursing Homes · exact 39xxxxx bridges where source-published · Q4 2025 sanctions PDF extract; PCH/ALR rosters and NH surveys remain search-only
Source as of: Varies by source
North Carolina intelligence
568 Adult Care Homes · 515 Family Care Homes · 423 Nursing Homes
568 ACH · 515 FCH · 423 DHSR NH · 419 CMS Nursing Homes · identities remain separate · NC DHSR Star Rating listing evidence and 36-month penalties; inspection SOD history remains search-only
Source as of: Varies by source
Ohio intelligence
923 ODH nursing-home licenses · 812 ODH Residential Care Facilities
923 ODH NH · 812 RCF · 922 CMS Nursing Homes · identities remain separate · Navigator quality/satisfaction and ODH inspections remain search-only; OneSource licenses are the current freeze
Source as of: Varies by source
Georgia intelligence
Personal Care Home, Assisted Living Community, Community Living Arrangement, and Adult Day remain separate and unacquired
356 CMS Nursing Homes · 105 CMS Home Health · 261 CMS Hospice · state licenses not joined · CMS CCN evidence reused; HFRD inspection reports and complaint records were not acquired
Source as of: Varies by source
Massachusetts intelligence
DPH Nursing Home, Rest Home, Home Health, Hospice, and Adult Day Health; AGE-certified Assisted Living Residences
347 DPH Nursing Homes · 58 DPH Rest Homes · 272 certified ALRs · CMS not bridged (no CCN in the DPH file) · DPH Survey Performance Tool is linked, not indexed; complaint records were not acquired
Source as of: Varies by source
Tennessee intelligence
HFC Nursing Home, Assisted Care Living Facility, and Residential Home for the Aged licenses; county-licensed Home Health and Hospice lists
326 HFC Nursing Homes · 331 ACLFs · 39 RHAs · CMS not bridged (no CCN in the HFC reports) · HFC monthly facility actions 2024-2026 indexed; complaint records were not acquired
Source as of: Varies by source
Nevada intelligence
HCQC Skilled Nursing, Residential Facility for Groups (Assisted Living and Alzheimer's endorsements), Home for Individual Residential Care, Home Health, Hospice, and Adult Day Care licenses
58 HCQC SNFs · 438 RFGs (74 Assisted Living endorsed) · 60 of 66 CMS nursing homes linked by exact printed CCN · HCQC inspection index and state sanctions on active licenses; complaint records were not acquired
Source as of: Varies by source
Minnesota intelligence
MDH Nursing Home, Assisted Living Facility, Assisted Living Facility with Dementia Care, Boarding Care Home, Home Care, Home Health, and Hospice licenses from the daily provider directory
335 MDH Nursing Homes · 1571 Assisted Living Facilities · 601 with Dementia Care · 329 of 338 CMS nursing homes linked by exact printed CCN · MDH evaluation results and OHFC investigation findings attached by exact HFID; fines and license actions were not acquired
Localize
Explore senior-care intelligence by state
19 published state intelligence surfaces connect source-native licensing and regulatory systems to CMS overlays where accepted identity evidence supports the relationship.
FL state intelligence
Florida
AHCA + CMS
- State classes
- Assisted Living, Adult Family Care Home, state NH/HHA/Hospice
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- AHCA identities with class-specific CMS context
- Regulatory depth
- State regulatory observations plus federal evidence
- Source as of
- 2026-08-27
- Snapshot / retrieved
- Not reported / Not reported
NJ state intelligence
New Jersey
NJDOH + CMS
- State classes
- Long-term care, acute/program classes, PACE
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- State facility IDs; conservative class-specific crosswalks
- Regulatory depth
- Indexed corpus; only safe identity attachments publish
- Source as of
- 2026-08-31
- Snapshot / retrieved
- 2026-09-02 / Not reported
Source clocks
- NJ long-term care: source 2026-08-31; snapshot 2026-09-02; retrieved Not reported
- NJ acute care: source 2026-08-31; snapshot 2026-09-02; retrieved Not reported
CA state intelligence
California
CDPH · CDSS CCLD · HCAI · CMS
- State classes
- ELMS facility types, RCFE, HCO
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 1,152 exact SNF CCN relationships
- Regulatory depth
- Source-native status; structured statewide enforcement not acquired
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-03 / 2026-09-03T18:02:21Z
Source clocks
- CDPH ELMS: source 2026-08-17; snapshot 2026-09-03; retrieved 2026-09-03T18:02:21Z
- CDSS RCFE: source 2025-05-25; snapshot 2026-09-03; retrieved 2026-09-03T18:02:21Z
- CDSS HCO: source 2025-05-25; snapshot 2026-09-03; retrieved 2026-09-03T18:02:21Z
- CDSS ARF: source 2025-05-25; snapshot 2026-09-03; retrieved 2026-09-03T18:02:21Z
- HCAI: source 2026-09-01; snapshot 2026-09-03; retrieved 2026-09-03T18:02:21Z
TX state intelligence
Texas
HHSC · TULIP · CMS
- State classes
- Nursing Facility, ALF, HCSSA
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 1,149 exact NF-to-CMS matches
- Regulatory depth
- Partial state enforcement plus federal NH evidence
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-04 / 2026-09-04T13:53:53Z
Source clocks
- HHSC nursing facilities: source 2026-09-03; snapshot 2026-09-04; retrieved 2026-09-04T13:53:53Z
- HHSC assisted living: source 2026-09-03; snapshot 2026-09-04; retrieved 2026-09-04T13:53:53Z
- HHSC HCSSA: source 2026-09-03; snapshot 2026-09-04; retrieved 2026-09-04T13:53:53Z
- HHSC nursing closures: source 2026-07-20; snapshot 2026-09-04; retrieved 2026-09-04T13:53:53Z
- HHSC assisted-living closures: source 2026-07-20; snapshot 2026-09-04; retrieved 2026-09-04T13:53:53Z
- HHSC HCSSA closures: source 2026-07-20; snapshot 2026-09-04; retrieved 2026-09-04T13:53:53Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T22:15:06.243039+00:00
- CMS ownership: source 2026-08-17T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T20:25:26.251400+00:00
- CMS penalties: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T20:24:35.184131+00:00
WA state intelligence
Washington
DSHS RCS + CMS
- State classes
- 6,179 Adult Family Homes / 557 Assisted Living Facilities / 16 Enhanced Services Facilities
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 198 state Nursing Homes · 193 CMS Nursing Homes · 193 exact matches
- Regulatory depth
- State bulk enforcement not acquired; federal NH evidence remains
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-04 / 2026-09-04T16:38:57Z
Source clocks
- DSHS acquired GIS snapshot: source Not reported; snapshot 2026-09-04; retrieved 2026-09-04T16:38:57Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T22:15:06.243039+00:00
- CMS ownership: source 2026-08-17T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T20:25:26.251400+00:00
- CMS penalties: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T20:24:35.184131+00:00
- CMS staffing: source 2026-07-29T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-15T04:29:10.416563+00:00
AZ state intelligence
Arizona
ADHS + CMS
- State classes
- 1,719 Assisted Living Homes · 328 Assisted Living Centers · 25 Adult Foster Care
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- Exact joins: NH 140, HHA 172, Hospice 232
- Regulatory depth
- Open-search state evidence; missing bulk is unknown
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-04 / 2026-09-04T18:37:40Z
Source clocks
- ADHS GIS extract: source 2025-02-03; snapshot 2026-09-04; retrieved 2026-09-04T18:37:40Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T22:15:06.243039+00:00
- CMS ownership: source 2026-08-17T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T20:25:26.251400+00:00
- CMS penalties: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-26T20:24:35.184131+00:00
- CMS staffing: source 2026-07-29T00:00:00+00:00; snapshot 2026-09-04; retrieved 2026-08-15T04:29:10.416563+00:00
CO state intelligence
Colorado
CDPHE HFEMSD + CMS
- State classes
- CMS Nursing Home / Home Health / Hospice overlays; ALR, HCA, hospice, and NHA as separate state classes without a current bulk roster
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 210 CMS Nursing Homes · 222 CMS Home Health · 88 CMS Hospice · CDPHE search/path
- Regulatory depth
- Open-search state inspection/occurrence path; 2017 GIS excluded; missing bulk is unknown
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-09 / 2026-09-09T18:00:00Z
Source clocks
- CDPHE verification context: source Not reported; snapshot 2026-09-09; retrieved 2026-09-09T18:00:00Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-09; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-09; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-09; retrieved 2026-08-26T22:15:06.243039+00:00
- CMS ownership: source 2026-08-17T00:00:00+00:00; snapshot 2026-09-09; retrieved 2026-08-26T20:25:26.251400+00:00
- CMS penalties: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-09; retrieved 2026-08-26T20:24:35.184131+00:00
- CMS staffing: source 2026-07-29T00:00:00+00:00; snapshot 2026-09-09; retrieved 2026-08-15T04:29:10.416563+00:00
VA state intelligence
Virginia
VDSS DOLP + CMS
- State classes
- 573 Assisted Living Facilities · 82 Adult Day Centers
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 573 DSS ALF · 82 Adult Day · 289 CMS Nursing Homes
- Regulatory depth
- Complete DSS ALF inspection-observation flags; VDH nursing-home portal remains search-only
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-10 / 2026-09-10T16:02:10Z
Source clocks
- DSS assisted living: source Not reported; snapshot 2026-09-10; retrieved 2026-09-10T16:02:10Z
- DSS adult day care: source Not reported; snapshot 2026-09-10; retrieved 2026-09-10T16:02:10Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-10; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-10; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-10; retrieved 2026-08-26T22:15:06.243039+00:00
NY state intelligence
New York
NYSDOH + CMS
- State classes
- 527 Adult Care Facilities · 597 NYSDOH Nursing Home Profile facilities
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 527 ACF · 597 state NH · 594 exact Profile CCNs · 593 CMS Nursing Homes
- Regulatory depth
- Nursing Home Profile surveys/citations/fines plus Do Not Refer observations; ACF Health Profiles inspections remain a research path
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-11 / 2026-09-11T16:00:00Z
Source clocks
- NY nursing-home profiles: source 2026-08-19; snapshot 2026-09-11; retrieved 2026-09-11T16:00:00Z
- NY adult-care facilities: source 2026-09-01; snapshot 2026-09-11; retrieved 2026-09-11T16:00:00Z
- NY Do Not Refer: source 2026-09-10; snapshot 2026-09-11; retrieved 2026-09-11T16:00:00Z
- NY home care: source Not reported; snapshot 2026-09-11; retrieved 2026-09-11T16:00:00Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-11; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-11; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-11; retrieved 2026-08-26T22:15:06.243039+00:00
IL state intelligence
Illinois
IDPH · HFS · CMS
- State classes
- 666 CMS Nursing Homes · 595 IDPH Home Health licenses · 169 HFS Supportive Living sites
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 666 CMS NH · 595 IDPH HHA licenses · state and CMS identities remain separate
- Regulatory depth
- Current NH/AL license censuses remain LLCS search-only; CMS survey evidence reused on exact CCN
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-12 / 2026-09-12T15:47:12Z
Source clocks
- IDPH Home Health: source 2026-04-28; snapshot 2026-09-12; retrieved 2026-09-12T15:47:12Z
- IDPH Hospice: source 2026-04-28; snapshot 2026-09-12; retrieved 2026-09-12T15:47:12Z
- IDPH Home Nursing: source 2026-04-28; snapshot 2026-09-12; retrieved 2026-09-12T15:47:12Z
- IDPH Home Services: source 2026-04-28; snapshot 2026-09-12; retrieved 2026-09-12T15:47:12Z
- IDPH Hospice Residence: source 2026-04-28; snapshot 2026-09-12; retrieved 2026-09-12T15:47:12Z
- HFS Supportive Living: source 2026-02-06; snapshot 2026-09-12; retrieved 2026-09-12T15:47:12Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-12; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-12; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-12; retrieved 2026-08-26T22:15:06.243039+00:00
OR state intelligence
Oregon
ODHS APD + OHA + CMS
- State classes
- 128 ODHS open Nursing Facilities · 240 ODHS open Assisted Living
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 128 ODHS NF · 128 CMS Nursing Homes · identities remain separate
- Regulatory depth
- ODHS inspections, substantiated violations, and license-condition regulatory actions; public actions currently exclude revocation notices
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-16 / 2026-09-16T15:24:44Z
Source clocks
- ODHS LTC providers: source Not reported; snapshot 2026-09-16; retrieved 2026-09-16T15:24:44Z
- ODHS inspections: source Not reported; snapshot 2026-09-16; retrieved 2026-09-16T15:24:44Z
- ODHS violations: source Not reported; snapshot 2026-09-16; retrieved 2026-09-16T15:24:44Z
- ODHS license-condition actions: source Not reported; snapshot 2026-09-16; retrieved 2026-09-16T15:24:44Z
- OHA Home Health: source 2026-07-29; snapshot 2026-09-16; retrieved 2026-09-16T15:24:44Z
- OHA Hospice: source 2026-07-30; snapshot 2026-09-16; retrieved 2026-09-16T15:24:44Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-16; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-16; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-16; retrieved 2026-08-26T22:15:06.243039+00:00
PA state intelligence
Pennsylvania
DHS · DOH · Aging · CMS
- State classes
- 659 DOH nursing-home rows · 659 Home Health · 4656 Home Care
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 659 DOH NH · 656 CMS Nursing Homes · exact 39xxxxx bridges where source-published
- Regulatory depth
- Q4 2025 sanctions PDF extract; PCH/ALR rosters and NH surveys remain search-only
- Source as of
- Not reported
- Snapshot / retrieved
- 2026-09-16 / 2026-09-16T20:15:00Z
Source clocks
- DOH nursing homes: source Not reported; snapshot 2026-09-16; retrieved 2026-09-16T20:15:00Z
- DOH Home Health: source Not reported; snapshot 2026-09-16; retrieved 2026-09-16T20:15:00Z
- DOH Home Care: source Not reported; snapshot 2026-09-16; retrieved 2026-09-16T20:15:00Z
- DOH Hospice: source Not reported; snapshot 2026-09-16; retrieved 2026-09-16T20:15:00Z
- PCH monthly report: source Not reported; snapshot 2026-09-16; retrieved 2026-09-16T20:15:00Z
- LIFE/PACE: source Not reported; snapshot 2026-09-16; retrieved 2026-09-16T20:15:00Z
NC state intelligence
North Carolina
DHSR · DAAS · NCDOI · CMS
- State classes
- 568 Adult Care Homes · 515 Family Care Homes · 423 Nursing Homes
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 568 ACH · 515 FCH · 423 DHSR NH · 419 CMS Nursing Homes · identities remain separate
- Regulatory depth
- NC DHSR Star Rating listing evidence and 36-month penalties; inspection SOD history remains search-only
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-17 / 2026-09-17T19:39:21Z
Source clocks
- DHSR Adult Care Homes: source 2026-07-30; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
- DHSR Family Care Homes: source 2026-07-30; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
- DHSR Nursing Homes: source 2026-09-09; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
- DHSR Home Health: source 2026-08-20; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
- DHSR Hospice: source 2026-08-20; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
- DHSR Home Care All mixed file: source 2026-08-20; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
- NC DHSR Star Rating listing: source 2026-07-30; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
- Adult Care penalties: source Not reported; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
- Adult Day directory: source 2026-04-21; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
- PACE: source 2026-02-18; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
- CCRC: source Not reported; snapshot 2026-09-17; retrieved 2026-09-17T19:39:21Z
OH state intelligence
Ohio
ODH · AGE · CMS
- State classes
- 923 ODH nursing-home licenses · 812 ODH Residential Care Facilities
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 923 ODH NH · 812 RCF · 922 CMS Nursing Homes · identities remain separate
- Regulatory depth
- Navigator quality/satisfaction and ODH inspections remain search-only; OneSource licenses are the current freeze
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-18 / 2026-09-18T13:26:20Z
Source clocks
- ODH nursing facilities: source 2026-08-10; snapshot 2026-09-18; retrieved 2026-09-18T13:26:20Z
- ODH Residential Care Facilities: source 2026-06-17; snapshot 2026-09-18; retrieved 2026-09-18T13:26:20Z
- Long-Term Care Quality Navigator: source Not reported; snapshot 2026-09-18; retrieved 2026-09-18T13:26:20Z
- ODH inspections: source Not reported; snapshot 2026-09-18; retrieved 2026-09-18T13:26:20Z
GA state intelligence
Georgia
DCH HFRD · CMS
- State classes
- Personal Care Home, Assisted Living Community, Community Living Arrangement, and Adult Day remain separate and unacquired
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 356 CMS Nursing Homes · 105 CMS Home Health · 261 CMS Hospice · state licenses not joined
- Regulatory depth
- CMS CCN evidence reused; HFRD inspection reports and complaint records were not acquired
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-23 / 2026-09-23T20:30:00Z
Source clocks
- DCH Personal Care Home program statement: source Not reported; snapshot 2026-09-23; retrieved 2026-09-23T20:30:00Z
- GaMap2Care finder: source Not reported; snapshot 2026-09-23; retrieved 2026-09-23T20:30:00Z
- HFRD inspection search: source Not reported; snapshot 2026-09-23; retrieved 2026-09-23T20:30:00Z
- HFRD complaints: source Not reported; snapshot 2026-09-23; retrieved 2026-09-23T20:30:00Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-23; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-23; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-23; retrieved 2026-08-26T22:15:06.243039+00:00
- CMS inspections: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-23; retrieved 2026-08-26T20:18:10.260419+00:00
- CMS ownership: source 2026-08-17T00:00:00+00:00; snapshot 2026-09-23; retrieved 2026-08-26T20:25:26.251400+00:00
- CMS penalties: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-23; retrieved 2026-08-26T20:24:35.184131+00:00
MA state intelligence
Massachusetts
DPH · AGE · CMS
- State classes
- DPH Nursing Home, Rest Home, Home Health, Hospice, and Adult Day Health; AGE-certified Assisted Living Residences
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 347 DPH Nursing Homes · 58 DPH Rest Homes · 272 certified ALRs · CMS not bridged (no CCN in the DPH file)
- Regulatory depth
- DPH Survey Performance Tool is linked, not indexed; complaint records were not acquired
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-24 / 2026-09-24T16:37:44Z
Source clocks
- DPH facility workbook: source 2026-09-08; snapshot 2026-09-24; retrieved 2026-09-24T16:37:44Z
- AGE certified ALR list: source 2026-06-25; snapshot 2026-09-24; retrieved 2026-09-24T16:37:52Z
- DPH Survey Performance Tool: source Not reported; snapshot 2026-09-24; retrieved 2026-09-24T16:37:44Z
- DPH complaints: source Not reported; snapshot 2026-09-24; retrieved 2026-09-24T16:37:44Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T22:15:06.243039+00:00
- CMS inspections: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T20:18:10.260419+00:00
- CMS ownership: source 2026-08-17T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T20:25:26.251400+00:00
- CMS penalties: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T20:24:35.184131+00:00
TN state intelligence
Tennessee
HFC · CMS
- State classes
- HFC Nursing Home, Assisted Care Living Facility, and Residential Home for the Aged licenses; county-licensed Home Health and Hospice lists
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 326 HFC Nursing Homes · 331 ACLFs · 39 RHAs · CMS not bridged (no CCN in the HFC reports)
- Regulatory depth
- HFC monthly facility actions 2024-2026 indexed; complaint records were not acquired
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-24 / 2026-09-24T21:55:44+00:00
Source clocks
- HFC Nursing Home bed report: source 2026-07; snapshot 2026-09-24; retrieved 2026-09-24T21:55:44+00:00
- HFC ACLF bed report: source 2026-07; snapshot 2026-09-24; retrieved 2026-09-24T21:55:46+00:00
- HFC RHA bed report: source 2026-07; snapshot 2026-09-24; retrieved 2026-09-24T21:55:47+00:00
- HFC Home Health county list: source 2024-02-07; snapshot 2026-09-24; retrieved 2026-09-24T21:55:49+00:00
- HFC Hospice county list: source 2024-03-06; snapshot 2026-09-24; retrieved 2026-09-24T21:55:54+00:00
- HFC facility actions: source 2026-08; snapshot 2026-09-24; retrieved 2026-09-24T21:56:48+00:00
- HFC complaints: source Not reported; snapshot 2026-09-24; retrieved 2026-09-24T21:55:44+00:00
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T22:15:06.243039+00:00
- CMS inspections: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T20:18:10.260419+00:00
- CMS ownership: source 2026-08-17T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T20:25:26.251400+00:00
- CMS penalties: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-24; retrieved 2026-08-26T20:24:35.184131+00:00
NV state intelligence
Nevada
Nevada Health Authority HCQC · CMS
- State classes
- HCQC Skilled Nursing, Residential Facility for Groups (Assisted Living and Alzheimer's endorsements), Home for Individual Residential Care, Home Health, Hospice, and Adult Day Care licenses
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 58 HCQC SNFs · 438 RFGs (74 Assisted Living endorsed) · 60 of 66 CMS nursing homes linked by exact printed CCN
- Regulatory depth
- HCQC inspection index and state sanctions on active licenses; complaint records were not acquired
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-25 / 2026-09-25T18:56:48Z
Source clocks
- HCQC Skilled Nursing search: source Not reported; snapshot 2026-09-25; retrieved 2026-09-25T18:50:31Z
- HCQC Residential Facility for Groups search: source Not reported; snapshot 2026-09-25; retrieved 2026-09-25T18:52:17Z
- HCQC Home for Individual Residential Care search: source Not reported; snapshot 2026-09-25; retrieved 2026-09-25T18:54:20Z
- HCQC Home Health search: source Not reported; snapshot 2026-09-25; retrieved 2026-09-25T18:55:53Z
- HCQC Hospice program search: source Not reported; snapshot 2026-09-25; retrieved 2026-09-25T18:56:45Z
- HCQC state sanctions: source Not reported; snapshot 2026-09-25; retrieved 2026-09-25T18:56:48Z
- HCQC complaints: source Not reported; snapshot 2026-09-25; retrieved 2026-09-25T18:56:48Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-25; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-25; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-25; retrieved 2026-08-26T22:15:06.243039+00:00
MN state intelligence
Minnesota
Minnesota Department of Health, Health Regulation Division · CMS
- State classes
- MDH Nursing Home, Assisted Living Facility, Assisted Living Facility with Dementia Care, Boarding Care Home, Home Care, Home Health, and Hospice licenses from the daily provider directory
- CMS overlay
- Nursing Home · Home Health · Hospice
- Identity depth
- 335 MDH Nursing Homes · 1571 Assisted Living Facilities · 601 with Dementia Care · 329 of 338 CMS nursing homes linked by exact printed CCN
- Regulatory depth
- MDH evaluation results and OHFC investigation findings attached by exact HFID; fines and license actions were not acquired
- Source as of
- Varies by source
- Snapshot / retrieved
- 2026-09-26 / 2026-09-26T14:14:50Z
Source clocks
- MDH Nursing Homes directory: source Not reported; snapshot 2026-09-26; retrieved 2026-09-26T14:14:38Z
- MDH Assisted Living directory: source Not reported; snapshot 2026-09-26; retrieved 2026-09-26T14:14:40Z
- MDH Assisted Living with Dementia Care directory: source Not reported; snapshot 2026-09-26; retrieved 2026-09-26T14:14:40Z
- MDH Home Health directory: source Not reported; snapshot 2026-09-26; retrieved 2026-09-26T14:14:45Z
- MDH Hospice directory: source Not reported; snapshot 2026-09-26; retrieved 2026-09-26T14:14:47Z
- MDH evaluation and investigation results: source Not reported; snapshot 2026-09-26; retrieved 2026-09-26T14:14:50Z
- OHFC complaints: source Not reported; snapshot 2026-09-26; retrieved 2026-09-26T14:14:50Z
- CMS nursingHomes: source 2026-08-01T00:00:00+00:00; snapshot 2026-09-26; retrieved 2026-08-26T20:24:52.158102+00:00
- CMS homeHealth: source 2026-05-27T00:00:00+00:00; snapshot 2026-09-26; retrieved 2026-08-26T21:08:16.274819+00:00
- CMS hospice: source 2026-08-19T00:00:00+00:00; snapshot 2026-09-26; retrieved 2026-08-26T22:15:06.243039+00:00
Browse the national CMS Nursing Home directory by state
Cell shading reflects current CMS Nursing Home directory volume only. It is not quality, safety, importance, or research depth.
ALAlabama. Nursing Homes 224, Home Health 116, Hospice 85. Opens CMS Nursing Home search.AKAlaska. Nursing Homes 20, Home Health 14, Hospice 6. Opens CMS Nursing Home search.AZArizona. Nursing Homes 140, Home Health 177, Hospice 237. Opens Arizona state intelligence.ARArkansas. Nursing Homes 221, Home Health 92, Hospice 46. Opens CMS Nursing Home search.CACalifornia. Nursing Homes 1,165, Home Health 3,213, Hospice 1,913. Opens California state intelligence.COColorado. Nursing Homes 210, Home Health 222, Hospice 88. Opens Colorado state intelligence.CTConnecticut. Nursing Homes 191, Home Health 72, Hospice 28. Opens CMS Nursing Home search.DEDelaware. Nursing Homes 44, Home Health 22, Hospice 11. Opens CMS Nursing Home search.DCDistrict of Columbia. Nursing Homes 17, Home Health 35, Hospice 5. Opens CMS Nursing Home search.FLFlorida. Nursing Homes 694, Home Health 1,146, Hospice 61. Opens Florida state intelligence.GAGeorgia. Nursing Homes 356, Home Health 105, Hospice 261. Opens Georgia state intelligence.GUGuam. Nursing Homes 1, Home Health 3, Hospice 2. Opens CMS Nursing Home search.HIHawaii. Nursing Homes 43, Home Health 18, Hospice 11. Opens CMS Nursing Home search.IDIdaho. Nursing Homes 80, Home Health 48, Hospice 56. Opens CMS Nursing Home search.ILIllinois. Nursing Homes 666, Home Health 530, Hospice 149. Opens Illinois state intelligence.INIndiana. Nursing Homes 507, Home Health 173, Hospice 102. Opens CMS Nursing Home search.IAIowa. Nursing Homes 387, Home Health 125, Hospice 71. Opens CMS Nursing Home search.KSKansas. Nursing Homes 296, Home Health 108, Hospice 85. Opens CMS Nursing Home search.KYKentucky. Nursing Homes 267, Home Health 88, Hospice 23. Opens CMS Nursing Home search.LALouisiana. Nursing Homes 265, Home Health 176, Hospice 118. Opens CMS Nursing Home search.MEMaine. Nursing Homes 78, Home Health 19, Hospice 17. Opens CMS Nursing Home search.MDMaryland. Nursing Homes 221, Home Health 51, Hospice 26. Opens CMS Nursing Home search.MAMassachusetts. Nursing Homes 341, Home Health 287, Hospice 77. Opens Massachusetts state intelligence.MIMichigan. Nursing Homes 422, Home Health 371, Hospice 173. Opens CMS Nursing Home search.MNMinnesota. Nursing Homes 338, Home Health 138, Hospice 81. Opens Minnesota state intelligence.MSMississippi. Nursing Homes 202, Home Health 42, Hospice 84. Opens CMS Nursing Home search.MOMissouri. Nursing Homes 487, Home Health 120, Hospice 132. Opens CMS Nursing Home search.MTMontana. Nursing Homes 61, Home Health 21, Hospice 32. Opens CMS Nursing Home search.NENebraska. Nursing Homes 180, Home Health 62, Hospice 43. Opens CMS Nursing Home search.NVNevada. Nursing Homes 66, Home Health 228, Hospice 183. Opens Nevada state intelligence.NHNew Hampshire. Nursing Homes 73, Home Health 27, Hospice 23. Opens CMS Nursing Home search.NJNew Jersey. Nursing Homes 348, Home Health 38, Hospice 61. Opens New Jersey state intelligence.NMNew Mexico. Nursing Homes 68, Home Health 70, Hospice 52. Opens CMS Nursing Home search.NYNew York. Nursing Homes 593, Home Health 100, Hospice 39. Opens New York state intelligence.NCNorth Carolina. Nursing Homes 419, Home Health 166, Hospice 76. Opens North Carolina state intelligence.NDNorth Dakota. Nursing Homes 72, Home Health 20, Hospice 13. Opens CMS Nursing Home search.MPNorthern Mariana Islands. Nursing Homes 0, Home Health 3, Hospice 1. Opens CMS Nursing Home search.OHOhio. Nursing Homes 922, Home Health 835, Hospice 169. Opens Ohio state intelligence.OKOklahoma. Nursing Homes 283, Home Health 212, Hospice 135. Opens CMS Nursing Home search.OROregon. Nursing Homes 128, Home Health 51, Hospice 66. Opens Oregon state intelligence.PAPennsylvania. Nursing Homes 656, Home Health 415, Hospice 179. Opens Pennsylvania state intelligence.PRPuerto Rico. Nursing Homes 9, Home Health 39, Hospice 42. Opens CMS Nursing Home search.RIRhode Island. Nursing Homes 72, Home Health 22, Hospice 11. Opens CMS Nursing Home search.SCSouth Carolina. Nursing Homes 187, Home Health 68, Hospice 88. Opens CMS Nursing Home search.SDSouth Dakota. Nursing Homes 96, Home Health 23, Hospice 16. Opens CMS Nursing Home search.TNTennessee. Nursing Homes 303, Home Health 128, Hospice 61. Opens Tennessee state intelligence.TXTexas. Nursing Homes 1,177, Home Health 1,854, Hospice 1,053. Opens Texas state intelligence.VIU.S. Virgin Islands. Nursing Homes 0, Home Health 3, Hospice 3. Opens CMS Nursing Home search.UTUtah. Nursing Homes 97, Home Health 82, Hospice 82. Opens CMS Nursing Home search.VTVermont. Nursing Homes 33, Home Health 9, Hospice 9. Opens CMS Nursing Home search.VAVirginia. Nursing Homes 289, Home Health 237, Hospice 110. Opens Virginia state intelligence.WAWashington. Nursing Homes 193, Home Health 74, Hospice 50. Opens Washington state intelligence.WVWest Virginia. Nursing Homes 123, Home Health 43, Hospice 18. Opens CMS Nursing Home search.WIWisconsin. Nursing Homes 323, Home Health 87, Hospice 85. Opens CMS Nursing Home search.WYWyoming. Nursing Homes 36, Home Health 32, Hospice 21. Opens CMS Nursing Home search.
Accessible state list
Ask the market
Structured questions, not a chatbot
How many nursing homes are in my state?
Use Explore by place for the current CMS Nursing Home directory count in that jurisdiction. That count is a snapshot, not a quality score.
What does a CMS star rating measure?
CMS stars are CMS ratings for a specific program. Nursing Home overall stars are not Home Health Quality of Patient Care stars, and Hospice has no overall star in this directory.
What regulatory history should I review?
For Nursing Homes, CMS publishes inspection, deficiency, and penalty families separately. Home Health and Hospice do not have those same national files on this hub. Colorado CDPHE Find and Compare is a state search path, not a bulk inspection dataset.
What does “no event found” mean?
No connected event in SeniorTrustHub is not a clean record. It can mean no published file, a coverage gap, or a period outside the source window.
How does Florida’s research coverage differ?
Florida currently has a state intelligence page with 6,983 AHCA identities and 77,219 regulatory observations, plus CMS class counts. Published state pages have different acquired classes and search-only capabilities; federal CMS baseline does not imply state regulatory coverage.
How does New Jersey’s research coverage differ?
New Jersey currently has a state intelligence page with 893 NJDOH All_LTC identities and 1,430 All_Acute identities, plus CMS class counts. All_LTC and All_Acute are not one senior-provider total.
Use the research
Act after you understand the evidence
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Research checklist
You've reviewed 0 of 6 evidence areas. This tracks your research process, not a provider's safety or quality.
How this research was assembled
- CMS identity in a class directory
- CCN (class-scoped)
- Quality, staffing, or survey evidence when that class publishes it
- Ownership graph when a link resolves
- State regulator identity only where a public state page exists
- SeniorTrustHub research profile
Connected, unavailable, and review states stay class-specific. Internal identity candidates are not shown on this page.
Evidence, sources & limitations
How this research is built
Official as-of and retrieved dates are evidence freshness. This homepage is not live data. Dated homepage snapshots are not yet accumulated. Historical comparison will become available as snapshot metadata accumulates. This page does not invent a since-last-update delta.
What this research does not infer
- No event found is not a clean record.
- CMS stars are not TrustHub rankings.
- Inspection findings describe conditions at points in time.
- Ownership can change, and UNKNOWN is not a former owner.
- Nursing Home, Home Health, and Hospice evidence is not directly comparable.
- State evidence availability differs. Florida, New Jersey, California, Texas, Washington, Arizona, and Colorado are not a national template yet.
- Source publication schedules differ. This page is not live data.
| Dataset | Official as-of | Retrieved |
|---|---|---|
| Home Health Care Agencies | 2026-05-27 | 2026-08-26 |
| Hospice - General Information | 2026-08-19 | 2026-08-26 |
| Health Deficiencies | 2026-08-01 | 2026-08-26 |
| Ownership | 2026-08-01 | 2026-08-26 |
| Penalties | 2026-08-01 | 2026-08-26 |
| Provider Information | 2026-08-01 | 2026-08-26 |
| Skilled Nursing Facility Change of Ownership | 2026-08-24 | 2026-08-15 |
View full Source Ledger · Methodology
Snapshot intel-002-v1. Payload 204cd367ba7c… Generated from senior-home-intel-v1 / 215b9d6301a9…
No paid placements
No facility lead fees
Public sources cited
Data dates shown