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Downloadable datasets covering all 14,700 Medicare-certified nursing homes in the United States — quality scores, enforcement records, and state summaries.
License: CC BY 4.0 — cite SunsetWell.com. Source: CMS Provider Data Catalog, May 2026 refresh; processed June 2026.
14,700 rows · 980 KB · CSV · CMS Provider Data Catalog, May 2026 refresh; processed June 2026
SunsetWell quality scores for every Medicare-certified nursing home in the United States. One row per facility with its CMS Certification Number (CCN), location, certified bed count, SunsetWell score (0-100, higher is better), within-state percentile rank, and the scoring model version. Scores are produced by the SunsetWell v2.3 predictive harm model, trained on CMS inspection, staffing, and clinical outcome data.
ccn — CMS Certification Number (federal facility ID)facility_name — Facility name as reported to CMScity — Facility citystate — Two-letter state or territory codecertified_beds — Number of Medicare/Medicaid-certified bedssunsetwell_score — SunsetWell score, 0-100 (higher is better)sunsetwell_percentile — Percentile rank among nursing homes in the same statemodel_version — Scoring model version (currently v2.3)14,700 rows · 938 KB · CSV · CMS Provider Data Catalog, May 2026 refresh; processed June 2026
Federal enforcement summary for every Medicare-certified nursing home, covering the trailing three years of CMS inspection data. One row per facility with health inspection citation counts, whether the facility received an immediate jeopardy citation (the most severe finding, meaning residents were at risk of serious harm or death), substantiated complaint counts, and total federal fines in dollars.
ccn — CMS Certification Number (federal facility ID)facility_name — Facility name as reported to CMScity — Facility citystate — Two-letter state or territory codecitations_3yr — Health inspection deficiency citations, trailing 3 yearsimmediate_jeopardy — true if the facility had at least one immediate jeopardy citation in the trailing 3 yearssubstantiated_complaints_3yr — Substantiated complaints, trailing 3 yearstotal_fines_3yr_usd — Total federal fines (civil money penalties) in USD, trailing 3 years53 rows · 2 KB · CSV · CMS Provider Data Catalog, May 2026 refresh; processed June 2026
State-by-state nursing home quality and enforcement aggregates, computed directly from the two per-facility datasets above. One row per state or territory with facility counts, average SunsetWell score, the share of facilities with an immediate jeopardy citation, average citations per facility, total and median federal fines, and average total nurse staffing hours per resident per day.
state — Two-letter state or territory codefacilities — Number of Medicare-certified nursing homesavg_sunsetwell_score — Mean SunsetWell score across the state's facilitiespct_facilities_with_immediate_jeopardy — Percent of facilities with an immediate jeopardy citation in the trailing 3 yearsavg_citations_per_facility_3yr — Mean deficiency citations per facility, trailing 3 yearstotal_fines_3yr_usd — Sum of federal fines across all facilities in USD, trailing 3 yearsmedian_fines_3yr_fined_facilities_usd — Median 3-year fine total among facilities that received at least one fineavg_total_nurse_hours_per_resident_per_day — Mean total nurse staffing hours per resident per day (CMS Payroll-Based Journal)All datasets are built from the CMS Provider Data Catalog — the federal government's public data on Medicare-certified nursing homes, including health inspection results, penalty records, Payroll-Based Journal staffing data, and clinical quality measures. We refresh our copy monthly; this release reflects the May 2026 CMS refresh, processed in June 2026.
Enforcement figures (citations, immediate jeopardy, complaints, fines) cover the trailing three years of inspection data, matching the window CMS uses on Care Compare. The median fine column in the state summary is computed among facilities that received at least one fine, since most facilities have none. State aggregates are derived directly from the per-facility files, so every summary number can be reproduced from the downloads on this page.
The SunsetWell score is our 0-100 predictive harm rating, trained on actual patient harm outcomes in CMS data. It is not an official federal rating. How it works, what it measures, and how it differs from CMS stars: our scoring methodology.
These files are free to use in reporting, academic research, and policy work under CC BY 4.0. Please cite SunsetWell.com (and CMS as the underlying source) and note the data vintage — for this release, "CMS data, June 2026, via SunsetWell.com". If you are working on a story and need a custom cut of the data — a specific metro, ownership group, or time window — email hello@sunsetwell.com and we will do our best to help.