Observed arrival · 2026-09-09
NursingLedger Puts Nursing-Home Records on One Page
A public research tool that combines CMS ratings, penalties, reported ownership, and payroll-based staffing records for U.S. nursing homes.
Field notes
The site joins four CMS source families by certification number, creating a facility-level record that places ratings, penalty entries, reported ownership relationships, and payroll-based staffing figures side by side. Its visible file covers 14,693 certified facilities, with 16,166 penalty records and 247,632 ownership records imported. Staffing is organized around the 2026Q1 period and reports 14,478 facility rows. The site explicitly separates source values from its calculations and warns that fine-total rankings are not safety rankings.
Observed signals
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Editorial observations of this landing page, not a rating.
One card from the complete issue