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National overview · updated weekly
A state-by-state count of nursing homes currently on CMS's Special Focus Facility list — the federal government's own designation for facilities with a documented history of serious, repeated care problems.
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See the full flagged-facility list for any state, or search official CMS ratings for any nursing home in the country.
Open the full lookup tool →It is a designation CMS applies to nursing homes with a documented history of serious, repeated quality problems. These facilities are surveyed more frequently than others until they show sustained improvement or face termination from Medicare and Medicaid.
The count reflects the number of Medicare-certified nursing homes in a state, the frequency and rigor of state-level survey agencies, and each home's individual compliance history. A higher count is not a direct measure of a state's overall long-term care quality, since states vary widely in the number of licensed facilities.
This page is regenerated on a weekly schedule from CMS's own data, which CMS itself typically republishes on a monthly cadence. The generation timestamp is shown at the top of the page.
This page displays public data from the Centers for Medicare & Medicaid Services (CMS) Care Compare program, in the U.S. public domain. CarePath is not affiliated with, endorsed by, or sponsored by CMS, Medicare, or Medicaid Services, and receives no payment from any facility. This overview is regenerated weekly and may not reflect very recent CMS updates. It is not medical, legal, or financial advice. For the official, most current source, visit medicare.gov/care-compare. © 2026 CarePath.