CivicDelta / Health & Care / Nursing Home Record
Health & Care · All US states

Nursing home inspection records, compared side by side

Every Medicare-certified nursing home in the United States is inspected and its violations published — but the federal site shows them one home at a time, as a star and a date. Name up to three homes in one state and this $69 report puts their inspection records side by side in one printable file: the same problem cited in two or more separate inspections, every citation federal inspectors rated as actual harm or immediate jeopardy in full, fines in the last three years, nurse hours and staff turnover beside the median for that state, what the owners’ other homes look like, and the questions to ask on your visit drawn from each home’s own citations. Written for the family with days, not months — a hospital discharge and a shortlist.

Of the 14,690 Medicare-certified nursing homes in our copy of the federal files, 6,514 — 44.3% — have at least one fine on record, and 79,886 home-and-violation pairs were cited in two or more separate inspections. Measured in our database on 16 September 2026 from CMS files loaded 14 September 2026; see the source files.

Choose your homes

Step 1: choose the state and find each home. Step 2: review your selection. Step 3: checkout.

See a sample report · a real report from public records, with identifying details masked

Start free. The nursing home lookup gives you the published record for any of the 14,690 Medicare-certified homes — ratings, staffing against the state median, citation counts by harm level, fines and the last survey date — with three side by side, and the owner network shows every other home the same owner is named at. If those counts settle it, you do not need this report. It is for the shortlist you must decide between: the full text of every citation, the penalty table fine by fine, repeat problems across separate inspections, and a printable document to take to a discharge planner.

Nursing Home Record

On sale$69
You choose
One to three Medicare-certified nursing homes in the same state
At a glance
A side-by-side checklist: ratings, Special Focus status, abuse icon, serious and repeat citations, complaint citations, citations not yet corrected, fines in the last three years, weekday and weekend staffing, turnover and the chain’s average rating
Repeat problems
Every citation cited in two or more inspections, with the dates and the most serious rating
Owners’ other homes
For each organization that owns or runs the home: how many other nursing homes it’s linked to, how many are rated 1 star, Special Focus Facilities, abuse icons and fines
Inspections
Every health citation CMS rates as actual harm or immediate jeopardy, citations by topic, recent survey dates and fire safety citations
Staffing
Nurse and registered nurse hours per resident per day and staff turnover, beside the median for the state
Your visit
Questions drawn from each home’s own citations, staffing and ownership changes
Delivery
Emailed within 2 business days
Not included
Assisted living (licensed by states, not Medicare), state-only license actions, and any rating or ranking by us

What this adds to Medicare’s free nursing home search

Medicare’s Care Compare is the official free tool and you should use it: it gives each home’s star ratings, its most recent inspection date and its address. What it does not put in front of you is whether the same problem was cited again at the next inspection, which citations came from a complaint rather than a routine survey, which are not yet recorded as corrected, how staffing compares with the rest of the state, or what the other homes run by the same owners look like. Those answers need the federal files joined together, and that is what you are paying for.

Questions families ask

Where can I find nursing home inspection records for my state?

They are federal, not state: the Centers for Medicare & Medicaid Services publishes inspection, citation, penalty, staffing and ownership files covering every Medicare-certified nursing home in all US states and territories. This report is built from those files, and it names the file and load date for every figure it prints.

Isn’t all of this already on Medicare’s Care Compare?

The star ratings and the latest inspection date are. Repeat citations across inspections, complaint-sourced citations, citations not yet recorded as corrected, staffing against the state median, and the owners’ other homes are not, and they are the substance of this report.

How many homes can I compare?

One to three, in the same state, in a single report — which is how a shortlist after a discharge conversation actually arrives.

Do you rate or rank the homes?

No. The report prints CMS’s own ratings and the dated records behind them, side by side. We do not score, grade, rank or recommend a named facility, and there is no paid placement of any kind.

Does it cover assisted living or memory care?

No. Assisted living is licensed by states, not Medicare, so there is no federal inspection file for it. State-only license actions are not covered either, and the report says so rather than leaving you to assume the record is complete.

What does “Special Focus Facility” mean?

It is CMS’s own designation for a home with a persistent record of serious problems, which brings more frequent inspections. The report shows the status as CMS records it, on the date the file was loaded.

How quickly will I get it?

Emailed within 2 business days. If the discharge is sooner than that, say so when you order and we will tell you honestly whether we can help in time.

Is this medical advice?

No. It is a dated record of public federal data to take into your visit and your conversation with the discharge planner. CivicDelta is not affiliated with CMS or with any facility.

How we check and cite a record · the 13 federal datasets behind this report · where it works · check a surgeon instead