CMS · QUARTERLY
Daily Nurse Staffing
RN, LPN, and CNA hours per resident-day across Medicare-certified nursing facilities.
FHIR: Observation · 2024/2026
DATA · FEDERAL SOURCES
rows
22 federal source families. Row-level provenance.
13 dataset pages — each with FHIR R4 resource, field-level provenance, and a published freshness cadence.
Add Fonteum to your agent →DATA — FEDERAL SOURCES
Federal healthcare dataset catalog
13 dataset pages drawn from 22 federal source families. Row-level provenance, FHIR R4 resource, and published freshness cadence on every dataset.
14Provenance fieldsPer field, per record — travels with exports
22Federal source familiesCMS, HHS-OIG, HRSA, BLS, BEA
13Dataset pagesEach with FHIR R4 resource
Browse by source and category
CMS
UNKNOWNDaily Nurse Staffing
RN, LPN, and CNA hours per resident-day across Medicare-certified nursing facilities.
1,322,946 daily staffing records
Quarterly ↗
HHS-OIG
OIG LEIEOIG Exclusions
Federal exclusion list. NPI, EIN, and SSN-match coverage with reinstatement status.
68,055 exclusion records
Monthly ↗
CMS
PECOSSNF Ownership Records
Direct and indirect ownership stakes by entity, with effective dates and percentage interest.
280,207 ownership records
Quarterly ↗
CMS
UNKNOWNCare Compare Nursing Homes
Five-star quality ratings, staffing scores, health inspection scores for Medicare-certified nursing homes.
14,630 certified facilities
Quarterly ↗
CMS
UNKNOWNCare Compare Home Health
Quality ratings and patient outcome measures for Medicare-certified home health agencies.
12,392 certified agencies
Quarterly ↗
CMS
UNKNOWNCare Compare Hospice
Quality measures for Medicare-certified hospice facilities including family caregiver survey results.
6,943 certified facilities
Quarterly ↗
CMS
UNKNOWNCare Compare Dialysis
Quality ratings and patient outcome measures for Medicare-certified dialysis facilities.
7,847 certified facilities
Quarterly ↗
CMS
UNKNOWNProvider of Services
Facility identity backbone. CCN-keyed, cross-joins all Care Compare datasets.
68,211 CCN-keyed facilities
Quarterly ↗
CMS
UNKNOWNHospital Cost Reports
Facility-level financial performance data from CMS cost report filings.
6,541 annual cost reports
Annual ↗
CMS
OPEN PAYMENTSOpen Payments
Financial transfers from manufacturers to physicians and teaching hospitals.
351,422 physician records
Annual ↗
CMS
UNKNOWNQPP Individual Scores
Individual clinician performance scores from the Quality Payment Program.
477,137 clinician scores
Annual ↗
CMS
UNKNOWNCare Compare ASCs
Quality measures for Medicare-certified ambulatory surgical centers.
5,956 certified facilities
Quarterly ↗
CMS
UNKNOWNPECOS Ordering & Referring
Medicare enrollment status for providers eligible to order and refer services.
81,149 enrolled providers
Monthly ↗
All 13 datasets
| Dataset | Agency | Category | Rows | FHIR resource | Cadence |
|---|---|---|---|---|---|
| Daily Nurse Staffing | CMS | Nursing facilities | Observation | Quarterly | |
| OIG Exclusions | HHS-OIG | Sanctions and exclusions | Flag | Monthly | |
| SNF Ownership Records | CMS | Ownership networks | Organization | Quarterly | |
| Care Compare Nursing Homes | CMS | Nursing facilities | Location | Quarterly | |
| Care Compare Home Health | CMS | Care quality | HealthcareService | Quarterly | |
| Care Compare Hospice | CMS | Care quality | HealthcareService | Quarterly | |
| Care Compare Dialysis | CMS | Care quality | Location | Quarterly | |
| Provider of Services | CMS | Nursing facilities | Location | Quarterly | |
| Hospital Cost Reports | CMS | Hospital financials | Organization | Annual | |
| Open Payments | CMS | Provider performance | Practitioner | Annual | |
| QPP Individual Scores | CMS | Provider performance | Measure | Annual | |
| Care Compare ASCs | CMS | Care quality | Location | Quarterly | |
| PECOS Ordering & Referring | CMS | Provider performance | Practitioner | Monthly |
Highlighted datasets
CMS · ANNUAL
QPP Individual Scores
Individual clinician performance scores from the Quality Payment Program.
FHIR: Measure · 2023
HHS-OIG · MONTHLY
OIG Exclusions
Federal exclusion list. NPI, EIN, and SSN-match coverage with reinstatement status.
FHIR: Flag · 1977/2026
Row-level provenance on every field
A 14-tuple provenance contract.
Every value Fonteum returns is bound to fourteen provenance fields. All fourteen survive export — a buyer who receives a Fonteum record can trace any field back to the exact federal release that produced it. No opaque pipeline.
| Field | Key | Description |
|---|---|---|
| Source name | _source | Canonical name from issuing authority. |
| Source URL | _source_url | Deep link to source record. No auth. |
| Dataset ID | _dataset_id | Publisher's stable identifier. |
| Snapshot date | _snapshot | ISO date of source pull reconciled against. |
| Methodology version | _methodology | Transformation contract. Monotonic. |
| Last checked | _last_checked | UTC of most recent reconciliation pass. |
| Confidence | _confidence | 0.00–1.00 from source agreement + rules. |
| Availability | _data_availability | Present, missing, restricted, deprecated. |
| Pipeline version | _pipeline_version | Git commit SHA of the ingestion code that produced the snapshot. |
| DOI | _doi | Zenodo DOI for the methodology version (FAIR F1 persistent identifier). |
| License | _license | SPDX identifier for redistribution rights. |
| Coverage start | _coverage_period_start | ISO-8601 date data coverage begins. |
| Coverage end | _coverage_period_end | ISO-8601 date data coverage ends, or "ongoing". |
| SLSA provenance URL | _slsa_provenance_url | URL to the SLSA Build Level 3 provenance artifact for this snapshot. |
Daily refresh · Published cadence
Every dataset refreshed on a published cadence.
Refresh cadences are set by CMS and HHS-OIG release schedules. Daily, monthly, quarterly, and annual datasets each carry a snapshot date marking the exact federal release used.
View live freshness status →Bulk downloads
Every source family as a gzipped CSV.
Download complete snapshots for any ingested source family. Each file is SHA-256 attested and carries the snapshot date in response headers. SHA-256 integrity-check instructions →
| Source family | Rows | Endpoint |
|---|---|---|
| CMS NPPES (NPI registry) | cms-nppes/latest.csv.gz | |
| CMS PECOS PPEF (enrollment) | cms-pecos/latest.csv.gz | |
| CMS Care Compare (facilities) | cms-care-compare/latest.csv.gz | |
| OIG LEIE (exclusions) | oig-leie/latest.csv.gz | |
| HRSA HPSA (shortage areas) | hrsa-hpsa/latest.csv.gz | |
| BLS OEWS (occupational wages) | bls-oews/latest.csv.gz | |
| BEA Regional (economic data) | bea-regional/latest.csv.gz | |
| CMS Open Payments (physician payments) | cms-open-payments/latest.csv.gz | |
| CMS Provider Utilization (Part B) | cms-provider-utilization/latest.csv.gz |
Full source manifest: /api/v1/bulk/manifest.json
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Source: Fonteum data catalog·Snapshot: 2026-05-27·Method: fonteum/aggregate/v2026.05·ID: fonteum-aggregate