CMS
Daily Nurse Staffing
RN, LPN, and CNA hours per resident-day across Medicare-certified nursing facilities.
Dataset · CMS
Care Compare Nursing Homes
Five-star quality ratings, staffing scores, health inspection scores for Medicare-certified nursing homes.
Source: CMS · Refreshed quarterly · Freshness SLA: Within 48h of quarterly CMS release · FHIR Location
14,630certified facilitiesAs of 2026-04-01
2024–2026temporal coverageRefreshed quarterly
Source: CMS — Care Compare Nursing Homes·Snapshot: 2026-04-01·Method: care-compare-nh/v1·ID: nursing-homes
FHIR Location
What a record looks like in the API response.
{
"resourceType": "Location",
"id": "loc-015009",
"_source": "cms-care-compare-nh",
"_methodology": "care-compare-nh/v1",
"name": "Burns Nursing Home, Inc.",
"extension": [{ "url": "overallRating", "valueInteger": 4 }]
}Every record carries _source, _methodology, a snapshot date, and a confidence tier. These provenance fields survive export and API delivery — each fact stays chained to the federal release it came from.
Sample query
One request returns a provenance-tracked record.
curl -H "Authorization: Bearer $FONTEUM_KEY" \ "https://api.fonteum.com/fhir/r4/Location?_source=nursing-homes" \ | jq '._source, ._methodology, .meta.tag'
The response includes the FHIR resource body plus Fonteum provenance metadata on every record.
Dataset facts
The record, in full.
| Field | Value |
|---|---|
| Agency | Centers for Medicare & Medicaid Services |
| Category | Nursing facilities |
| Records | 14,630 certified facilities |
| Temporal coverage | 2024–2026 |
| Refresh cadence | Quarterly |
| Freshness SLA | Within 48h of quarterly CMS release |
| Last synced | 2026-04-01 |
| FHIR resource | Location |
| Methodology | care-compare-nh/v1 |
| Measured | Five-star overall, staffing, and health inspection ratings per Medicare-certified nursing home |
| Upstream source | data.cms.gov → |
Get access
How to reach this dataset.
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Provider of Services
Facility identity backbone. CCN-keyed, cross-joins all Care Compare datasets.