{ "metadata": { "study_slug": "dialysis-facility-quality-by-state-2026", "source": "CMS Care Compare — Dialysis Facility Listing", "source_dataset_slug": "23ew-n7w9", "source_homepage": "https://data.cms.gov/provider-data/dataset/23ew-n7w9", "source_bulk_url": "https://data.cms.gov/provider-data/sites/default/files/resources/c04d84bc5c641284494bee4f20f17f9c_1774454758/DFC_FACILITY.csv", "source_modified": "2026-03-25", "snapshot_fetched": "2026-05-03", "license": "U.S. government public-domain works (https://www.usa.gov/government-works)", "attribution_text": "Source: CMS Care Compare · Last checked 2026-05-03. CMS ratings are published by CMS and reflect the measure definitions in the source dataset.", "facility_count_total": 7557, "rated_facility_count_total": 7072, "states_covered": 56 }, "state_data": [ { "state": "AK", "facility_count": 7, "rated_facility_count": 7, "mean_five_star_rating": 4.14, "share_4_or_5_stars_pct": 57.1, "share_1_or_2_stars_pct": 0, "share_for_profit_pct": 100, "share_non_profit_pct": 0, "share_chain_owned_pct": 100 }, { "state": "AL", "facility_count": 178, "rated_facility_count": 171, "mean_five_star_rating": 2.73, "share_4_or_5_stars_pct": 17, "share_1_or_2_stars_pct": 39.2, "share_for_profit_pct": 90.4, "share_non_profit_pct": 9.6, "share_chain_owned_pct": 98.9 }, { "state": "AR", "facility_count": 67, "rated_facility_count": 64, "mean_five_star_rating": 2.09, "share_4_or_5_stars_pct": 6.3, "share_1_or_2_stars_pct": 68.8, "share_for_profit_pct": 89.6, "share_non_profit_pct": 10.4, "share_chain_owned_pct": 76.1 }, { "state": "AS", "facility_count": 2, 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