Louder Than Words

Data drives
a more open
democracy

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Representatives
28 / Nursing home ownersNames differ. Records connect.

The organization behind the sign.

Different homes.
Shared interests.

Follow a disclosed owner across differently named facilities. Put their staffing and inspection records side by side, then open the evidence.

CMS public records · captured 2026-09-16
3,008 facilities · CA / IL / TX · read the scope

CMS nursing facilities and disclosed parties · California, Illinois and Texas. 2,934 facilities joined to enrollment records by exact CMS identifiers; 74 remain unjoined, not ownerless. 16,580 disclosed parties include people, organizations, managers and financial interests—not just owners.

Ownership is self-reported and current to its source snapshot, not a full history or a verified ultimate-parent map. Separate names sharing a CMS party ID are connected; similar names with different IDs are not merged. Current ownership and older quality measurements may cover different periods.

169 national enrollment records have unsupported CCN formats and remain unjoined. Owner addresses are not published here. Facility coordinates come from CMS and may be approximate.

Recorded source changes since the first capture: no prior snapshot to compare. Source changes do not necessarily indicate ownership transfers.

Download full dataset · Manifest + evidence hashes
01 / Follow the connectionCMS party IDs, not name guesses

Start with an organization

Largest organizational ownership portfolios within this collection, including direct and indirect interests. This is not a ranking of quality or national size.

Some source records do not report a party name. You can still look up their exact CMS party ID. “PAC” here means PECOS Associate Control, not a political committee.

02 / Compare the records3,008 facilities in view

Staffing: 2026-01-01 — 2026-03-31. Reported hours per resident per day; not case-mix adjusted.

0.46Median · RN hours / resident / day2921 / 3008 facilities reported
3.69Median · Total nurse hours / resident / day2921 / 3008 facilities reported
10Median · Cycle 1 health deficiencies2995 / 3008 facilities reported

These are descriptive medians, not risk-adjusted comparisons or evidence that ownership caused a result. Cycle 1 combines the most recent standard survey with complaint/infection-control findings in its reporting window; it is not one inspection.

Five official sources · reporting windows and downloads

Skilled Nursing Facility Enrollments : 2026-08-01 ↗
enrollments · 2026-08-01/2026-08-31 · 14,410 national rows
Source metadata

Skilled Nursing Facility All Owners : 2026-08-01 ↗
owners · 2026-08-01/2026-08-31 · 295,083 national rows
Source metadata

Provider Information ↗
providers · 2026-08-01 · 14,690 national rows
Source metadata

Nursing Home Data Collection Intervals ↗
intervals · 2026-08-01 · 47 national rows
Source metadata

Penalties ↗
penalties · 2026-08-01 · 15,696 national rows
Source metadata

CMS quality-data dictionary ↗

Full reporting intervals:

  • Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF: 2022-10-01 — 2024-09-30
  • Rate of successful return to home or community from a SNF: 2022-10-01 — 2024-09-30
  • Medicare spending per beneficiary (MSPB) for residents in SNFs: 2022-10-01 — 2024-09-30
  • Percentage of SNF residents whose medications were reviewed and who received follow-up care when medication issues were identified: 2024-10-01 — 2025-09-30
  • Percentage of SNF residents who experience one or more falls with major injury during their SNF stay: 2024-10-01 — 2025-09-30
  • Percentage of SNF residents who achieve or exceed a self-care ability expected for their condition at discharge: 2024-10-01 — 2025-09-30
  • Percentage of SNF residents who achieve or exceed the level of movement expected for their condition at discharge: 2024-10-01 — 2025-09-30
  • Percentage of residents with pressure ulcers/injuries that are new or worsened: 2024-10-01 — 2025-09-30
  • Rate of healthcare associated infections acquired during the SNF stay that resulted in hospitalization: 2023-10-01 — 2024-09-30
  • Percentage of SNF healthcare personnel who are up to date with their COVID-19 vaccines: 2025-07-01 — 2025-09-30
  • Percentage of healthcare personnel who got a flu shot for the current season: 2024-10-01 — 2025-03-31
  • Percentage of SNF residents who are at or above an expected ability to care for themselves and move around at discharge: 2024-10-01 — 2025-09-30
  • Percentage of residents where the SNF provided a current medication list to the next healthcare setting: 2024-10-01 — 2025-09-30
  • Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge: 2024-10-01 — 2025-09-30
  • Percentage of SNF residents who are up to date with their COVID-19 vaccines: 2025-07-01 — 2025-09-30
  • Percentage of long-stay residents whose need for help with daily activities has increased: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents who lose too much weight: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents with a catheter inserted and left in their bladder: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents with a urinary tract infection: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents who have depressive symptoms: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents who were physically restrained: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents experiencing one or more falls with major injury: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine: 2025-04-01 — 2026-03-31
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine: 2025-01-01 — 2026-03-31
  • Percentage of short-stay residents who newly received an antipsychotic medication: 2025-01-01 — 2026-03-31
  • Percentage of long-stay residents whose ability to walk independently worsened: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine: 2024-07-01 — 2025-06-30
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine: 2024-07-01 — 2025-06-30
  • Percentage of long-stay residents with pressure ulcers: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents with new or worsened bowel or bladder incontinence: 2025-04-01 — 2026-03-31
  • Percentage of long-stay residents who received an antipsychotic medication: 2025-04-01 — 2026-03-31
  • Percentage of short-stay residents who were rehospitalized after a nursing home admission: 2025-01-01 — 2025-12-31
  • Percentage of short-stay residents who had an outpatient emergency department visit: 2025-01-01 — 2025-12-31
  • Number of hospitalizations per 1000 long-stay resident days: 2025-01-01 — 2025-12-31
  • Number of outpatient emergency department visits per 1000 long-stay resident days: 2025-01-01 — 2025-12-31
  • Most recent 12 month period for deficiencies cited on fire safety inspection complaint surveys: 2025-08-01 — 2026-07-31
  • Most recent 12 month period for deficiencies cited on health inspection complaint surveys: 2025-08-01 — 2026-07-31
  • Most recent 12 month period for deficiencies cited on infection control surveys: 2025-08-01 — 2026-07-31
  • First prior 12 month period for deficiencies cited on fire safety inspection complaint surveys: 2024-08-01 — 2025-07-31
  • First prior 12 month period for deficiencies cited on health inspection complaint surveys: 2024-08-01 — 2025-07-31
  • First prior 12 month period for deficiencies cited on infection control surveys: 2024-08-01 — 2025-07-31
  • Second prior 12 month period for deficiencies cited on fire safety inspection complaint surveys: 2023-08-01 — 2024-07-31
  • Second prior 12 month period for deficiencies cited on health inspection complaint surveys: 2023-08-01 — 2024-07-31
  • Second prior 12 month period for deficiencies cited on infection control surveys: 2023-08-01 — 2024-07-31
  • Reporting Period for Nursing Home Staffing Level Measures: 2026-01-01 — 2026-03-31
  • Reporting Period for Nursing Home Staff Turnover Measures: 2025-01-01 — 2025-12-31
Structured public records, no AI ownership guesses. Missing and unjoined records remain visible. This explorer is not a recommendation of a care facility or proof of causation.