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LTCCC Alert: New Report Finds One in Six U.S. Nursing Homes is a "Problem Facility"

September 30, 2021 – The Long Term Care Community Coalition (LTCCC) regularly publishes data on key indicators relevant to nursing home care. Today, LTCCC is releasing a new report containing federal data on five-star ratings, ownership type, enforcement, and other important information for all 15,000 U.S. nursing homes. The report features a page dedicated to “Problem Facilities”: poor performing nursing homes that are in the federal Special Focus Facility (SFF) Program, SFF Candidates, or assigned a one-star overall rating.

In the report, users can access national datasets and state files that can be sorted and filtered to identify nursing homes in a location and/or category (i.e., for-profit nursing homes in Suffolk County). User-friendly files can be downloaded from NursingHome411’s new clickable maps.

How to use this report:

• Residents and their loved ones can view a nursing home’s federal ratings (overall, staffing, health inspection, etc.) or identify whether a facility has a resident council or family council.

• Journalists and researchers can review a nursing home’s health deficiencies to determine whether an incident is part of a pattern or compare performance indicators for nursing homes with different characteristics (i.e., ownership type, location).

• Ombudsmen can use the slicer and filter features to evaluate nursing homes in a city or county.

• Legislators can access state, region, and nationwide data on average star ratings and more.


Key findings:

• One in six U.S. nursing homes (16.5%) is a Problem Facility, including SFFs (0.6%), SFF Candidates (2.9%), and One-Star nursing homes (13.1%, excluding SFF Candidates).

• Average overall ratings vary significantly by state, from 2.48 (Louisiana) to 4.02 (Hawaii).

• More than 70% of U.S. nursing homes are for-profit. Among Problem Facilities, 86% are for-profit.


Want more data?

Visit the NursingHome411 Data Center for information about staffing, ratings, and more. For fact sheets and other resources to support resident-centered advocacy, visit the Learning Center.


One more thing... LTCCC is excited to honor New York State Attorney General Letitia James at our 12th Annual Reception on Tuesday, November 9 (6-7:30pm ET). Kristine, please support LTCCC's advocacy for nursing home residents by joining us virtually as we recognize Attorney General James’ leadership in protecting vulnerable New Yorkers and their families.


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