Nursing Home Deficiency Rankings

A deficiency is a specific F-tag citation written by state surveyors during the annual CMS standard survey under 42 CFR §483. Each citation maps to a scope-and-severity grid (A through L) that determines whether it is an isolated low-harm issue or a widespread immediate-jeopardy finding. The national average across Medicare-certified facilities is 9.2 deficiencies per survey cycle.

Standard deficiencies are found during routine scheduled inspections (the annual survey). Complaint deficiencies result from investigations triggered by formal complaints from residents, families, or staff. A high complaint count may indicate persistent issues that trigger formal reports between survey cycles.

Not necessarily. A high count can reflect genuinely poor care, but it can also result from an aggressive state survey team, a large bed count with more opportunities for citation, or a complaint spike in a single cycle. Always review the severity of individual citations (immediate jeopardy vs. minor paperwork), read the F-tag narratives in the CMS-2567 survey reports, and tour facilities in person.

CMS requires each Medicare-certified nursing home to undergo a standard survey at least once every 15 months, with an average interval of roughly 12 months. Complaint investigations can happen at any time and may trigger additional surveys between the standard cycle.

The national average deficiency score is 82. This score weights each deficiency by its scope and severity, providing a more nuanced view than raw counts alone. A higher score indicates more severe or widespread deficiencies.