CMS-published quality data for facility-based care.

STUDIES IN THIS DESK · 9

• May 2026

  Hospice Ownership Structure: For-Profit Dominance in a $22B Sector

  Ownership breakdown of 6,943 CMS-certified hospice providers: for-profit concentration at 77.8%, state distribution, and the CA/TX duopoly accounting for 52% of national hospice capacity.

  • CMS Care Compare
  • Hospice General Information
  6,160 records
• May 2026

  Nursing Home Financial Penalties & Enforcement Analysis 2026 — CMS 3-Year Dataset

  Three years of CMS enforcement actions (April 2023 – March 2026) against U.S. nursing homes — $467,344,898 in fines across 6,919 facilities, plus 2,553 payment denials (Medicare/Medicaid reimbursement suspensions). CMS enforcement data is published by CMS; this report cites it, it does not produce it.

  • CMS Care Compare
  • CMS NH Penalties
  6,919 records
• May 2026

  REAL Act MA Plan Compliance Leaderboard — Q2 2026

  Per-Medicare-Advantage-plan directory accuracy compliance scores under the REAL Act (ACA §1002 / 42 CFR §422.111). Completeness, currency, accuracy, and ghost-network risk scored from NPPES, CMS Care Compare, and PECOS cross-source data. Q2 2026 issuance.

  • CMS NPPES
  • CMS Care Compare
  • CMS PECOS
  0 recordsCSV ↓
• May 2026

  Provider Directory Accuracy Index — Q2 2026

  Cross-source field-level agreement between CMS NPPES, CMS Care Compare, and PECOS for every NPI present in ≥2 sources — aggregated to national, state, and specialty scope. Quarterly index; Q2 2026 issuance.

  • CMS NPPES
  • CMS Care Compare
  • CMS PECOS
  0 recordsCSV ↓
• May 2026

  Federal Data Gap on Nursing Home Ownership Won't Close — and Fonteum Maps What CMS Doesn't

  82.40% of CMS's top-10-chain ownership percentages are missing. The Trump administration suspended the mechanism that was supposed to close the gap. PE-owned nursing homes face 11% higher resident mortality and 10× greater bankruptcy risk.

  • CMS SNF All Owners
  • CMS Care Compare
  • Health Affairs
  14,699 records
• May 2026

  Hospice Provider Availability by State 2026 — CMS Care Compare State-Level Snapshot

  How Medicare-certified hospice provider count, ownership mix, and recent-certification share distribute across the United States — based on the CMS Care Compare Hospice General Information dataset (6,943 providers, snapshot May 2026). The Hospice General Information dataset does not publish an overall star rating; this report cites provider availability, not quality.

  • CMS Care Compare
  • Hospice General Information
  6,943 recordsCSV ↓
• May 2026

  Home Health Quality by State 2026 — CMS Care Compare State-Level Snapshot

  How CMS quality-of-patient-care star ratings and ownership mix distribute across U.S. Medicare-certified home health agencies — based on the CMS Care Compare Home Health Care Agencies dataset (12,392 agencies, snapshot May 2026). CMS ratings are published by CMS; this report cites them, it does not produce them.

  • CMS Care Compare
  • Home Health Compare
  12,392 recordsCSV ↓
• May 2026

  Dialysis Facility Quality by State 2026 — CMS Care Compare State-Level Snapshot

  How CMS five-star ratings, ownership mix, and chain affiliation distribute across U.S. dialysis facilities — based on the CMS Care Compare Dialysis Facility Listing dataset (7,557 Medicare-certified facilities, snapshot May 2026). CMS ratings are published by CMS; this report cites them, it does not produce them.

  • CMS Care Compare
  • Dialysis Facility Compare
  7,557 recordsCSV ↓
• May 2026

  Nursing Home Quality by State 2026 — CMS Care Compare State-Level Snapshot

  How CMS overall star ratings, ownership mix, and Special Focus Facility counts distribute across the 50 states + DC and territories — based on the CMS Care Compare Nursing Home Provider Information dataset (14,699 Medicare/Medicaid-certified facilities, snapshot May 2026). CMS ratings are published by CMS; this report cites them, it does not produce them.

  • CMS Care Compare
  • Nursing Home Compare
  14,699 recordsCSV ↓

See also

• /research → All desks, latest grid, dataset signal.
• /sources → The source library — every dataset Fonteum cites.
• /methodology → Network-wide sourcing, refresh cadence, corrections.