[Research](/research) / NursingHomeDeficiencyPulse

# Nursing Home Inspection Deficiencies by State & Severity: 2026 statistics from 5,694 public records

**California leads with 927 of 5,694 records (16.3%), ahead of Texas with 718 (12.6%) (as of 2026-11-04; source: CMS Provider Data Catalog: Nursing Home Health Deficiencies).**

Data as of 2026-11-04 · Compiled by Zalwin from CMS Provider Data Catalog: Nursing Home Health Deficiencies Copy citation

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## Key findings

- Zalwin's NursingHomeDeficiencyPulse dataset holds 5,694 NursingHomeDeficiencyPulse records dated 2026-05-30 to 2026-09-23 (as of 2026-11-04; source: CMS Provider Data Catalog: Nursing Home Health Deficiencies). [#](#finding-1)
- California leads with 927 of 5,694 records (16.3%), ahead of Texas with 718 (12.6%) (as of 2026-11-04; source: CMS Provider Data Catalog: Nursing Home Health Deficiencies). [#](#finding-2)
- The most common highest scope/severity is Potential for more than minimal harm (D-F): 4,824 of 5,694 records (84.7%) (as of 2026-11-04; source: CMS Provider Data Catalog: Nursing Home Health Deficiencies). [#](#finding-3)
- Across 5,694 records with a stated amount, the total is 20,836 and the median is 2; the largest is 37 (Astoria Healthcare Center (SYLMAR, CA)) (as of 2026-11-04; source: CMS Provider Data Catalog: Nursing Home Health Deficiencies). [#](#finding-4)
- The top 10% of records by amount (569 of 5,694) account for 38.3% of the total (as of 2026-11-04; source: CMS Provider Data Catalog: Nursing Home Health Deficiencies). [#](#finding-5)
- In California, the leading highest scope/severity is Potential for more than minimal harm (D-F) with 878 of 927 records (94.7%) (as of 2026-11-04; source: CMS Provider Data Catalog: Nursing Home Health Deficiencies). [#](#finding-6)

## NursingHomeDeficiencyPulse records by state

| Group | Records | Share |
|---|---|---|
| California | 927 | 16.3% |
| Texas | 718 | 12.6% |
| Illinois | 437 | 7.7% |
| Pennsylvania | 400 | 7.0% |
| Ohio | 303 | 5.3% |
| Michigan | 166 | 2.9% |
| Minnesota | 165 | 2.9% |
| Missouri | 157 | 2.8% |
| Iowa | 145 | 2.5% |
| Florida | 132 | 2.3% |
| Indiana | 131 | 2.3% |
| New York | 131 | 2.3% |
| Wisconsin | 131 | 2.3% |
| Washington | 119 | 2.1% |
| North Carolina | 113 | 2.0% |

## NursingHomeDeficiencyPulse records by highest scope/severity

| Group | Records | Share |
|---|---|---|
| Potential for more than minimal harm (D-F) | 4,824 | 84.7% |
| Actual harm (G-I) | 584 | 10.3% |
| Immediate jeopardy (J-L) | 269 | 4.7% |
| Potential for minimal harm (A-C) | 17 | 0.3% |

## Methodology and data provenance

- Sample: 5,694 public records dated 2026-05-30 to 2026-09-23; illustrative samples excluded.

- Source: CMS Provider Data Catalog: Nursing Home Health Deficiencies. Refreshed automatically about every 168 hours; figures above are as of 2026-11-04.

- Shares are of all records in the dataset; totals and medians use only records with a stated amount.

- Organization-level data only. Informational; verify individual records at the official source.

### Cite this study

Zalwin Research, "NursingHomeDeficiencyPulse statistics" (data as of 2026-11-04), https://zalwin.com/research/nursinghomedeficiencypulse

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