State Compliance Guides — Nursing Home Survey Data by State

Explore nursing home compliance data for all 50 states and the District of Columbia. Each state guide draws on official CMS Health Deficiency data to surface the most-cited F-Tags and deficiency categories, average deficiency rates, Immediate Jeopardy frequency, and survey-preparation tips tailored to that state's enforcement patterns.

Why Compliance Is a State-Level Game

Federal requirements are uniform, but enforcement is not. Each state's survey agency hires its own surveyors, sets its own complaint-investigation pace, and develops its own citation culture — which is why average deficiencies per survey range from under four in the most lenient states to over ten in the strictest. Some states cite infection control on nearly every survey; others concentrate on accident hazards or food safety. For a facility, this means the national most-cited list is only half the story: the tags your state's surveyors actually write are the ones your audit program should target first. For multi-state operators, it means the same clinical policy can produce very different survey outcomes across the portfolio, and building-level readiness plans should be tuned to each state's patterns.

Each state guide below breaks down that state's citation profile from official CMS data: the most-cited F-Tags and categories, severity mix, Immediate Jeopardy frequency, and how the state compares to national averages — along with links to every facility scorecard in the state.

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State Compliance Guides

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Official Sources

POCDesk analyzes official government data. Verify any facility's record or read the underlying regulations at these primary sources: