{
 "site": "hudskillednursing.loan",
 "license": "CC-BY-4.0",
 "attribution": "Data: SNF Register (hudskillednursing.loan)",
 "generated_from": "2026-10-24",
 "datasets": [
  {
   "name": "snf-facilities",
   "title": "CMS-certified nursing homes: ratings, staffing, owners, changes of ownership and matched HUD 232 loan",
   "rows": 14690,
   "as_of": "2026-09-01",
   "source": "CMS Provider Information, Nursing Home Ownership, SNF All Owners, SNF Enrollments, SNF Change of Ownership; HUD FHA healthcare endorsements and insured-mortgage files",
   "source_url": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
   "key": "ccn",
   "watch": [
    "legal_name",
    "owners_direct",
    "owners_indirect",
    "operators",
    "mortgage_security_interest",
    "pe_owners",
    "reit_owners",
    "chain",
    "chow_count",
    "latest_chow_date",
    "star_overall",
    "special_focus",
    "hud_loan_status",
    "hud_fha_number",
    "hud_rate",
    "hud_upb",
    "hud_servicer"
   ],
   "record_prefix": "facility",
   "columns": [
    {
     "name": "ccn",
     "description": "CMS certification number (six characters, keep as text). The key."
    },
    {
     "name": "name",
     "description": "Provider name as CMS publishes it."
    },
    {
     "name": "legal_name",
     "description": "Legal business name of the licensed operator."
    },
    {
     "name": "address",
     "description": "Street address."
    },
    {
     "name": "city",
     "description": "City."
    },
    {
     "name": "state",
     "description": "Two-letter state."
    },
    {
     "name": "zip",
     "description": "ZIP code (text)."
    },
    {
     "name": "county",
     "description": "County."
    },
    {
     "name": "ownership_type",
     "description": "CMS ownership type, e.g. For profit - Corporation."
    },
    {
     "name": "certified_beds",
     "description": "Number of certified beds."
    },
    {
     "name": "avg_residents",
     "description": "Average residents per day."
    },
    {
     "name": "occupancy_pct",
     "description": "Average residents divided by certified beds, percent."
    },
    {
     "name": "provider_type",
     "description": "Medicare, Medicaid or both."
    },
    {
     "name": "in_hospital",
     "description": "Located inside a hospital (true/false)."
    },
    {
     "name": "ccrc",
     "description": "Part of a continuing care retirement community (true/false)."
    },
    {
     "name": "certified_since",
     "description": "Date first certified for Medicare or Medicaid."
    },
    {
     "name": "chain",
     "description": "Chain or affiliated entity CMS names, if any."
    },
    {
     "name": "chain_id",
     "description": "CMS chain ID."
    },
    {
     "name": "chain_facilities",
     "description": "Facilities in that chain."
    },
    {
     "name": "star_overall",
     "description": "CMS overall rating, 1 to 5."
    },
    {
     "name": "star_health",
     "description": "Health inspection rating."
    },
    {
     "name": "star_quality",
     "description": "Quality measures rating."
    },
    {
     "name": "star_staffing",
     "description": "Staffing rating."
    },
    {
     "name": "special_focus",
     "description": "SFF or SFF Candidate, blank if neither."
    },
    {
     "name": "abuse_icon",
     "description": "CMS abuse icon (true/false)."
    },
    {
     "name": "nurse_hprd",
     "description": "Total nurse staffing hours per resident per day (PBJ)."
    },
    {
     "name": "rn_hprd",
     "description": "RN hours per resident per day."
    },
    {
     "name": "weekend_nurse_hprd",
     "description": "Weekend total nurse hours per resident per day."
    },
    {
     "name": "nurse_turnover_pct",
     "description": "Total nursing staff turnover, percent."
    },
    {
     "name": "rn_turnover_pct",
     "description": "RN turnover, percent."
    },
    {
     "name": "administrator_departures",
     "description": "Administrators who left in the CMS period."
    },
    {
     "name": "fines_count",
     "description": "Fines CMS reports."
    },
    {
     "name": "fines_total_usd",
     "description": "Total of those fines, dollars."
    },
    {
     "name": "payment_denials",
     "description": "Payment denials CMS reports."
    },
    {
     "name": "last_survey",
     "description": "Date of the latest standard health survey."
    },
    {
     "name": "health_deficiencies",
     "description": "Health deficiencies cited on that survey."
    },
    {
     "name": "owners_direct",
     "description": "Direct owners with 5% or more (name and share), semicolon-separated."
    },
    {
     "name": "owners_indirect",
     "description": "Indirect owners with 5% or more, semicolon-separated."
    },
    {
     "name": "operators",
     "description": "People and organizations with operational or managerial control."
    },
    {
     "name": "mortgage_security_interest",
     "description": "Holders of a 5%+ mortgage or security interest reported to CMS."
    },
    {
     "name": "pe_owners",
     "description": "Owners the facility flagged as private equity in its Medicare enrollment."
    },
    {
     "name": "reit_owners",
     "description": "Owners flagged as a REIT in its Medicare enrollment."
    },
    {
     "name": "chow_count",
     "description": "Changes of ownership in the CMS file (January 2016 on)."
    },
    {
     "name": "latest_chow_date",
     "description": "Effective date of the most recent change of ownership."
    },
    {
     "name": "latest_chow_buyer",
     "description": "Buyer in that change."
    },
    {
     "name": "latest_chow_seller",
     "description": "Seller in that change."
    },
    {
     "name": "hud_records",
     "description": "HUD Section 232/242 records matched to this facility (fiscal 2001 on)."
    },
    {
     "name": "hud_loan_status",
     "description": "active, terminated, unknown, or none."
    },
    {
     "name": "hud_fha_number",
     "description": "FHA project number of the active loan (or the latest record)."
    },
    {
     "name": "hud_program",
     "description": "HUD program of that loan."
    },
    {
     "name": "hud_endorsed",
     "description": "Endorsement date of that loan."
    },
    {
     "name": "hud_original_amount",
     "description": "Original insured amount, dollars."
    },
    {
     "name": "hud_rate",
     "description": "Note rate of the active loan, percent."
    },
    {
     "name": "hud_upb",
     "description": "Unpaid principal balance of the active loan, dollars."
    },
    {
     "name": "hud_monthly_pi",
     "description": "Monthly principal and interest, dollars."
    },
    {
     "name": "hud_maturity",
     "description": "Maturity date of the active loan."
    },
    {
     "name": "hud_servicer",
     "description": "Servicer of the active loan."
    }
   ],
   "file_csv": "snf-facilities-2026-09-01.csv",
   "split": "state",
   "parts": [
    {
     "state": "AK",
     "file_csv": "snf-facilities-2026-09-01-ak.csv",
     "file_json": "snf-facilities-2026-09-01-ak.json",
     "rows": 20
    },
    {
     "state": "AL",
     "file_csv": "snf-facilities-2026-09-01-al.csv",
     "file_json": "snf-facilities-2026-09-01-al.json",
     "rows": 224
    },
    {
     "state": "AR",
     "file_csv": "snf-facilities-2026-09-01-ar.csv",
     "file_json": "snf-facilities-2026-09-01-ar.json",
     "rows": 221
    },
    {
     "state": "AZ",
     "file_csv": "snf-facilities-2026-09-01-az.csv",
     "file_json": "snf-facilities-2026-09-01-az.json",
     "rows": 140
    },
    {
     "state": "CA",
     "file_csv": "snf-facilities-2026-09-01-ca.csv",
     "file_json": "snf-facilities-2026-09-01-ca.json",
     "rows": 1165
    },
    {
     "state": "CO",
     "file_csv": "snf-facilities-2026-09-01-co.csv",
     "file_json": "snf-facilities-2026-09-01-co.json",
     "rows": 210
    },
    {
     "state": "CT",
     "file_csv": "snf-facilities-2026-09-01-ct.csv",
     "file_json": "snf-facilities-2026-09-01-ct.json",
     "rows": 191
    },
    {
     "state": "DC",
     "file_csv": "snf-facilities-2026-09-01-dc.csv",
     "file_json": "snf-facilities-2026-09-01-dc.json",
     "rows": 17
    },
    {
     "state": "DE",
     "file_csv": "snf-facilities-2026-09-01-de.csv",
     "file_json": "snf-facilities-2026-09-01-de.json",
     "rows": 44
    },
    {
     "state": "FL",
     "file_csv": "snf-facilities-2026-09-01-fl.csv",
     "file_json": "snf-facilities-2026-09-01-fl.json",
     "rows": 694
    },
    {
     "state": "GA",
     "file_csv": "snf-facilities-2026-09-01-ga.csv",
     "file_json": "snf-facilities-2026-09-01-ga.json",
     "rows": 356
    },
    {
     "state": "GU",
     "file_csv": "snf-facilities-2026-09-01-gu.csv",
     "file_json": "snf-facilities-2026-09-01-gu.json",
     "rows": 1
    },
    {
     "state": "HI",
     "file_csv": "snf-facilities-2026-09-01-hi.csv",
     "file_json": "snf-facilities-2026-09-01-hi.json",
     "rows": 43
    },
    {
     "state": "IA",
     "file_csv": "snf-facilities-2026-09-01-ia.csv",
     "file_json": "snf-facilities-2026-09-01-ia.json",
     "rows": 387
    },
    {
     "state": "ID",
     "file_csv": "snf-facilities-2026-09-01-id.csv",
     "file_json": "snf-facilities-2026-09-01-id.json",
     "rows": 80
    },
    {
     "state": "IL",
     "file_csv": "snf-facilities-2026-09-01-il.csv",
     "file_json": "snf-facilities-2026-09-01-il.json",
     "rows": 666
    },
    {
     "state": "IN",
     "file_csv": "snf-facilities-2026-09-01-in.csv",
     "file_json": "snf-facilities-2026-09-01-in.json",
     "rows": 507
    },
    {
     "state": "KS",
     "file_csv": "snf-facilities-2026-09-01-ks.csv",
     "file_json": "snf-facilities-2026-09-01-ks.json",
     "rows": 296
    },
    {
     "state": "KY",
     "file_csv": "snf-facilities-2026-09-01-ky.csv",
     "file_json": "snf-facilities-2026-09-01-ky.json",
     "rows": 267
    },
    {
     "state": "LA",
     "file_csv": "snf-facilities-2026-09-01-la.csv",
     "file_json": "snf-facilities-2026-09-01-la.json",
     "rows": 265
    },
    {
     "state": "MA",
     "file_csv": "snf-facilities-2026-09-01-ma.csv",
     "file_json": "snf-facilities-2026-09-01-ma.json",
     "rows": 341
    },
    {
     "state": "MD",
     "file_csv": "snf-facilities-2026-09-01-md.csv",
     "file_json": "snf-facilities-2026-09-01-md.json",
     "rows": 221
    },
    {
     "state": "ME",
     "file_csv": "snf-facilities-2026-09-01-me.csv",
     "file_json": "snf-facilities-2026-09-01-me.json",
     "rows": 78
    },
    {
     "state": "MI",
     "file_csv": "snf-facilities-2026-09-01-mi.csv",
     "file_json": "snf-facilities-2026-09-01-mi.json",
     "rows": 422
    },
    {
     "state": "MN",
     "file_csv": "snf-facilities-2026-09-01-mn.csv",
     "file_json": "snf-facilities-2026-09-01-mn.json",
     "rows": 338
    },
    {
     "state": "MO",
     "file_csv": "snf-facilities-2026-09-01-mo.csv",
     "file_json": "snf-facilities-2026-09-01-mo.json",
     "rows": 487
    },
    {
     "state": "MS",
     "file_csv": "snf-facilities-2026-09-01-ms.csv",
     "file_json": "snf-facilities-2026-09-01-ms.json",
     "rows": 202
    },
    {
     "state": "MT",
     "file_csv": "snf-facilities-2026-09-01-mt.csv",
     "file_json": "snf-facilities-2026-09-01-mt.json",
     "rows": 61
    },
    {
     "state": "NC",
     "file_csv": "snf-facilities-2026-09-01-nc.csv",
     "file_json": "snf-facilities-2026-09-01-nc.json",
     "rows": 419
    },
    {
     "state": "ND",
     "file_csv": "snf-facilities-2026-09-01-nd.csv",
     "file_json": "snf-facilities-2026-09-01-nd.json",
     "rows": 72
    },
    {
     "state": "NE",
     "file_csv": "snf-facilities-2026-09-01-ne.csv",
     "file_json": "snf-facilities-2026-09-01-ne.json",
     "rows": 180
    },
    {
     "state": "NH",
     "file_csv": "snf-facilities-2026-09-01-nh.csv",
     "file_json": "snf-facilities-2026-09-01-nh.json",
     "rows": 73
    },
    {
     "state": "NJ",
     "file_csv": "snf-facilities-2026-09-01-nj.csv",
     "file_json": "snf-facilities-2026-09-01-nj.json",
     "rows": 348
    },
    {
     "state": "NM",
     "file_csv": "snf-facilities-2026-09-01-nm.csv",
     "file_json": "snf-facilities-2026-09-01-nm.json",
     "rows": 68
    },
    {
     "state": "NV",
     "file_csv": "snf-facilities-2026-09-01-nv.csv",
     "file_json": "snf-facilities-2026-09-01-nv.json",
     "rows": 66
    },
    {
     "state": "NY",
     "file_csv": "snf-facilities-2026-09-01-ny.csv",
     "file_json": "snf-facilities-2026-09-01-ny.json",
     "rows": 593
    },
    {
     "state": "OH",
     "file_csv": "snf-facilities-2026-09-01-oh.csv",
     "file_json": "snf-facilities-2026-09-01-oh.json",
     "rows": 922
    },
    {
     "state": "OK",
     "file_csv": "snf-facilities-2026-09-01-ok.csv",
     "file_json": "snf-facilities-2026-09-01-ok.json",
     "rows": 283
    },
    {
     "state": "OR",
     "file_csv": "snf-facilities-2026-09-01-or.csv",
     "file_json": "snf-facilities-2026-09-01-or.json",
     "rows": 128
    },
    {
     "state": "PA",
     "file_csv": "snf-facilities-2026-09-01-pa.csv",
     "file_json": "snf-facilities-2026-09-01-pa.json",
     "rows": 656
    },
    {
     "state": "PR",
     "file_csv": "snf-facilities-2026-09-01-pr.csv",
     "file_json": "snf-facilities-2026-09-01-pr.json",
     "rows": 9
    },
    {
     "state": "RI",
     "file_csv": "snf-facilities-2026-09-01-ri.csv",
     "file_json": "snf-facilities-2026-09-01-ri.json",
     "rows": 72
    },
    {
     "state": "SC",
     "file_csv": "snf-facilities-2026-09-01-sc.csv",
     "file_json": "snf-facilities-2026-09-01-sc.json",
     "rows": 187
    },
    {
     "state": "SD",
     "file_csv": "snf-facilities-2026-09-01-sd.csv",
     "file_json": "snf-facilities-2026-09-01-sd.json",
     "rows": 96
    },
    {
     "state": "TN",
     "file_csv": "snf-facilities-2026-09-01-tn.csv",
     "file_json": "snf-facilities-2026-09-01-tn.json",
     "rows": 303
    },
    {
     "state": "TX",
     "file_csv": "snf-facilities-2026-09-01-tx.csv",
     "file_json": "snf-facilities-2026-09-01-tx.json",
     "rows": 1177
    },
    {
     "state": "UT",
     "file_csv": "snf-facilities-2026-09-01-ut.csv",
     "file_json": "snf-facilities-2026-09-01-ut.json",
     "rows": 97
    },
    {
     "state": "VA",
     "file_csv": "snf-facilities-2026-09-01-va.csv",
     "file_json": "snf-facilities-2026-09-01-va.json",
     "rows": 289
    },
    {
     "state": "VT",
     "file_csv": "snf-facilities-2026-09-01-vt.csv",
     "file_json": "snf-facilities-2026-09-01-vt.json",
     "rows": 33
    },
    {
     "state": "WA",
     "file_csv": "snf-facilities-2026-09-01-wa.csv",
     "file_json": "snf-facilities-2026-09-01-wa.json",
     "rows": 193
    },
    {
     "state": "WI",
     "file_csv": "snf-facilities-2026-09-01-wi.csv",
     "file_json": "snf-facilities-2026-09-01-wi.json",
     "rows": 323
    },
    {
     "state": "WV",
     "file_csv": "snf-facilities-2026-09-01-wv.csv",
     "file_json": "snf-facilities-2026-09-01-wv.json",
     "rows": 123
    },
    {
     "state": "WY",
     "file_csv": "snf-facilities-2026-09-01-wy.csv",
     "file_json": "snf-facilities-2026-09-01-wy.json",
     "rows": 36
    }
   ],
   "file_json": [
    "snf-facilities-2026-09-01-ak.json",
    "snf-facilities-2026-09-01-al.json",
    "snf-facilities-2026-09-01-ar.json",
    "snf-facilities-2026-09-01-az.json",
    "snf-facilities-2026-09-01-ca.json",
    "snf-facilities-2026-09-01-co.json",
    "snf-facilities-2026-09-01-ct.json",
    "snf-facilities-2026-09-01-dc.json",
    "snf-facilities-2026-09-01-de.json",
    "snf-facilities-2026-09-01-fl.json",
    "snf-facilities-2026-09-01-ga.json",
    "snf-facilities-2026-09-01-gu.json",
    "snf-facilities-2026-09-01-hi.json",
    "snf-facilities-2026-09-01-ia.json",
    "snf-facilities-2026-09-01-id.json",
    "snf-facilities-2026-09-01-il.json",
    "snf-facilities-2026-09-01-in.json",
    "snf-facilities-2026-09-01-ks.json",
    "snf-facilities-2026-09-01-ky.json",
    "snf-facilities-2026-09-01-la.json",
    "snf-facilities-2026-09-01-ma.json",
    "snf-facilities-2026-09-01-md.json",
    "snf-facilities-2026-09-01-me.json",
    "snf-facilities-2026-09-01-mi.json",
    "snf-facilities-2026-09-01-mn.json",
    "snf-facilities-2026-09-01-mo.json",
    "snf-facilities-2026-09-01-ms.json",
    "snf-facilities-2026-09-01-mt.json",
    "snf-facilities-2026-09-01-nc.json",
    "snf-facilities-2026-09-01-nd.json",
    "snf-facilities-2026-09-01-ne.json",
    "snf-facilities-2026-09-01-nh.json",
    "snf-facilities-2026-09-01-nj.json",
    "snf-facilities-2026-09-01-nm.json",
    "snf-facilities-2026-09-01-nv.json",
    "snf-facilities-2026-09-01-ny.json",
    "snf-facilities-2026-09-01-oh.json",
    "snf-facilities-2026-09-01-ok.json",
    "snf-facilities-2026-09-01-or.json",
    "snf-facilities-2026-09-01-pa.json",
    "snf-facilities-2026-09-01-pr.json",
    "snf-facilities-2026-09-01-ri.json",
    "snf-facilities-2026-09-01-sc.json",
    "snf-facilities-2026-09-01-sd.json",
    "snf-facilities-2026-09-01-tn.json",
    "snf-facilities-2026-09-01-tx.json",
    "snf-facilities-2026-09-01-ut.json",
    "snf-facilities-2026-09-01-va.json",
    "snf-facilities-2026-09-01-vt.json",
    "snf-facilities-2026-09-01-wa.json",
    "snf-facilities-2026-09-01-wi.json",
    "snf-facilities-2026-09-01-wv.json",
    "snf-facilities-2026-09-01-wy.json"
   ],
   "bytes_csv": 7179488
  },
  {
   "name": "hud-232-loans",
   "title": "HUD Section 232 nursing home loans matched to a CMS facility, with active-loan rate, balance and maturity",
   "file_csv": "hud-232-loans-2026-09-30.csv",
   "file_json": "hud-232-loans-2026-09-30.json",
   "rows": 3308,
   "as_of": "2026-09-30",
   "source": "HUD Office of Healthcare Programs endorsement database; HUD FHA insured mortgages, active and terminated",
   "source_url": "https://www.hud.gov/hud-partners/multifamily-fhasl-active",
   "key": "fha",
   "watch": [
    "status",
    "upb",
    "rate",
    "servicer",
    "holder",
    "terminated",
    "termination_type"
   ],
   "record_prefix": "loan",
   "columns": [
    {
     "name": "fha",
     "description": "FHA project number. The key."
    },
    {
     "name": "ccn",
     "description": "CMS certification number of the facility it matched."
    },
    {
     "name": "facility_name",
     "description": "CMS provider name of that facility."
    },
    {
     "name": "state",
     "description": "State."
    },
    {
     "name": "city",
     "description": "City."
    },
    {
     "name": "hud_project_name",
     "description": "Project name as HUD's file writes it."
    },
    {
     "name": "program",
     "description": "HUD program at endorsement."
    },
    {
     "name": "facility_type",
     "description": "HUD facility type."
    },
    {
     "name": "endorsed",
     "description": "Initial endorsement date."
    },
    {
     "name": "fiscal_year",
     "description": "HUD fiscal year of endorsement."
    },
    {
     "name": "original_amount",
     "description": "Insured amount at endorsement, dollars."
    },
    {
     "name": "lender_at_endorsement",
     "description": "Lender named at endorsement."
    },
    {
     "name": "hud_beds",
     "description": "Beds in HUD's record."
    },
    {
     "name": "match_score",
     "description": "Name-match score from the site's matcher (higher is closer)."
    },
    {
     "name": "status",
     "description": "active, terminated, or unknown (in neither HUD mortgage file)."
    },
    {
     "name": "rate",
     "description": "Note rate, percent (active loans)."
    },
    {
     "name": "upb",
     "description": "Unpaid principal balance, dollars (active)."
    },
    {
     "name": "monthly_pi",
     "description": "Monthly principal and interest, dollars (active)."
    },
    {
     "name": "maturity",
     "description": "Maturity date (active)."
    },
    {
     "name": "term_months",
     "description": "Loan term in months (active)."
    },
    {
     "name": "holder",
     "description": "Holder (active)."
    },
    {
     "name": "servicer",
     "description": "Servicer (active)."
    },
    {
     "name": "terminated",
     "description": "Termination date (terminated loans)."
    },
    {
     "name": "termination_type",
     "description": "How it ended, e.g. Prepayment."
    }
   ],
   "bytes_csv": 1031464,
   "bytes_json": 2142156,
   "refreshed": "factory-data D1"
  }
 ]
}