Nursing Home Accountability

Nursing homes receive billions annually from Medicare and Medicaid, yet enforcement of quality standards remains uneven. This investigation cross-references CMS nursing home data (quality ratings, penalties, ownership, staffing) against federal campaign finance records and PPP loan data to map the political and financial footprint of nursing home operators.

Quality and Enforcement

CMS Care Compare data documents facility quality ratings, deficiency citations, and civil monetary penalties. Facilities with persistent low ratings and repeat penalties are flagged for further investigation. Total penalties across registered facilities: $480.1M.

Political Spending

Nursing home owners, operators, and parent organizations contributed $45K in documented federal campaign contributions. The pipeline matches facility names, owner names, and parent organization names against FEC individual contributions using multi-tier entity resolution.

PPP Loan Exposure

Nursing home entities received $650K in Paycheck Protection Program loans during 2020–2021. Cross-referencing PPP borrower records against CMS ownership data identifies the overlap between facilities collecting public healthcare payments and those receiving pandemic relief.

Ownership Chains

CMS ownership data documents the corporate structures behind nursing homes — including parent organizations, management companies, and individual owners with interests in multiple facilities. These ownership chains are cross-referenced against political spending and PPP records.

Downloads

• Nursing home political spending (CSV)
• Spending by entity role (CSV)

For newsrooms: contact editor@thepublicledgers.org for the full dataset.