Nursing Home Fines by State (2026)
Medicare (CMS) data list 12,638 fines totaling $445.7 million against U.S. nursing homes over about the last three years. 6,468 of 14,686 homes (44.0%) were fined at least once. Illinois has the highest total ($72.6 million); among states with at least 10 homes, the share of homes fined runs from 15.6% in Alabama to 75.0% in South Dakota.
Source: Centers for Medicare & Medicaid Services (CMS), Nursing Homes, “Provider Information”. Data updated October 1, 2026.
Ten highest values
Total finesThe full table below is the text version of this chart. It shows the highest values only; it does not say which places are better or worse.
All states and territories
53 rows| State | Nursing homes | Homes with a fine | Share with a fine | Number of fines | Total fines | Fines per home |
|---|---|---|---|---|---|---|
| Alabama | 224 | 35 | 15.6% | 65 | $3,001,030 | $13,397 |
| Alaska | 20 | 5 | 25.0% | 11 | $531,436 | $26,572 |
| Arizona | 140 | 40 | 28.6% | 63 | $1,266,252 | $9,045 |
| Arkansas | 222 | 73 | 32.9% | 101 | $1,905,162 | $8,582 |
| California | 1,165 | 452 | 38.8% | 886 | $27,221,500 | $23,366 |
| Colorado | 210 | 122 | 58.1% | 235 | $4,557,545 | $21,703 |
| Connecticut | 191 | 108 | 56.5% | 178 | $4,344,851 | $22,748 |
| Delaware | 44 | 32 | 72.7% | 67 | $2,664,318 | $60,553 |
| District of Columbia | 16 | 11 | 68.8% | 21 | $1,192,013 | $74,501 |
| Florida | 694 | 259 | 37.3% | 552 | $16,267,981 | $23,441 |
| Georgia | 356 | 116 | 32.6% | 199 | $4,382,061 | $12,309 |
| Guam | 1 | 1 | 100.0% | 1 | $13,247 | $13,247 |
| Hawaii | 43 | 21 | 48.8% | 32 | $815,818 | $18,973 |
| Idaho | 80 | 27 | 33.8% | 39 | $1,015,042 | $12,688 |
| Illinois | 664 | 462 | 69.6% | 1,459 | $72,560,500 | $109,278 |
| Indiana | 507 | 91 | 17.9% | 125 | $4,144,388 | $8,174 |
| Iowa | 387 | 144 | 37.2% | 224 | $7,277,157 | $18,804 |
| Kansas | 296 | 144 | 48.6% | 309 | $5,949,727 | $20,100 |
| Kentucky | 266 | 90 | 33.8% | 179 | $3,614,502 | $13,588 |
| Louisiana | 265 | 129 | 48.7% | 221 | $12,122,553 | $45,745 |
| Maine | 78 | 28 | 35.9% | 34 | $617,553 | $7,917 |
| Maryland | 221 | 89 | 40.3% | 144 | $4,863,239 | $22,006 |
| Massachusetts | 341 | 153 | 44.9% | 241 | $11,263,063 | $33,030 |
| Michigan | 422 | 155 | 36.7% | 263 | $11,984,871 | $28,400 |
| Minnesota | 337 | 142 | 42.1% | 250 | $8,276,880 | $24,560 |
| Mississippi | 202 | 109 | 54.0% | 230 | $3,225,507 | $15,968 |
| Missouri | 486 | 199 | 40.9% | 381 | $17,871,997 | $36,774 |
| Montana | 61 | 44 | 72.1% | 96 | $3,451,111 | $56,576 |
| Nebraska | 180 | 46 | 25.6% | 77 | $2,296,984 | $12,761 |
| Nevada | 66 | 26 | 39.4% | 34 | $924,327 | $14,005 |
| New Hampshire | 73 | 24 | 32.9% | 36 | $559,732 | $7,668 |
| New Jersey | 348 | 139 | 39.9% | 240 | $11,918,327 | $34,248 |
| New Mexico | 68 | 42 | 61.8% | 88 | $3,324,358 | $48,888 |
| New York | 592 | 187 | 31.6% | 306 | $13,965,084 | $23,590 |
| North Carolina | 419 | 234 | 55.8% | 483 | $15,339,295 | $36,609 |
| North Dakota | 72 | 44 | 61.1% | 75 | $1,953,409 | $27,131 |
| Ohio | 924 | 297 | 32.1% | 522 | $23,745,708 | $25,699 |
| Oklahoma | 283 | 144 | 50.9% | 231 | $5,049,467 | $17,843 |
| Oregon | 128 | 63 | 49.2% | 98 | $3,282,332 | $25,643 |
| Pennsylvania | 656 | 296 | 45.1% | 548 | $17,560,235 | $26,769 |
| Puerto Rico | 9 | 3 | 33.3% | 3 | $82,157 | $9,129 |
| Rhode Island | 72 | 52 | 72.2% | 151 | $4,273,833 | $59,359 |
| South Carolina | 187 | 97 | 51.9% | 199 | $2,757,613 | $14,747 |
| South Dakota | 96 | 72 | 75.0% | 180 | $3,918,964 | $40,823 |
| Tennessee | 303 | 102 | 33.7% | 143 | $6,261,404 | $20,665 |
| Texas | 1,177 | 795 | 67.5% | 1,678 | $50,596,177 | $42,987 |
| Utah | 97 | 48 | 49.5% | 80 | $2,312,804 | $23,843 |
| Vermont | 33 | 24 | 72.7% | 41 | $2,902,535 | $87,956 |
| Virginia | 289 | 110 | 38.1% | 158 | $6,778,509 | $23,455 |
| Washington | 193 | 113 | 58.5% | 219 | $9,330,575 | $48,345 |
| West Virginia | 123 | 65 | 52.8% | 100 | $3,609,028 | $29,342 |
| Wisconsin | 323 | 137 | 42.4% | 296 | $15,593,802 | $48,278 |
| Wyoming | 36 | 27 | 75.0% | 46 | $1,000,516 | $27,792 |
| United States | 14,686 | 6,468 | 44.0% | 12,638 | $445,738,479 | $30,351 |
Territories appear when the source lists at least one provider there. An empty cell means the source has no value to calculate it from, not zero.
How we calculated this
For every nursing home in the CMS Provider Information file we take two fields CMS publishes: the number of fines and the total amount of fines in dollars over about the last three years. A state's row adds them up over its homes; "fines per home" is the state total divided by all of the state's homes, which is how CMS computes its own state averages (our national figure is $30,351 per home; CMS's published national average is $30,351).
Fines and counts are from the CMS Provider Information file, which covers about the last three years of inspections and complaints. States run their own inspection programs and differ in how often and how strictly they cite homes, so a state with higher totals is not necessarily one with worse care.
Data sources and dates
- Centers for Medicare & Medicaid Services (CMS), Nursing Homes: “Provider Information”, updated October 1, 2026.
Limits of the data
Fines are proposed or imposed by federal and state regulators and can be reduced or settled later; the file shows the amounts CMS has on record. Chains and large states have more homes, so compare the per-home column and the share fined, not only totals.
Every figure is a count, sum or average of values in the official files above; none is estimated. Read the about page for how this site works and data freshness for when each source was last refreshed.
Download and cite
Download the table as CSV One row per row of the table, English column names, no totals row.
Cite this page
US Patient Guide. “Nursing Home Fines by State (2026).” Computed from Centers for Medicare & Medicaid Services (CMS), Nursing Homes, “Provider Information” (data updated October 1, 2026). https://uspatientguide.com/statistics/nursing-home-fines-by-state/
See the providers in each state
Common questions
How much have US nursing homes been fined?
$445.7 million in 12,638 fines over about the last three years, in the CMS file updated October 1, 2026.
What share of nursing homes were fined?
44.0% (6,468 of 14,686).
Which state has the highest nursing home fines?
Illinois, with $72.6 million in total.