Nursing Home Leads — Ratings, Beds, Owners & Abuse Flags

Every Medicare/Medicaid certified nursing home in the US — 14,600+ facilities — as a qualified B2B list. One row per facility with the phone number, address, county, certified beds, average daily residents, occupancy %, ownership type, chain name and chain size, all five CMS star ratings, the abuse flag, special-focus status, whether it changed owner in the last 12 months, and optional health-deficiency counts.

No API key, no login, no proxy. Official CMS Provider Data Catalog.

What you can do with it

• 📞 Call the whole segment — every row carries a real phone number straight from CMS.
• 🎯 Sell to the right size — minBeds plus certified_beds and occupancy_pct tell you which facilities are big enough, and which are struggling to fill beds.
• 🔁 Catch new owners — recentOwnershipChangeOnly is the strongest buying signal in this sector: a new operator replaces vendors, software and staffing partners.
• 🩺 Find turnaround targets — set maxOverallRating: 2 for facilities under pressure, the usual list for staffing help, consultants and acquirers.
• 🏢 Chains vs independents — chainFilter matches how you actually sell: centrally to a 119-facility chain, or one independent at a time.
• ⚠️ Compliance & journalism — abuseFlaggedOnly, special_focus_status and deficiency counts with worst severity.

Input

Field	Type	Description
states	array	Two-letter state codes, e.g. ["TX","CA"]. Empty = all 14,600+ facilities.
minBeds	integer	Minimum certified beds. 0 = no filter.
minOverallRating	integer	Minimum CMS overall stars (1–5). 0 = no filter.
maxOverallRating	integer	Maximum CMS overall stars. Set 2 to find struggling facilities.
ownership	select	for_profit, non_profit, government, or any.
chainFilter	select	Chain-affiliated only, independents only, or any.
abuseFlaggedOnly	boolean	Only facilities carrying the CMS abuse icon.
recentOwnershipChangeOnly	boolean	Only facilities that changed owner in the last 12 months.
includeDeficiencies	boolean	Add deficiency count + worst severity per facility.
maxItems	integer	Max facilities (1–15000).

Examples

Turnaround targets — big Texas facilities with poor ratings:

{ "states": ["TX"], "minBeds": 100, "maxOverallRating": 2, "maxItems": 200 }

Fresh buying signals — facilities under new ownership in three states:

{ "states": ["CA","FL","OH"], "recentOwnershipChangeOnly": true, "maxItems": 300 }

Output (one row per facility)

ccn, name, legal_business_name, phone, address, city, state, zip_code, county, is_urban, certified_beds, avg_residents_per_day, occupancy_pct, ownership_type, provider_type, inside_hospital, continuing_care_community, chain_name, is_chain, chain_facility_count, chain_avg_overall_rating, overall_rating, health_inspection_rating, staffing_rating, quality_measure_rating, longstay_quality_rating, shortstay_quality_rating, abuse_flag, special_focus_status, changed_owner_last_12_months, inspection_over_2_years_old, sprinklers_in_all_required_areas, first_approved_date, opportunity_tags, cms_profile_url, plus deficiency_count and worst_deficiency_severity when enabled.

Sample row

{
  "ccn": "455001",
  "name": "Avir at Beaumont",
  "phone": "(409) 842-4550",
  "city": "BEAUMONT",
  "state": "TX",
  "county": "Jefferson",
  "certified_beds": 214,
  "avg_residents_per_day": 104.4,
  "occupancy_pct": 48.8,
  "ownership_type": "Government - Hospital district",
  "chain_name": "AVIR HEALTH GROUP",
  "chain_facility_count": 119,
  "overall_rating": 1,
  "staffing_rating": 2,
  "health_inspection_rating": 2,
  "abuse_flag": true,
  "changed_owner_last_12_months": false,
  "opportunity_tags": [
    "low overall rating",
    "under 70% occupancy",
    "abuse flag"
  ]
}

opportunity_tags is derived, and every tag traces to one named field — no scoring black box.

Honest notes

• Filters are applied to the data, not by the API — on purpose. Every numeric column in the CMS datastore is declared type=text, so the API's >= compares lexically: asking it for beds >= 100 returns "57", "85" and "92". This actor therefore pages the data and filters in code, which is why minBeds/rating filters are exact.
• Rare filters scan deep. recentOwnershipChangeOnly genuinely is rare (1 of 1,165 facilities in California), so the actor keeps paging a state until it has your rows or the state runs out, rather than sampling the first page and reporting nothing.
• occupancy_pct is derived from avg_residents_per_day / certified_beds. CMS publishes both; the ratio is the useful number and can exceed 100 or be null when either side is missing.
• Ratings can be null. New or recently-changed facilities have no CMS stars yet. A rating filter excludes them rather than guessing a value.
• ownership_type is CMS's own wording ("For profit - Corporation", "Government - Hospital district"), passed through verbatim rather than re-bucketed.
• Deficiency counts are aggregated per state in bulk, not per facility — the national file is 418k rows, so per-facility lookups would be thousands of calls for the same data.
• Data refreshes when CMS publishes; this actor always reads the current file.