WASHINGTON — More than one-quarter of nursing homes nationwide were cited for serious deficiencies in the most recent inspection cycle, according to a new analysis of federal enforcement data, raising ongoing concerns about oversight and accountability in the sector.
The report, compiled from CMS inspection records covering 2024 and early 2025, found that approximately 3,800 facilities received citations for deficiencies classified as causing actual harm or immediate jeopardy to residents. The findings suggest persistent challenges in maintaining consistent care standards across the industry.
Common citations included failures in infection control, medication administration errors, and inadequate wound care. The data also revealed geographic disparities, with some states showing significantly higher rates of serious deficiencies than others.
Advocacy groups say the numbers underscore the need for stronger enforcement and more resources for state survey agencies. The National Consumer Voice for Quality Long-Term Care called the findings deeply troubling and urged policymakers to prioritize resident safety.
Industry representatives counter that the data reflects the complexity of caring for an increasingly frail and medically complex resident population. They note that many facilities operate with thin margins and struggle to recruit and retain qualified staff.
The report comes as CMS has signaled potential changes to the survey process, including updated protocols for identifying and addressing infection control lapses. Some industry observers expect the agency to roll out new guidance later this year.
For families evaluating nursing home options, the findings highlight the importance of reviewing inspection reports and asking detailed questions about staffing and quality metrics when selecting a facility.
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