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Percent of Certified Nursing Facilities with Civil Monetary Penalties by Rurality
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Percent of Certified Nursing Facilities with Civil Monetary Penalties by Rurality
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2025
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties
United States
0.49
0.54
Alabama
0.19
0.29
Alaska
0.21
0.83
Arizona
0.56
0.25
Arkansas
0.29
0.41
California
0.51
0.52
Colorado
0.64
0.77
Connecticut
0.59
0.54
Delaware
0.67
0.75
District of Columbia
N/A
0.76
Florida
0.4
0.48
Georgia
0.47
0.48
Hawaii
0.5
0.57
Idaho
0.21
0.45
Illinois
0.7
0.78
Indiana
0.28
0.39
Iowa
0.5
0.53
Kansas
0.52
0.6
Kentucky
0.37
0.35
Louisiana
0.67
0.6
Maine
0.35
0.41
Maryland
0.5
0.42
Massachusetts
0.8
0.68
Michigan
0.51
0.6
Minnesota
0.49
0.56
Mississippi
0.5
0.59
Missouri
0.53
0.6
Montana
0.6
0.78
Nebraska
0.34
0.5
Nevada
0.4
0.42
New Hampshire
0.29
0.33
New Jersey
N/A
0.53
New Mexico
0.63
0.81
New York
0.38
0.33
North Carolina
0.63
0.66
North Dakota
0.71
0.56
Ohio
0.34
0.46
Oklahoma
0.5
0.57
Oregon
0.76
0.61
Pennsylvania
0.57
0.51
Rhode Island
N/A
0.79
South Carolina
0.74
0.6
South Dakota
0.7
0.79
Tennessee
0.38
0.43
Texas
0.61
0.74
Utah
0.61
0.54
Vermont
0.58
0.88
Virginia
0.28
0.35
Washington
0.72
0.72
West Virginia
0.57
0.5
Wisconsin
0.43
0.58
Wyoming
0.67
0.67
2024
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties
United States
0.62
0.69
Alabama
0.32
0.41
Alaska
0.5
1
Arizona
0.67
0.4
Arkansas
0.48
0.66
California
0.65
0.68
Colorado
0.84
0.86
Connecticut
0.73
0.63
Delaware
0.75
0.69
District of Columbia
N/A
0.88
Florida
0.58
0.63
Georgia
0.54
0.59
Hawaii
0.58
0.67
Idaho
0.38
0.65
Illinois
0.73
0.85
Indiana
0.54
0.68
Iowa
0.63
0.69
Kansas
0.63
0.73
Kentucky
0.45
0.49
Louisiana
0.69
0.68
Maine
0.57
0.41
Maryland
0.67
0.64
Massachusetts
0.8
0.86
Michigan
0.78
0.85
Minnesota
0.73
0.74
Mississippi
0.5
0.64
Missouri
0.63
0.72
Montana
0.93
0.94
Nebraska
0.58
0.63
Nevada
0.5
0.65
New Hampshire
0.34
0.51
New Jersey
N/A
0.73
New Mexico
0.75
0.92
New York
0.61
0.51
North Carolina
0.72
0.7
North Dakota
0.59
0.62
Ohio
0.59
0.67
Oklahoma
0.69
0.71
Oregon
0.86
0.8
Pennsylvania
0.68
0.67
Rhode Island
N/A
0.8
South Carolina
0.68
0.68
South Dakota
0.65
0.72
Tennessee
0.56
0.6
Texas
0.69
0.81
Utah
0.72
0.71
Vermont
0.69
0.5
Virginia
0.46
0.54
Washington
0.8
0.8
West Virginia
0.54
0.58
Wisconsin
0.59
0.73
Wyoming
0.69
1
2023
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties
United States
0.7
0.75
Alabama
0.43
0.51
Alaska
0.5
1
Arizona
0.89
0.79
Arkansas
0.71
0.76
California
0.62
0.7
Colorado
0.89
0.88
Connecticut
0.75
0.69
Delaware
0.83
0.69
District of Columbia
N/A
0.88
Florida
0.64
0.73
Georgia
0.51
0.65
Hawaii
0.83
0.87
Idaho
0.62
0.9
Illinois
0.79
0.89
Indiana
0.77
0.81
Iowa
0.67
0.78
Kansas
0.77
0.79
Kentucky
0.65
0.64
Louisiana
0.69
0.68
Maine
0.67
0.51
Maryland
0.75
0.71
Massachusetts
0.8
0.86
Michigan
0.86
0.87
Minnesota
0.79
0.82
Mississippi
0.61
0.74
Missouri
0.66
0.75
Montana
0.89
0.94
Nebraska
0.68
0.63
Nevada
0.9
0.82
New Hampshire
0.32
0.67
New Jersey
N/A
0.76
New Mexico
0.78
0.89
New York
0.69
0.59
North Carolina
0.72
0.76
North Dakota
0.67
0.64
Ohio
0.77
0.77
Oklahoma
0.75
0.76
Oregon
0.86
0.84
Pennsylvania
0.71
0.71
Rhode Island
N/A
0.83
South Carolina
0.64
0.63
South Dakota
0.66
0.86
Tennessee
0.55
0.57
Texas
0.72
0.84
Utah
0.67
0.74
Vermont
0.85
0.38
Virginia
0.55
0.65
Washington
0.93
0.8
West Virginia
0.56
0.6
Wisconsin
0.64
0.78
Wyoming
0.7
1
2022
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties
United States
0.65
0.71
Alabama
0.38
0.47
Alaska
0.7
0.67
Arizona
0.89
0.74
Arkansas
0.72
0.75
California
0.65
0.66
Colorado
0.87
0.88
Connecticut
0.67
0.65
Delaware
0.83
0.64
District of Columbia
N/A
0.82
Florida
0.54
0.71
Georgia
0.51
0.61
Hawaii
0.92
0.84
Idaho
0.62
0.88
Illinois
0.74
0.84
Indiana
0.71
0.82
Iowa
0.59
0.74
Kansas
0.71
0.77
Kentucky
0.65
0.65
Louisiana
0.59
0.63
Maine
0.61
0.48
Maryland
0.63
0.68
Massachusetts
0.6
0.79
Michigan
0.8
0.88
Minnesota
0.71
0.72
Mississippi
0.51
0.71
Missouri
0.57
0.65
Montana
0.9
0.91
Nebraska
0.6
0.59
Nevada
0.9
0.86
New Hampshire
0.26
0.56
New Jersey
N/A
0.7
New Mexico
0.66
0.78
New York
0.64
0.55
North Carolina
0.7
0.7
North Dakota
0.54
0.59
Ohio
0.74
0.72
Oklahoma
0.75
0.8
Oregon
0.82
0.79
Pennsylvania
0.63
0.65
Rhode Island
N/A
0.74
South Carolina
0.64
0.6
South Dakota
0.54
0.88
Tennessee
0.45
0.56
Texas
0.7
0.78
Utah
0.83
0.69
Vermont
0.74
0.5
Virginia
0.55
0.66
Washington
0.71
0.77
West Virginia
0.56
0.53
Wisconsin
0.53
0.66
Wyoming
0.67
1
2021
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties
United States
0.41
0.45
Alabama
0.16
0.3
Alaska
0.4
0.5
Arizona
0.33
0.32
Arkansas
0.59
0.58
California
0.41
0.24
Colorado
0.64
0.71
Connecticut
0.92
0.6
Delaware
0.5
0.47
District of Columbia
N/A
0.41
Florida
0.42
0.52
Georgia
0.29
0.41
Hawaii
0.58
0.48
Idaho
0.48
0.57
Illinois
0.34
0.48
Indiana
0.56
0.62
Iowa
0.35
0.46
Kansas
0.52
0.61
Kentucky
0.56
0.53
Louisiana
0.45
0.43
Maine
0.3
0.34
Maryland
0.29
0.4
Massachusetts
0
0.63
Michigan
0.61
0.71
Minnesota
0.38
0.43
Mississippi
0.31
0.44
Missouri
0.33
0.43
Montana
0.67
0.82
Nebraska
0.41
0.5
Nevada
0.2
0.36
New Hampshire
0.15
0.28
New Jersey
N/A
0.3
New Mexico
0.64
0.72
New York
0.22
0.24
North Carolina
0.59
0.61
North Dakota
0.34
0.42
Ohio
0.39
0.41
Oklahoma
0.46
0.53
Oregon
0.55
0.55
Pennsylvania
0.33
0.34
Rhode Island
N/A
0.51
South Carolina
0.62
0.52
South Dakota
0.36
0.59
Tennessee
0.28
0.34
Texas
0.43
0.55
Utah
0.5
0.46
Vermont
0.52
0.38
Virginia
0.43
0.5
Washington
0.71
0.68
West Virginia
0.31
0.35
Wisconsin
0.24
0.44
Wyoming
0.47
0.83
2020
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties
United States
0.27
0.32
Alabama
0.04
0.2
Alaska
0.4
0.67
Arizona
0.22
0.17
Arkansas
0.38
0.46
California
0.32
0.18
Colorado
0.09
0.28
Connecticut
0.92
0.56
Delaware
0.42
0.37
District of Columbia
N/A
0.26
Florida
0.22
0.34
Georgia
0.23
0.28
Hawaii
0.69
0.42
Idaho
0.33
0.58
Illinois
0.23
0.36
Indiana
0.28
0.33
Iowa
0.21
0.35
Kansas
0.35
0.47
Kentucky
0.37
0.36
Louisiana
0.24
0.28
Maine
0.09
0.15
Maryland
0.17
0.24
Massachusetts
0.33
0.51
Michigan
0.51
0.6
Minnesota
0.28
0.26
Mississippi
0.21
0.3
Missouri
0.2
0.25
Montana
0.46
0.77
Nebraska
0.25
0.39
Nevada
0.1
0.02
New Hampshire
0.11
0.08
New Jersey
N/A
0.27
New Mexico
0.68
0.54
New York
0.19
0.15
North Carolina
0.44
0.5
North Dakota
0.06
0.07
Ohio
0.22
0.29
Oklahoma
0.35
0.48
Oregon
0.5
0.5
Pennsylvania
0.32
0.26
Rhode Island
N/A
0.26
South Carolina
0.41
0.46
South Dakota
0.17
0.38
Tennessee
0.17
0.28
Texas
0.3
0.32
Utah
0.39
0.29
Vermont
0.37
0.38
Virginia
0.23
0.28
Washington
0.79
0.72
West Virginia
0.18
0.26
Wisconsin
0.2
0.31
Wyoming
0.13
0.67
2019
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties
United States
0.33
0.36
Alabama
0.09
0.27
Alaska
0.4
0.75
Arizona
0.22
0.15
Arkansas
0.48
0.54
California
0.38
0.22
Colorado
0.13
0.31
Connecticut
0.92
0.64
Delaware
0.55
0.26
District of Columbia
N/A
0.33
Florida
0.23
0.3
Georgia
0.28
0.34
Hawaii
0.69
0.52
Idaho
0.37
0.57
Illinois
0.33
0.41
Indiana
0.34
0.42
Iowa
0.35
0.46
Kansas
0.51
0.53
Kentucky
0.41
0.31
Louisiana
0.28
0.23
Maine
0.17
0.17
Maryland
0.38
0.27
Massachusetts
0.33
0.48
Michigan
0.41
0.68
Minnesota
0.28
0.28
Mississippi
0.22
0.21
Missouri
0.26
0.32
Montana
0.5
0.83
Nebraska
0.25
0.41
Nevada
0.2
0.02
New Hampshire
0.09
0.03
New Jersey
N/A
0.3
New Mexico
0.82
0.64
New York
0.17
0.15
North Carolina
0.4
0.52
North Dakota
0.15
0.07
Ohio
0.31
0.34
Oklahoma
0.41
0.47
Oregon
0.61
0.55
Pennsylvania
0.35
0.3
Rhode Island
N/A
0.27
South Carolina
0.47
0.44
South Dakota
0.18
0.35
Tennessee
0.18
0.34
Texas
0.35
0.4
Utah
0.33
0.39
Vermont
0.43
0.38
Virginia
0.22
0.24
Washington
0.72
0.74
West Virginia
0.18
0.27
Wisconsin
0.31
0.44
Wyoming
0.26
0.57
2018
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties
United States
0.3
0.33
Alabama
0.14
0.25
Alaska
0.4
0.75
Arizona
0.11
0.1
Arkansas
0.39
0.54
California
0.39
0.21
Colorado
0.19
0.33
Connecticut
0.57
0.58
Delaware
DQ
DQ
District of Columbia
N/A
0.28
Florida
0.19
0.32
Georgia
0.33
0.32
Hawaii
0.36
0.52
Idaho
0.4
0.51
Illinois
0.27
0.33
Indiana
0.24
0.4
Iowa
0.36
0.49
Kansas
0.51
0.6
Kentucky
0.34
0.33
Louisiana
0.19
0.18
Maine
0.14
0.12
Maryland
0.23
0.32
Massachusetts
0.43
0.46
Michigan
0.38
0.6
Minnesota
0.18
0.2
Mississippi
0.19
0.17
Missouri
0.22
0.33
Montana
0.5
0.75
Nebraska
0.22
0.32
Nevada
0.36
0.02
New Hampshire
0.06
0.03
New Jersey
N/A
0.19
New Mexico
0.72
0.63
New York
0.15
0.07
North Carolina
0.38
0.43
North Dakota
0.12
0
Ohio
0.28
0.31
Oklahoma
0.38
0.45
Oregon
0.52
0.46
Pennsylvania
0.19
0.23
Rhode Island
N/A
0.13
South Carolina
0.37
0.41
South Dakota
0.15
0.35
Tennessee
0.19
0.37
Texas
0.38
0.41
Utah
0.13
0.36
Vermont
0.43
0.38
Virginia
0.18
0.21
Washington
0.79
0.74
West Virginia
0.23
0.19
Wisconsin
0.34
0.47
Wyoming
0.16
0.57
2017
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties
United States
0.26
0.29
Alabama
0.16
0.25
Alaska
0.4
0.5
Arizona
0.33
0.2
Arkansas
0.32
0.47
California
0.39
0.2
Colorado
0.3
0.33
Connecticut
0.57
0.59
Delaware
DQ
DQ
District of Columbia
N/A
0.33
Florida
0.19
0.34
Georgia
0.26
0.26
Hawaii
0.21
0.35
Idaho
0.62
0.67
Illinois
0.22
0.25
Indiana
0.19
0.29
Iowa
0.28
0.43
Kansas
0.46
0.48
Kentucky
0.33
0.38
Louisiana
0.18
0.16
Maine
0.18
0.1
Maryland
0.08
0.22
Massachusetts
0.43
0.46
Michigan
0.34
0.47
Minnesota
0.15
0.11
Mississippi
0.16
0.2
Missouri
0.12
0.28
Montana
0.44
0.5
Nebraska
0.16
0.23
Nevada
0.36
0.04
New Hampshire
0.03
0
New Jersey
N/A
0.11
New Mexico
0.49
0.66
New York
0.09
0.06
North Carolina
0.33
0.38
North Dakota
0.07
0.04
Ohio
0.28
0.32
Oklahoma
0.4
0.42
Oregon
0.5
0.33
Pennsylvania
0.07
0.1
Rhode Island
N/A
0.12
South Carolina
0.31
0.35
South Dakota
0.07
0.33
Tennessee
0.15
0.28
Texas
0.38
0.41
Utah
0.2
0.32
Vermont
0.28
0.13
Virginia
0.12
0.2
Washington
0.59
0.53
West Virginia
0.27
0.16
Wisconsin
0.31
0.44
Wyoming
0.1
0.57
2016
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties
United States
0.23
0.26
Alabama
0.14
0.21
Alaska
0.4
0.25
Arizona
0.33
0.17
Arkansas
0.28
0.41
California
0.31
0.15
Colorado
0.27
0.32
Connecticut
0.29
0.52
Delaware
DQ
DQ
District of Columbia
N/A
0.42
Florida
0.22
0.32
Georgia
0.23
0.19
Hawaii
0.14
0.19
Idaho
0.59
0.66
Illinois
0.2
0.24
Indiana
0.18
0.22
Iowa
0.18
0.38
Kansas
0.29
0.35
Kentucky
0.36
0.38
Louisiana
0.16
0.17
Maine
0.13
0.1
Maryland
0.08
0.15
Massachusetts
0.57
0.39
Michigan
0.32
0.37
Minnesota
0.18
0.1
Mississippi
0.17
0.17
Missouri
0.12
0.21
Montana
0.33
0.06
Nebraska
0.08
0.21
Nevada
0.36
0.11
New Hampshire
0.08
0.1
New Jersey
N/A
0.15
New Mexico
0.4
0.53
New York
0.16
0.06
North Carolina
0.27
0.36
North Dakota
0.02
0
Ohio
0.22
0.32
Oklahoma
0.39
0.42
Oregon
0.54
0.34
Pennsylvania
0.04
0.1
Rhode Island
N/A
0.11
South Carolina
0.31
0.25
South Dakota
0.05
0.12
Tennessee
0.14
0.19
Texas
0.36
0.42
Utah
0.29
0.32
Vermont
0.34
0.38
Virginia
0.08
0.19
Washington
0.47
0.4
West Virginia
0.26
0.14
Wisconsin
0.22
0.31
Wyoming
0.1
0.29
2015
Location
Percent of Nursing Facilities in Rural Areas with Civil Monetary Penalties
Percent of Nursing Facilities in Urban Areas with Civil Monetary Penalties