Percent of Certified Nursing Facilities with Civil Monetary Penalties
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
2025
Location % with Civil Monetary Penalties
United States 0.53 Alabama 0.25 Alaska 0.4 Arizona 0.27 Arkansas 0.35 California 0.52 Colorado 0.73 Connecticut 0.54 Delaware 0.73 District of Columbia 0.76 Florida 0.48 Georgia 0.47 Hawaii 0.55 Idaho 0.36 Illinois 0.76 Indiana 0.35 Iowa 0.51 Kansas 0.56 Kentucky 0.36 Louisiana 0.62 Maine 0.38 Maryland 0.43 Massachusetts 0.68 Michigan 0.58 Minnesota 0.53 Mississippi 0.53 Missouri 0.57 Montana 0.65 Nebraska 0.39 Nevada 0.42 New Hampshire 0.31 New Jersey 0.53 New Mexico 0.72 New York 0.34 North Carolina 0.65 North Dakota 0.66 Ohio 0.43 Oklahoma 0.54 Oregon 0.63 Pennsylvania 0.52 Rhode Island 0.79 South Carolina 0.63 South Dakota 0.73 Tennessee 0.41 Texas 0.71 Utah 0.55 Vermont 0.65 Virginia 0.33 Washington 0.72 West Virginia 0.54 Wisconsin 0.52 Wyoming 0.67
2024
Location % with Civil Monetary Penalties
United States .67 Alabama .38 Alaska .55 Arizona .42 Arkansas .57 California .68 Colorado .85 Connecticut .64 Delaware .70 District of Columbia .88 Florida .63 Georgia .57 Hawaii .64 Idaho .55 Illinois .82 Indiana .63 Iowa .65 Kansas .68 Kentucky .47 Louisiana .68 Maine .48 Maryland .64 Massachusetts .86 Michigan .83 Minnesota .74 Mississippi .54 Missouri .68 Montana .93 Nebraska .60 Nevada .63 New Hampshire .43 New Jersey .73 New Mexico .84 New York .52 North Carolina .70 North Dakota .60 Ohio .65 Oklahoma .70 Oregon .81 Pennsylvania .67 Rhode Island .80 South Carolina .68 South Dakota .67 Tennessee .58 Texas .78 Utah .71 Vermont .65 Virginia .52 Washington .80 West Virginia .56 Wisconsin .67 Wyoming .74
2023
Location % with Civil Monetary Penalties
United States .73 Alabama .48 Alaska .70 Arizona .80 Arkansas .73 California .70 Colorado .89 Connecticut .69 Delaware .73 District of Columbia .88 Florida .72 Georgia .60 Hawaii .86 Idaho .80 Illinois .86 Indiana .79 Iowa .71 Kansas .78 Kentucky .64 Louisiana .68 Maine .59 Maryland .72 Massachusetts .86 Michigan .87 Minnesota .81 Mississippi .65 Missouri .72 Montana .90 Nebraska .66 Nevada .84 New Hampshire .51 New Jersey .76 New Mexico .84 New York .60 North Carolina .75 North Dakota .66 Ohio .77 Oklahoma .76 Oregon .84 Pennsylvania .71 Rhode Island .83 South Carolina .63 South Dakota .71 Tennessee .56 Texas .81 Utah .72 Vermont .74 Virginia .62 Washington .82 West Virginia .58 Wisconsin .73 Wyoming .75
2022
Location % with Civil Monetary Penalties
United States .69 Alabama .44 Alaska .70 Arizona .75 Arkansas .73 California .66 Colorado .88 Connecticut .65 Delaware .69 District of Columbia .82 Florida .70 Georgia .58 Hawaii .86 Idaho .79 Illinois .81 Indiana .79 Iowa .65 Kansas .74 Kentucky .65 Louisiana .62 Maine .54 Maryland .67 Massachusetts .79 Michigan .85 Minnesota .72 Mississippi .58 Missouri .62 Montana .90 Nebraska .59 Nevada .86 New Hampshire .42 New Jersey .70 New Mexico .72 New York .56 North Carolina .70 North Dakota .56 Ohio .73 Oklahoma .77 Oregon .79 Pennsylvania .64 Rhode Island .74 South Carolina .61 South Dakota .64 Tennessee .52 Texas .76 Utah .71 Vermont .69 Virginia .63 Washington .77 West Virginia .54 Wisconsin .61 Wyoming .72
2021
Location % with Civil Monetary Penalties
United States .44 Alabama .25 Alaska .35 Arizona .32 Arkansas .58 California .24 Colorado .69 Connecticut .62 Delaware .48 District of Columbia .41 Florida .52 Georgia .36 Hawaii .51 Idaho .54 Illinois .44 Indiana .60 Iowa .39 Kansas .56 Kentucky .55 Louisiana .43 Maine .32 Maryland .39 Massachusetts .62 Michigan .68 Minnesota .41 Mississippi .35 Missouri .39 Montana .71 Nebraska .44 Nevada .33 New Hampshire .22 New Jersey .30 New Mexico .68 New York .24 North Carolina .61 North Dakota .37 Ohio .41 Oklahoma .49 Oregon .55 Pennsylvania .34 Rhode Island .51 South Carolina .54 South Dakota .43 Tennessee .32 Texas .51 Utah .47 Vermont .49 Virginia .49 Washington .69 West Virginia .33 Wisconsin .36 Wyoming .53
2020
Location % with Civil Monetary Penalties
United States .31 Alabama .15 Alaska .40 Arizona .17 Arkansas .42 California .18 Colorado .23 Connecticut .58 Delaware .38 District of Columbia .26 Florida .33 Georgia .26 Hawaii .50 Idaho .49 Illinois .33 Indiana .31 Iowa .26 Kansas .40 Kentucky .36 Louisiana .27 Maine .12 Maryland .23 Massachusetts .50 Michigan .58 Minnesota .27 Mississippi .24 Missouri .23 Montana .56 Nebraska .30 Nevada .03 New Hampshire .09 New Jersey .27 New Mexico .61 New York .15 North Carolina .48 North Dakota .06 Ohio .27 Oklahoma .41 Oregon .50 Pennsylvania .27 Rhode Island .26 South Carolina .45 South Dakota .23 Tennessee .24 Texas .32 Utah .31 Vermont .37 Virginia .27 Washington .73 West Virginia .22 Wisconsin .27 Wyoming .22
2019
Location % with Civil Monetary Penalties
United States .35 Alabama .21 Alaska .39 Arizona .16 Arkansas .50 California .22 Colorado .26 Connecticut .66 Delaware .33 District of Columbia .33 Florida .29 Georgia .32 Hawaii .57 Idaho .49 Illinois .39 Indiana .40 Iowa .39 Kansas .52 Kentucky .36 Louisiana .25 Maine .17 Maryland .28 Massachusetts .48 Michigan .61 Minnesota .28 Mississippi .22 Missouri .30 Montana .60 Nebraska .30 Nevada .05 New Hampshire .05 New Jersey .30 New Mexico .73 New York .15 North Carolina .48 North Dakota .13 Ohio .33 Oklahoma .44 Oregon .56 Pennsylvania .31 Rhode Island .27 South Carolina .45 South Dakota .23 Tennessee .29 Texas .38 Utah .38 Vermont .42 Virginia .23 Washington .74 West Virginia .23 Wisconsin .39 Wyoming .32
2018
Location % with Civil Monetary Penalties
United States .32 Alabama .21 Alaska .39 Arizona .10 Arkansas .47 California .22 Colorado .30 Connecticut .58 Delaware .26 District of Columbia .28 Florida .31 Georgia .33 Hawaii .47 Idaho .46 Illinois .32 Indiana .35 Iowa .41 Kansas .55 Kentucky .33 Louisiana .18 Maine .13 Maryland .32 Massachusetts .46 Michigan .54 Minnesota .19 Mississippi .18 Missouri .29 Montana .55 Nebraska .26 Nevada .08 New Hampshire .04 New Jersey .19 New Mexico .68 New York .08 North Carolina .41 North Dakota .09 Ohio .30 Oklahoma .41 Oregon .47 Pennsylvania .22 Rhode Island .13 South Carolina .40 South Dakota .21 Tennessee .31 Texas .40 Utah .32 Vermont .42 Virginia .20 Washington .74 West Virginia .21 Wisconsin .41 Wyoming .24
2017
Location % with Civil Monetary Penalties
United States .28 Alabama .22 Alaska .39 Arizona .21 Arkansas .40 California .21 Colorado .32 Connecticut .58 Delaware .13 District of Columbia .33 Florida .33 Georgia .26 Hawaii .31 Idaho .65 Illinois .24 Indiana .26 Iowa .33 Kansas .47 Kentucky .36 Louisiana .16 Maine .14 Maryland .21 Massachusetts .46 Michigan .44 Minnesota .13 Mississippi .17 Missouri .21 Montana .45 Nebraska .18 Nevada .10 New Hampshire .01 New Jersey .11 New Mexico .57 New York .06 North Carolina .37 North Dakota .06 Ohio .31 Oklahoma .41 Oregon .36 Pennsylvania .09 Rhode Island .12 South Carolina .34 South Dakota .15 Tennessee .23 Texas .41 Utah .30 Vermont .24 Virginia .18 Washington .54 West Virginia .21 Wisconsin .38 Wyoming .18
2016
Location % with Civil Monetary Penalties
United States .25 Alabama .19 Alaska .39 Arizona .18 Arkansas .34 California .15 Colorado .31 Connecticut .51 Delaware .27 District of Columbia .42 Florida .31 Georgia .21 Hawaii .17 Idaho .63 Illinois .23 Indiana .21 Iowa .25 Kansas .32 Kentucky .37 Louisiana .16 Maine .12 Maryland .15 Massachusetts .39 Michigan .36 Minnesota .14 Mississippi .17 Missouri .17 Montana .28 Nebraska .12 Nevada .16 New Hampshire .09 New Jersey .15 New Mexico .46 New York .07 North Carolina .33 North Dakota .01 Ohio .29 Oklahoma .40 Oregon .38 Pennsylvania .09 Rhode Island .11 South Carolina .26 South Dakota .07 Tennessee .17 Texas .41 Utah .32 Vermont .35 Virginia .16 Washington .41 West Virginia .20 Wisconsin .27 Wyoming .13
2015
Location % with Civil Monetary Penalties
United States .24 Alabama .16 Alaska .39 Arizona .17 Arkansas .41 California .13 Colorado .31 Connecticut .43 Delaware .35 District of Columbia .42 Florida .30 Georgia .17 Hawaii .13 Idaho .61 Illinois .23 Indiana .23 Iowa .21 Kansas .24 Kentucky .35 Louisiana .22 Maine .16 Maryland .08 Massachusetts .43 Michigan .46 Minnesota .15 Mississippi .18 Missouri .16 Montana .12 Nebraska .12 Nevada .25 New Hampshire .13 New Jersey .15 New Mexico .41 New York .09 North Carolina .29 North Dakota .00 Ohio .29 Oklahoma .45 Oregon .46 Pennsylvania .08 Rhode Island .07 South Carolina .26 South Dakota .05 Tennessee .16 Texas .37 Utah .29 Vermont .35 Virginia .13 Washington .35 West Virginia .24 Wisconsin .30 Wyoming .19
Notes
Data are as of July of the noted year.
Data are for certified nursing facilities surveyed in the U.S.
Sources
KFF analysis of Nursing Home Compare
Definitions
Civil Monetary Penalty (CMP) : A CMP is a monetary penalty the Centers for Medicare & Medicaid Services (CMS) may impose against nursing homes for either the number of days or for each instance a nursing home is not in substantial compliance with one or more Medicare and Medicaid participation requirements for long-term care facilities. A portion of CMPs collected from nursing homes are returned to the states in which CMPs are imposed. State CMP funds may be reinvested to support activities that benefit nursing home residents and that protect or improve their quality of care or quality of life.