ElderCareCosts Research
https://www.eldercarecosts.com/press/data/fines-by-state/
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Data journalism · Fines · ElderCareCosts Research
Nursing Home CMS Fine Totals by State
CMS cumulative fine totals stored for nursing homes in period 2026-06-01 sum to $459,054,863 across 53 states.
What the numbers mean
Amounts come from provider_quality.total_fines_usd for period 2026-06-01, sourced from CMS nursing home penalty records.
Totals can include fines across multiple years. A zero does not prove a facility never received a penalty outside this snapshot.
Chart
CMS fine totals by state
Sum of stored cumulative fine amounts (2026-06-01).
Unit: Total fines
| Label | Total fines |
|---|---|
| Illinois | $70,388,439 |
| Texas | $58,550,113 |
| California | $30,700,775 |
| Ohio | $21,310,878 |
| Florida | $18,574,667 |
| Pennsylvania | $16,467,228 |
| North Carolina | $16,337,664 |
| Missouri | $16,305,376 |
| New York | $14,175,451 |
| Michigan | $13,972,250 |
| Louisiana | $13,276,825 |
| Wisconsin | $12,866,016 |
| New Jersey | $12,711,532 |
| Massachusetts | $12,490,986 |
| Washington | $10,613,429 |
| Tennessee | $7,774,050 |
| Iowa | $7,292,558 |
| Minnesota | $6,992,758 |
| Kansas | $6,676,809 |
| Virginia | $6,034,777 |
Data table
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Source: CMS Nursing Home Penalties, 2026-06-01. Live figures on the data journalism hub.
Methodology
Amounts come from provider_quality.total_fines_usd on the current CMS quality snapshot period.
State totals sum facility cumulative fine fields. They are not a single-year cashflow figure.
Limits
A fine total can span multiple years and may include resolved or appealed matters depending on CMS refresh timing.
Zero in this snapshot is not proof that a facility never received a penalty outside the loaded records.
Sources
- CMS Nursing Home Penalties: Fine amounts rolled into provider_quality.total_fines_usd
- CMS Nursing Home Provider Information: Nursing home directory rows, ownership type, and quality snapshot fields
- Queryable cut: ElderCareCosts Neon tables
providers,organizations,provider_quality,provider_inspections(is_demo = false).
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