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ElderCareCosts Research

https://www.eldercarecosts.com/press/data/fines-by-state/

DATA AS OF 2026-08-01

Data journalism · Fines · ElderCareCosts Research

Nursing Home CMS Fine Totals by State

CMS cumulative fine totals stored for nursing homes in period 2026-08-01 sum to $456,752,787 across 53 states and territories.

EDITORIAL STANDARDS

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What the numbers mean

Amounts come from provider_quality.total_fines_usd for period 2026-08-01, 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 (2026-08-01).

Unit: Total fines

Illinois$75,126,367Texas$53,534,320California$28,736,255Ohio$22,775,884Missouri$17,871,724Florida$17,379,942Pennsylvania$16,686,119North Carolina$15,188,573Wisconsin$14,038,502New York$14,008,272Michigan$12,956,259Louisiana$12,483,516New Jersey$12,167,453Massachusetts$11,793,157Washington$10,468,594Minnesota$7,791,940Iowa$7,486,404Tennessee$7,382,306Virginia$6,608,706Kansas$6,098,543
CMS fine totals by state
LabelTotal fines
Illinois$75,126,367
Texas$53,534,320
California$28,736,255
Ohio$22,775,884
Missouri$17,871,724
Florida$17,379,942
Pennsylvania$16,686,119
North Carolina$15,188,573
Wisconsin$14,038,502
New York$14,008,272
Michigan$12,956,259
Louisiana$12,483,516
New Jersey$12,167,453
Massachusetts$11,793,157
Washington$10,468,594
Minnesota$7,791,940
Iowa$7,486,404
Tennessee$7,382,306
Virginia$6,608,706
Kansas$6,098,543

Data table

CMS fine totals by state (2026-08-01)
StateFacilitiesWith fines > $0Total finesMedian fine total
Illinois666457$75,126,367$44,916
Texas1,177812$53,534,320$16,801
California1,165474$28,736,255$0
Ohio922281$22,775,884$0
Missouri487207$17,871,724$0
Florida694269$17,379,942$0
Pennsylvania656279$16,686,119$0
North Carolina419235$15,188,573$8,512
Wisconsin323136$14,038,502$0
New York593180$14,008,272$0
Michigan422165$12,956,259$0
Louisiana265130$12,483,516$0
New Jersey348142$12,167,453$0
Massachusetts341165$11,793,157$0
Washington193117$10,468,594$17,388
Minnesota338143$7,791,940$0
Iowa387140$7,486,404$0
Tennessee303107$7,382,306$0
Virginia289103$6,608,706$0
Kansas296150$6,098,543$7,703
Oklahoma283145$5,511,620$4,017
Colorado210129$4,957,917$9,835
Georgia356123$4,742,821$0
Rhode Island7253$4,681,317$22,085
Maryland22187$4,648,190$0
Connecticut191108$4,497,715$8,021
Kentucky26791$4,445,005$0
Indiana50792$4,160,334$0
Mississippi202110$3,723,231$8,207
Oregon12865$3,679,302$3,670
West Virginia12364$3,615,036$8,021
Montana6142$3,469,724$27,013
South Dakota9671$3,326,467$19,899
Delaware4432$3,121,569$33,616
Alabama22438$3,059,355$0
Vermont3324$2,973,183$38,610
New Mexico6841$2,820,337$19,162
South Carolina18797$2,657,464$4,271
Utah9750$2,222,410$6,351
Arkansas22170$2,053,646$0
North Dakota7242$1,966,658$8,656
Nebraska18042$1,631,904$0
District of Columbia1711$1,454,987$47,684
Arizona14039$1,212,825$0
Idaho8028$1,089,004$0
Wyoming3623$911,579$9,350
Nevada6624$866,217$0
Hawaii4322$810,401$8,018
Alaska206$640,818$0
New Hampshire7322$585,178$0
Maine7828$579,654$0
PR92$40,836$0
GU11$13,247$13,247

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Source: CMS Nursing Home Penalties, 2026-08-01. 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.

Source: CMS Nursing Home Penalties · Updated 2026-08-01

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: the ElderCareCosts provider, organization, quality, and inspection records behind this site (placeholder rows excluded).

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