6,510 of the 14,690 currently active nursing homes in CMS's September 2026 files, 44.3%, were fined at least once in the three years the files cover, by Kent Applied's count.
44.3%
of currently active US nursing homes fined at least once in the three years of CMS's September 2026 penalties file
6,510 of the 14,690 currently active nursing homes in CMS's September 2026 files, 44.3%, were fined at least once in the three years the files cover, by Kent Applied's count.
Among the fined homes, the median total in fines was $33,594. By state, the share runs from 15.6% in Alabama to 75.0% in South Dakota.
Source: CMS Provider Data Catalog, Nursing Home Provider Information (opens in a new tab), NH_ProviderInfo_Sep2026_3.csv: Number of Fines, Total Amount of Fines in Dollars; the three years are those of the Penalties file (g6vv-u9sr), which lists the fines and payment denials of the last three years. Verified October 2026.
Related charts
- From the blog
44% of nursing homes were fined in three years: 16% in Alabama, 75% in South Dakota
CMS Provider Data Catalog, Nursing Home Provider Information; CMS Provider Data Catalog, Penalties - From research
The .txt file was the requirement CMS cited most often in its 27 price transparency fines
CMS, Hospital Price Transparency enforcement actions - From research
Since late 2024, CMS's price transparency fines cite how the file is built and found
CMS, Hospital Price Transparency enforcement actions; 45 CFR 180.50, requirements for making public hospital standard charges (eCFR) - From research
A fine came 68 to 626 days after CMS asked the hospital for a corrective action plan
CMS, Hospital Price Transparency enforcement actions; CMS, Hospital Price Transparency Enforcement Activities and Outcomes (data.cms.gov)
Related facts
12 of 27
of CMS's 27 hospital price transparency penalty notices, June 2022 to June 2026, cited the .txt file
12 of the 27 penalty notices CMS posted under the hospital price transparency rule from June 7, 2022 to June 3, 2026 said the hospital's website had no .txt file in its root folder pointing to the price file, or had one that left out required details, by Kent Applied's count of the notices.
Source: CMS, Hospital Price Transparency enforcement actions.
KentApplied13 of 26
of the hospitals CMS fined under the price transparency rule got a CAP request with no warning notice first
For 13 of the 26 hospitals CMS fined under the price transparency rule from June 2022 to June 2026, the first letter was a notice of violation with a request for a corrective action plan (CAP), with no warning notice before it, by Kent Applied's count of the penalty notices.
Source: CMS, Hospital Price Transparency enforcement actions.
KentApplied35%
off a hospital price transparency penalty when the hospital waives its right to a hearing within 30 days
Since January 1, 2026, CMS reduces a hospital price transparency penalty by 35 percent if the hospital asks in writing, within 30 days, to waive its right to a hearing, under 45 CFR 180.90(c)(4).
Source: 45 CFR 180.90(c)(4), civil monetary penalties (eCFR).
KentApplied
Sources for the figures above: 45 CFR 180.90(c)(4), civil monetary penalties (eCFR) (opens in a new tab); CMS, CY 2026 outpatient payment final rule, hospital price transparency policy changes (fact sheet) (opens in a new tab).
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