Nursing Home Safety Rating

On February 25, the Government Will Make It Harder to Check If a Nursing Home Is Safe.

On February 25, the Government Will Make It Harder to Check If a Nursing Home Is Safe.

CMS is removing the number of complaint allegations and facility-reported incidents from Nursing Home Care Compare, the government’s primary tool for families evaluating nursing home safety. The agency says the removal is temporary. No timeline has been announced for when the data will return.

Feb 25
Data Removal Date
282K+
Complaints on Record
38
States Failed Survey Goals in 2024

What Is Care Compare?

Care Compare is the public-facing website run by CMS where families look up nursing homes. It displays star ratings, inspection results, staffing levels, and complaint data. Before July 2025, the site showed the number of substantiated complaints, meaning only investigated and confirmed complaints appeared.

What Went Wrong

When CMS transitioned to its new iQIES data system in July 2025, the “substantiated” filter was removed. All allegations and facility-reported incidents from the past three years appeared on Care Compare, whether investigated or not. Rather than fix the filter, CMS decided to remove the complaint data entirely.

What This Means for Families

The complaint count was one of the only ways families could spot patterns. A facility with 2 complaints looks different than one with 47. That number told you something. Without it, families rely on star ratings, which went static for three months during the iQIES transition and have their own accuracy problems.

Fewer inspections. Fewer after-hours visits. Less complaint data. The picture families see on Care Compare is getting smaller while the problems in facilities are getting bigger.

Alternative Research Tools

ProPublica Nursing Home Inspect: projects.propublica.org/nursing-homes

NursingHome411: nursinghome411.org

Eldercare Locator: 1-800-677-1116

File a complaint: Medicare.gov

Sources:

McKnight’s: CMS to Remove Complaint Allegations from Nursing Home Compare (Jan 11, 2026)

CMS Compliance Group: iQIES Transition Data Shake-Up (Jan 9, 2026)

AHCA: CMS Memo on Data Discrepancies and Care Compare Updates

McKnight’s: CMS Reduces Survey Expectations (Jan 2026)

Skilled Nursing News: CMS Pauses Care Compare Updates (Aug 2025)

Stay informed. New investigations published daily.

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Frequently Asked Questions

How do I report abuse or neglect in a nursing home?

Call the Eldercare Locator at 1-800-677-1116 to connect with your local Adult Protective Services or Long-Term Care Ombudsman. You do not need proof to file a report, and you can report anonymously.

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