Data sources & refresh tracker

Star ratings, staffing, CMI, ownership, beds — the headline dataset.

Civil money penalties, IJ events, payment denials.

Survey citations with tag, scope/severity, and inspector findings.

Direct + indirect ownership history. Drives the CHOW (Change of Ownership) badge.

Risk-adjusted outcome measures: rehospitalization, ER visits, hospitalization rates.

Process measures: ADL decline, falls, pressure ulcers, restraint use, vaccinations.

All-payer resident demographics, active diagnoses, behavioral indicators, treatment intensity. Drives the Patient Mix card.

Filed financials per facility per fiscal year — income statement, balance sheet, payer mix, capital structure. Dual-form ingest covers legacy 2540-10 (fiscal years ending before 9/30/2025) and successor 2540-24 (FY-end ≥ 9/30/2025, mandatory MCReF e-filing). 2540-24 unlocks Medicare FFS vs. Advantage and Medicaid FFS vs. MCO breakouts, a facility-wide contract-labor scalar, per-report data-vintage stamp ("Paid Claims Verified Current As Of"), and new standard cost centers (QAPI, IV therapy, preventive vaccines).

Daily nurse-hours-per-resident-day from facility payroll submissions. Authoritative source for HPRD + occupancy post-Jan 2024.

Admin / med director / dietician / activities / social-work hours per day. Drives admin-hours KPIs.

Per-employee, per-day hours by job code — drives nursing turnover, RN turnover, and admin tenure metrics.

Quality Incentive Payment Program scorecards, IGT amounts, and enrollment status for Texas SNFs (Yr 6+).