Every signal in SNF Shark traces back to a specific public dataset — mostly CMS, plus HUD-FHA for the real-estate debt, FEMA for flood zones, and the state Medicaid agencies for reimbursement. This page shows when we last refreshed each source, when the publisher last put out new data, and the next refresh date (exact where the publisher keeps a calendar, estimated from cadence otherwise). If you ever wonder "is this number current?", this is the page.
| Source | Cadence | Our last refresh | Source last published | Next expected | Status |
|---|---|---|---|---|---|
| CMS Nursing Home Provider Information Star ratings, staffing, CMI, ownership, beds — the headline dataset. It publishes nurse staffing hours in three distinct families that are easy to confuse: REPORTED hours (what was actually staffed), CASE-MIX hours (the hours a facility's resident acuity implies — this is the case-mix index rescaled, not a measure of staffing), and ADJUSTED hours (reported hours normalised for that acuity, which is what CMS uses for the staffing star). We ingest all three; the facility Operating tab charts reported and adjusted hours, because those are the two that describe staffing. | Monthly | Oct 9, 2026 2 days ago Sep 2026 vintage | Oct 8, 2026 3 days ago Sep 2026 vintage | Oct 28, 2026 in 17 days | In sync |
| CMS Nursing Home Penalties Civil money penalties, IJ events, payment denials. Matched to CMS's current file every month: a fine or denial CMS withdraws or revises is removed or replaced. Penalties that age out of CMS's 3-year window, or belong to facilities that have left the program, stay as history. | Monthly | Oct 9, 2026 2 days ago | Oct 8, 2026 3 days ago | Oct 28, 2026 in 17 days | In sync |
| CMS Nursing Home Health Citations (Deficiencies) Survey citations with tag, scope/severity, and inspector findings. | Monthly | Oct 8, 2026 2 days ago | Oct 8, 2026 3 days ago | Oct 28, 2026 in 17 days | In sync |
| CMS Nursing Home Ownership Direct + indirect ownership history. Drives the CHOW (Change of Ownership) badge. | Monthly | Oct 9, 2026 2 days ago | Oct 8, 2026 3 days ago | Oct 28, 2026 in 17 days | In sync |
| CMS PECOS SNF All Owners Enrollment-grade ownership detail from Medicare PECOS — private-equity & REIT flags, organization-type flags (holding company, management services, created-for-acquisition SPV), owner addresses, and titles. Enriches the ownership records behind the PE/REIT and org-type signals. | Monthly | Oct 9, 2026 2 days ago | Sep 29, 2026 12 days ago | Oct 29, 2026est. in 18 days | In sync |
| CMS PECOS SNF Change of Ownership PECOS change-of-ownership events with explicit buyer and seller PAC IDs and association dates — the authoritative CHOW timeline behind ownership-transition detection. | Quarterly | Oct 9, 2026 2 days ago | Aug 24, 2026 2 months ago | Nov 24, 2026est. in 44 days | In sync |
| CMS PECOS SNF CHOW Owner Information Buyer- and seller-side cap tables for every PECOS CHOW event — each party's owners with role, ownership percentage, association date, org-type flags, and lender interests (mortgage / security holders). Every quarterly vintage restates the complete history, so the newest file supersedes the rest. | Quarterly | Oct 9, 2026 2 days ago | Jul 27, 2026 3 months ago | Oct 27, 2026est. in 16 days | In sync |
| CMS PECOS SNF Additional Disclosable Parties Additional Disclosable Party supplementals under the All Owners dataset — who else stands behind a facility's enrollment: pharmacies, staffing and management firms, landlords and lenders, with association sub-roles and service/control types. Published as attachment files on the All Owners dataset page rather than as catalog releases. CMS paused ADP collection in December 2025 with coverage roughly half-complete, so this file updates irregularly, if at all. | Irregular | Oct 9, 2026 2 days ago | Jul 31, 2026 2 months ago | — | In sync |
| CMS NH Quality Measures (Claims) Risk-adjusted outcome measures: rehospitalization, ER visits, hospitalization rates. | Monthly | Oct 9, 2026 2 days ago | Oct 8, 2026 3 days ago | Oct 28, 2026 in 17 days | In sync |
| CMS NH Quality Measures (MDS) Process measures: ADL decline, falls, pressure ulcers, restraint use, vaccinations. | Monthly | Oct 9, 2026 2 days ago | Oct 8, 2026 3 days ago | Oct 28, 2026 in 17 days | In sync |
| CMS NH Data Collection Intervals The measurement window behind each publication-dated Provider Information column — the quarter behind Case Mix Index and staffing hours, the 12-month window behind turnover, and the three health-deficiency rating cycles. Lets us date a value by what it measures rather than when CMS printed it. | Monthly | Oct 9, 2026 2 days ago | Oct 8, 2026 3 days ago | Oct 28, 2026 in 17 days | In sync |
| CMS State-Level Health Inspection Cut Points The per-state weighted-survey-score ranges published alongside each monthly refresh — the score bands behind the health-inspection star rating. Lets us place a facility's weighted survey score inside its state's current bands. | Monthly | Oct 9, 2026 2 days ago | Oct 8, 2026 3 days ago | Oct 28, 2026 in 17 days | In sync |
| CMS Minimum Data Set (MDS) Facility Frequency All-payer resident demographics, active diagnoses, behavioral indicators, treatment intensity. Drives the Patient Mix card. | Quarterly | Jul 30, 2026 2 months ago | Jul 29, 2026 2 months ago | Oct 29, 2026est. in 18 days | In sync |
| CMS Nursing Home Chain Performance Measures CMS's own chain-level rollup — star ratings, quality measures, staffing and turnover aggregated across each chain's facilities, in roughly monthly vintages since June 2023. Ingested as an external benchmark for SNF Shark's chain rollups; a regression sentinel diffs our roster-computed rollup against CMS's published one after every load. | Monthly | Oct 9, 2026 2 days ago | Sep 9, 2026 1 months ago | Oct 9, 2026est. 2 days ago | In sync |
| CMS HCRIS SNF Cost Report (Forms 2540-10 + 2540-24) 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). Methodology → | Quarterly | Oct 8, 2026 2 days ago | Oct 5, 2026 5 days ago | Jan 5, 2027est. in 87 days | In sync |
| HUD-FHA BF90 Multifamily Mortgages (Section 232) FHA Section 232 mortgage insurance on skilled-nursing real estate — loan amount, rate, term, maturity, holder and servicer, plus termination type for paid-off loans. Two monthly files ingested together: BF90-A (active) and BF90-T (terminated, a complete 1963-to-present history). Joined to HUD's GIS layer for street addresses, then matched to CMS facilities by address. Drives the facility HUD tab, the chain/portfolio HUD rollup, and the state HUD lender + transaction-comparables panels. Note this is the property's debt, not the operator's finances — those come from HCRIS above. | Monthly | Oct 10, 2026 today | Oct 2, 2026 8 days ago | Nov 2, 2026est. in 23 days | In sync |
| FEMA National Flood Hazard Layer (Flood Zones) FEMA flood zone at each facility's mapped coordinates — a point-in-polygon lookup of the CMS-published latitude/longitude against FEMA's digital flood maps, with the FIRM panel's effective date and a 150 m near-SFHA proximity check for facilities outside an SFHA. Special Flood Hazard Areas (zones A/AE/AH/AO/A99/AR/V/VE, the 1% annual chance floodplain) trigger mandatory flood insurance on federally backed loans, which is why the facility hero flags SFHA and nothing else. Where the point falls on a zone boundary or in a seam between map panels, we report an adjacent zone from within 50 m, preferring the SFHA side — the conservative read for screening. Screening information only, not a flood zone determination: lenders obtain a Standard Flood Hazard Determination (FEMA Form 086-0-32) from a qualified vendor, and individual buildings can be removed from the SFHA by a Letter of Map Amendment or Revision (LOMA/LOMR-F) that map polygons do not reflect. A point lookup at a geocoded address is also not a building-footprint reading — a campus can straddle a zone edge. “Not mapped” means FEMA publishes no digital flood map for the location (some communities have paper-only maps), not that risk is low; Zone D means FEMA has not studied the area. FEMA revises maps community-by-community on a rolling basis; we re-check all facilities quarterly. | Quarterly | Jul 22, 2026 3 months ago | Jul 21, 2026 3 months ago | Oct 22, 2026est. in 12 days | In sync |
| PBJ Daily Nurse Staffing Daily nurse hours and MDS census per facility-day from payroll submissions. Ingested from 2017Q1 — the full published record. Authoritative source for HPRD, occupancy and agency reliance from Jan 2024, when it replaces the Provider Information rollup. | Quarterly | Sep 20, 2026 20 days ago | Jul 29, 2026 2 months ago | Oct 29, 2026est. in 18 days | In sync |
| PBJ Daily Non-Nurse Staffing All 24 non-nurse job categories — physicians, therapy, pharmacy, dietary, activities, social work, mental health and administration — as hours per facility-day. Drives the admin-hours KPI and the therapy and admin-and-services buckets on Workforce Composition. | Quarterly | Sep 20, 2026 20 days ago | Jul 29, 2026 2 months ago | Oct 29, 2026est. in 18 days | In sync |
| PBJ Employee Detail Per-employee, per-day hours by job code — drives nursing turnover, RN turnover, and the worker counts and tenure on Workforce Composition and Tenure. Ingested from 2020Q2, the earliest quarter CMS publishes. | Quarterly | Sep 20, 2026 20 days ago | Jul 29, 2026 2 months ago | Oct 29, 2026est. in 18 days | In sync |
| Texas QIPP Supplemental Payments Quality Incentive Payment Program scorecards, IGT amounts, and enrollment status for Texas SNFs (Yr 6+). | Quarterly | Sep 20, 2026 20 days ago | Sep 1, 2026 1 months ago | Dec 31, 2026est. in 81 days | In sync |
Dates marked est. are computed from each dataset's typical cadence — the publisher posts no specific next-refresh date for those (HCRIS, PBJ, PECOS, MDS Frequency, Chain Performance, Texas HHSC, HUD-FHA, FEMA NFHL). For all others, the date is the one CMS has on its calendar. FEMA revises flood maps on a rolling basis with no release schedule at all — its cadence and next-expected date describe our own quarterly re-check, not a FEMA publication. HCRIS and HUD-FHA publish no catalog at all; their "last published" is read from the Last-Modified header on the file itself, which for HUD trails the data's as-of month-end by about a week. Texas HHSC is the one row whose status is not a refresh-date comparison. HHSC publishes no catalog and no file index we can read, so its "last published" can only be the Last-Modified stamp on workbooks we already hold — a date that cannot, by construction, tell us a file we have never downloaded exists. Its status instead answers whether we hold the scorecard quarter HHSC should have out by now: QIPP quarters close Nov/Feb/May/Aug and the scorecard has historically appeared two to three-and-a-half months later, so we allow four months from quarter close before calling ourselves behind. The "next expected" date for that row is that four-month deadline for the following quarter.
Beyond CMS, SNF Shark ingests per-facility Medicaid reimbursement rates published by individual state Medicaid agencies. Coverage is rolling out state by state — each facility's rate appears on its Reimbursement tab. A weekly sweep checks every state's source for newly published rate files; "Rates effective" is the vintage of the newest file we hold.
| State | Methodology | Update cadence | Rates effective | Last checked | Status | Source |
|---|---|---|---|---|---|---|
| Georgia | Cost-based prospective | Annual | Jul 1, 2026 | 4 days ago | Current | dch.georgia.gov ↗ |
| Hawaii | Cost-based prospective | Semiannual | Jan 1, 2026 | 4 days ago | Update due | medquest.hawaii.gov ↗ |
| Illinois | Cost-based prospective | Quarterly | Jul 1, 2026 |
The portfolio Demographics tab's Primary Market Area (PMA) figures — the ACS demand matrix and CON-state status — draw on public reference data outside the CMS pipeline. These are public-domain or curated sources, refreshed on-demand when a new vintage is published rather than on the monthly CMS cadence. Full methodology on the Primary Market Area page.
| Source | What it feeds | Grain | License | Link |
|---|---|---|---|---|
| Census ACS 5-year (B01001, B11001, B25077) | ACS demand matrix (senior cohorts · income · home value) | Block group | Public domain | census.gov ↗ |
| Census TIGER/Line centroids | Block-group location (radius join) | Block group | Public domain | census.gov ↗ |
| NCSL Certificate-of-Need tracker | CON-state status | State | Curated (public) | ncsl.org ↗ |
The Demographics tab's Market Supply card (bed supply, market occupancy) is computed from CMS bed & census data (the Provider Information row above); only the demographic and CON figures use the reference sources listed here. Forward population projections and household net-worth estimates are intentionally not published — they aren't available from a free public source at this grain.
On top of the base Medicaid per diem, Illinois' 2022 rate reform (PA 102-1035) pays several per-facility supplemental flows and levies a provider assessment. SNF Shark ingests the per-facility figures Illinois HFS publishes and shows them, netted, on each Illinois facility's Reimbursement tab. Provider-assessment dollars are estimated (published tax rate × occupied bed days); all other figures are as published by HFS.
| Program | Type | Cadence | Coverage |
|---|---|---|---|
| Staffing Incentive | Receipt | Quarterly | Per facility (STRIVE-based per-diem add-on) |
| Quality Incentive (VBP) | Receipt | Quarterly | Per facility (quality-tier payment) |
| CNA Incentive | Receipt | Quarterly | Per facility (wage passthrough by payer) |
| Provider Assessment (bed tax) | Assessment | Annual (CY) | Per facility (tax rate; $ estimated) |
| Ventilator / Exceptional Care | Receipt | Statute | Statewide published rate (not per-facility) |
Source: hfs.illinois.gov · Long Term Care ↗. History runs quarterly from January 2023.
Assisted-living and memory-care facilities have no CMS analog — no federal certification, no national ID, and no federal survey system. SNF Shark's senior-housing records are built from the public licensure rosters of 49 state licensing agencies (each facility page names its agency and the state's own as-of date), and, where a state publishes it, that state's inspection and enforcement record. Rule citations and severity classes are quoted verbatim per state — they are not comparable across states, and SNF Shark computes no cross-state score from them.
| State | Survey / enforcement data | What the state publishes | Link |
|---|---|---|---|
| Florida (AHCA) | Compliance counts | Substantiated complaints, deficiencies by class (I–IV), sanctions, fines, emergency actions — lookback window not documented by the agency | healthfinder.fl.gov ↗ |
| Virginia (VDSS) | Inspection history + citations | Per-visit record since 2021 with verbatim 22VAC40-73 standard citations, narrative findings, and plans of correction | dss.virginia.gov ↗ |
| North Carolina (DHSR) | Penalties | Adult-care penalties since 2019: rule cited, state severity level (A1/A2/B), dollar amount, payment status | info.ncdhhs.gov ↗ |
| California (CDSS CCLD) | Inspection + complaint reports | Full evaluation and complaint-investigation reports with Type A/B citation classes, verbatim Title 22 section cites, and complaint dispositions; largest facilities harvested first, coverage expanding |
| 4 days ago |
| Current |
| hfs.illinois.gov ↗ |
| Iowa | Cost-based prospective | Semiannual | Jul 1, 2025 | 4 days ago | Update due | hhs.iowa.gov ↗ |
| Kentucky | Price-based | Annual | Oct 1, 2025 | 4 days ago | Current | chfs.ky.gov ↗ |
| Minnesota | Hybrid | Annual | Oct 1, 2025 | — | Current | nhreportcard.dhs.mn.gov ↗ |
| Mississippi | Cost-based prospective | Quarterly | Oct 1, 2026 | 4 days ago | Current | medicaid.ms.gov ↗ |
| Nebraska | Cost-based prospective | Annual | Jul 1, 2026 | 4 days ago | Current | dhhs.ne.gov ↗ |
| North Carolina | Cost-based prospective | Quarterly | Oct 1, 2026 | 4 days ago | Current | medicaid.ncdhhs.gov ↗ |
| Rhode Island | Cost-based prospective | Annual | Oct 1, 2026 | — | Current | eohhs.ri.gov ↗ |
| Utah | Hybrid | Quarterly | Oct 1, 2026 | 4 days ago | Current | medicaid.utah.gov ↗ |
| Vermont | Cost-based prospective | Quarterly | Oct 1, 2026 | 4 days ago | Current | dvha.vermont.gov ↗ |
| Washington | Cost-based prospective | Quarterly | Jul 1, 2026 | 4 days ago | Current | dshs.wa.gov ↗ |
"Update due" means the state's publication cadence suggests a newer rate file exists that we haven't captured yet. "Manual refresh" states block automated retrieval (bot walls / manual downloads) and are updated by hand.
| ccld.dss.ca.gov ↗ |
| Minnesota (MDH HRD) | Evaluations + investigations | Evaluation and complaint-investigation results with dispositions (substantiated / unsubstantiated / inconclusive) and findings documents; retention is disposition-based, so history is archived on every pull | health.state.mn.us ↗ |
| New York (DOH) | Citations + enforcement | Per-report citation records with verbatim 18 NYCRR cites, correction status, and stipulation-&-order enforcement actions — the state shows a rolling four-year window, so SNF Shark archives every pull | profiles.health.ny.gov ↗ |
| Wisconsin (DHS DQA) | Survey history + enforcement | Per-visit record (rolling ~3-year window, archived on every pull) with statement-of-deficiency documents, and enforcement orders with per-tag DHS-code citations and forfeiture dollar amounts | forwardhealth.wi.gov ↗ |
| Oregon (DHS APD) | Inspection history + citations | Statewide inspection record for community-based care (AFH / ALF / RCF) with per-citation tags, severity level, scope, and correction dates | ltclicensing.oregon.gov ↗ |
| Pennsylvania (DHS) | Inspection index + reports | Inspection dates back to 2015 with report documents; violation text lives in scanned PDFs the state does not publish as data | humanservices.dhs.pa.gov ↗ |
All state licensure and survey data is public-record material published by the agencies themselves. States not listed here publish inspection findings only as per-facility documents or not at all; coverage expands as states' publications allow. Occupancy, rents, margins, and staffing hours have no public source for assisted living anywhere — SNF Shark does not estimate them.