> For the complete documentation index, see [llms.txt](https://docs.dataplex-consulting.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.dataplex-consulting.com/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/nursing-homes-including-rehab-services-health-deficiencies.md). # Nursing Homes Including Rehab Services - Health Deficiencies Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md) › Medicare Dataplex delivers this CMS feed as the analysis-ready table `DWV.NURSING_HOMES_HEALTH_DEFICIENCIES` on Snowflake and Databricks — 82 snapshot releases spanning 2019–2026, aligned to a single schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it. ## Key facts | | | | ------------------ | ---------------------------------------------------- | | **Snowflake** | `DWV.NURSING_HOMES_HEALTH_DEFICIENCIES` | | **Databricks** | `cms_dwv.nursing_homes_health_deficiencies` | | **Cadence** | Monthly | | **Update pattern** | Full-refresh — each file replaces the prior snapshot | | **CMS published** | 2026-06-01 | | **Loaded** | 2026-06-29 | | **Columns** | 24 data + 6 lineage | | **Identifiers** | CCN · ZIP codes | | **File versions** | 82 | | **License** | CMS public data — U.S. Government work | | **Platforms** | Snowflake Marketplace · Databricks Delta Sharing | Included in the CMS Data Feeds Dataset — [start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset). {% hint style="info" %} **Last CMS publication 2026-06-01** — awaiting the next release. New files load automatically when CMS publishes. {% endhint %} {% hint style="info" %} **Full-refresh feed** — each file version is a complete snapshot and newer files supersede older ones. Filter to the latest file (see the sample query) to avoid double-counting across versions. {% endhint %} ## Sample queries {% tabs %} {% tab title="Snowflake" %} ```sql -- Latest snapshot only (avoids double-counting across file versions) SELECT * FROM DWV.NURSING_HOMES_HEALTH_DEFICIENCIES WHERE FILE_ID IN ( SELECT ID FROM DWV.FEEDS_FILES WHERE IS_LATEST = 1 ) LIMIT 100; ``` {% endtab %} {% tab title="Databricks" %} ```sql -- Latest snapshot only (avoids double-counting across file versions) SELECT * FROM cms_dwv.nursing_homes_health_deficiencies WHERE file_id IN ( SELECT id FROM cms_dwv.feeds_files WHERE is_latest = 1 ) LIMIT 100; ``` {% endtab %} {% endtabs %} ## About this feed > Individual health deficiency citations with scope/severity codes, correction status, and regulatory category. > > — *Source: CMS feed metadata* **Keywords:** nursing homes, health deficiencies, citations, scope severity **Theme:** Medicare ## Coverage timeline 2019–2026 🟩🟩🟩🟩🟩🟩🟩🟩 (🟩 covered · ⬜ no data) 8 of 8 years with snapshot releases — no gaps. ## Release history | Reporting period | CMS published | Loaded | Latest file | | ------------------------- | ------------- | ---------- | ----------- | | Snapshot as of 2026-06-01 | 2026-06-01 | 2026-06-29 | ✓ | | Snapshot as of 2026-05-01 | 2026-05-01 | 2026-05-27 | | | Snapshot as of 2026-04-01 | 2026-04-01 | 2026-04-29 | | | Snapshot as of 2026-03-01 | 2026-03-01 | 2026-03-26 | | | Snapshot as of 2026-02-01 | 2026-02-01 | 2026-03-25 | | | Snapshot as of 2020-07-01 | 2020-07-01 | 2026-03-23 | | | Snapshot as of 2020-06-01 | 2020-06-01 | 2026-03-23 | | | Snapshot as of 2020-05-01 | 2020-05-01 | 2026-03-23 | | | Snapshot as of 2020-04-01 | 2020-04-01 | 2026-03-23 | | | Snapshot as of 2020-03-01 | 2020-03-01 | 2026-03-23 | |
Show 72 earlier file versions | Reporting period | CMS published | Loaded | Latest file | | ------------------------- | ------------- | ---------- | ----------- | | Snapshot as of 2020-02-01 | 2020-02-01 | 2026-03-23 | | | Snapshot as of 2020-01-01 | 2020-01-01 | 2026-03-23 | | | Snapshot as of 2026-02-01 | 2026-02-01 | 2026-03-06 | | | Snapshot as of 2025-12-01 | 2025-12-01 | 2026-03-06 | | | Snapshot as of 2025-11-01 | 2025-11-01 | 2026-03-06 | | | Snapshot as of 2025-10-01 | 2025-10-01 | 2026-03-06 | | | Snapshot as of 2025-09-01 | 2025-09-01 | 2026-03-06 | | | Snapshot as of 2025-07-01 | 2025-07-01 | 2026-03-06 | | | Snapshot as of 2025-06-01 | 2025-06-01 | 2026-03-06 | | | Snapshot as of 2025-05-01 | 2025-05-01 | 2026-03-06 | | | Snapshot as of 2025-04-01 | 2025-04-01 | 2026-03-06 | | | Snapshot as of 2025-03-01 | 2025-03-01 | 2026-03-06 | | | Snapshot as of 2025-02-01 | 2025-02-01 | 2026-03-06 | | | Snapshot as of 2024-11-01 | 2024-11-01 | 2026-03-06 | | | Snapshot as of 2024-10-01 | 2024-10-01 | 2026-03-06 | | | Snapshot as of 2024-09-01 | 2024-09-01 | 2026-03-06 | | | Snapshot as of 2024-08-01 | 2024-08-01 | 2026-03-06 | | | Snapshot as of 2024-07-01 | 2024-07-01 | 2026-03-06 | | | Snapshot as of 2024-06-01 | 2024-06-01 | 2026-03-06 | | | Snapshot as of 2024-05-01 | 2024-05-01 | 2026-03-06 | | | Snapshot as of 2024-04-01 | 2024-04-01 | 2026-03-06 | | | Snapshot as of 2024-03-01 | 2024-03-01 | 2026-03-06 | | | Snapshot as of 2024-02-01 | 2024-02-01 | 2026-03-06 | | | Snapshot as of 2024-01-01 | 2024-01-01 | 2026-03-06 | | | Snapshot as of 2023-11-01 | 2023-11-01 | 2026-03-06 | | | Snapshot as of 2023-10-01 | 2023-10-01 | 2026-03-06 | | | Snapshot as of 2023-09-01 | 2023-09-01 | 2026-03-06 | | | Snapshot as of 2023-08-01 | 2023-08-01 | 2026-03-06 | | | Snapshot as of 2023-07-01 | 2023-07-01 | 2026-03-06 | | | Snapshot as of 2023-06-01 | 2023-06-01 | 2026-03-06 | | | Snapshot as of 2023-05-01 | 2023-05-01 | 2026-03-06 | | | Snapshot as of 2023-04-01 | 2023-04-01 | 2026-03-06 | | | Snapshot as of 2023-03-01 | 2023-03-01 | 2026-03-06 | | | Snapshot as of 2023-02-01 | 2023-02-01 | 2026-03-06 | | | Snapshot as of 2023-01-01 | 2023-01-01 | 2026-03-06 | | | Snapshot as of 2022-11-01 | 2022-11-01 | 2026-03-06 | | | Snapshot as of 2022-10-01 | 2022-10-01 | 2026-03-06 | | | Snapshot as of 2022-09-01 | 2022-09-01 | 2026-03-06 | | | Snapshot as of 2022-08-01 | 2022-08-01 | 2026-03-06 | | | Snapshot as of 2022-07-01 | 2022-07-01 | 2026-03-06 | | | Snapshot as of 2022-06-01 | 2022-06-01 | 2026-03-06 | | | Snapshot as of 2022-05-01 | 2022-05-01 | 2026-03-06 | | | Snapshot as of 2022-04-01 | 2022-04-01 | 2026-03-06 | | | Snapshot as of 2022-03-01 | 2022-03-01 | 2026-03-06 | | | Snapshot as of 2022-02-01 | 2022-02-01 | 2026-03-06 | | | Snapshot as of 2022-01-01 | 2022-01-01 | 2026-03-06 | | | Snapshot as of 2021-11-01 | 2021-11-01 | 2026-03-06 | | | Snapshot as of 2021-10-01 | 2021-10-01 | 2026-03-06 | | | Snapshot as of 2021-09-01 | 2021-09-01 | 2026-03-06 | | | Snapshot as of 2021-08-01 | 2021-08-01 | 2026-03-06 | | | Snapshot as of 2021-07-01 | 2021-07-01 | 2026-03-06 | | | Snapshot as of 2021-06-01 | 2021-06-01 | 2026-03-06 | | | Snapshot as of 2021-05-01 | 2021-05-01 | 2026-03-06 | | | Snapshot as of 2021-04-01 | 2021-04-01 | 2026-03-06 | | | Snapshot as of 2021-03-01 | 2021-03-01 | 2026-03-06 | | | Snapshot as of 2021-02-01 | 2021-02-01 | 2026-03-06 | | | Snapshot as of 2021-01-01 | 2021-01-01 | 2026-03-06 | | | Snapshot as of 2020-11-01 | 2020-11-01 | 2026-03-06 | | | Snapshot as of 2020-10-01 | 2020-10-01 | 2026-03-06 | | | Snapshot as of 2020-09-01 | 2020-09-01 | 2026-03-06 | | | Snapshot as of 2020-08-01 | 2020-08-01 | 2026-03-06 | | | Snapshot as of 2019-12-01 | 2019-12-01 | 2026-03-06 | | | Snapshot as of 2019-10-01 | 2019-10-01 | 2026-03-06 | | | Snapshot as of 2019-09-01 | 2019-09-01 | 2026-03-06 | | | Snapshot as of 2019-08-01 | 2019-08-01 | 2026-03-06 | | | Snapshot as of 2019-07-01 | 2019-07-01 | 2026-03-06 | | | Snapshot as of 2019-06-01 | 2019-06-01 | 2026-03-06 | | | Snapshot as of 2019-05-01 | 2019-05-01 | 2026-03-06 | | | Snapshot as of 2019-04-01 | 2019-04-01 | 2026-03-06 | | | Snapshot as of 2019-03-01 | 2019-03-01 | 2026-03-06 | | | Snapshot as of 2019-02-01 | 2019-02-01 | 2026-03-06 | | | Snapshot as of 2019-01-01 | 2019-01-01 | 2026-03-06 | |
## Data dictionary
📋 24 data columns + 6 lineage columns **Data columns** | Column | Type | Description | | ----------------------------------------- | ---- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | | `DATA_PERIOD` | TEXT | Data snapshot period from BATCH\_LOG (e.g., '2026-02') | | `CMS_CERTIFICATION_NUMBER_CCN` | TEXT | CMS Certification Number — unique 6-character facility identifier | | `PROVIDER_NAME` | TEXT | Official name of the nursing home facility | | `PROVIDER_ADDRESS` | TEXT | Street address of the facility | | `CITY_TOWN` | TEXT | City or town where the facility is located | | `STATE` | TEXT | Two-letter state abbreviation | | `ZIP_CODE` | TEXT | 5-digit ZIP code | | `SURVEY_DATE` | DATE | Date the survey was conducted | | `SURVEY_TYPE` | TEXT | Type of survey (e.g., Standard, Complaint, Follow-up) | | `DEFICIENCY_PREFIX` | TEXT | Regulatory category prefix (e.g., 'F' for health, 'K' for life safety) | | `DEFICIENCY_CATEGORY` | TEXT | Regulatory category of the deficiency (e.g., Quality of Care, Resident Rights) | | `DEFICIENCY_TAG_NUMBER` | TEXT | CMS deficiency tag number (e.g., F0686). Join to CITATION\_CODE\_LOOKUP for descriptions. | | `DEFICIENCY_DESCRIPTION` | TEXT | Short description of the deficiency | | `SCOPE_SEVERITY_CODE` | TEXT | CMS scope/severity code (A-L). Severity increases from A (no harm) to L (immediate jeopardy with actual harm). Letters A-C = no actual harm; D-F = no actual harm with potential; G-I = actual harm; J-L = immediate jeopardy. | | `DEFICIENCY_CORRECTED` | TEXT | Whether the deficiency has been corrected (Y/N) | | `CORRECTION_DATE` | DATE | Date the deficiency was corrected (NULL if not yet corrected) | | `INSPECTION_CYCLE` | TEXT | Inspection cycle number (1 = most recent) | | `STANDARD_DEFICIENCY` | TEXT | Whether this deficiency was found during a standard survey (Y/N) | | `COMPLAINT_DEFICIENCY` | TEXT | Whether this deficiency was found during a complaint survey (Y/N) | | `INFECTION_CONTROL_INSPECTION_DEFICIENCY` | TEXT | Whether this deficiency was found during an infection control inspection (Y/N) | | `CITATION_UNDER_IDR` | TEXT | Whether this citation is under IDR (Informal Dispute Resolution) | | `CITATION_UNDER_IIDR` | TEXT | Whether this citation is under IIDR (Independent Informal Dispute Resolution) | | `LOCATION` | TEXT | Geocoded location string from CMS | | `PROCESSING_DATE` | DATE | Date CMS processed/released this data snapshot | **Lineage columns** (present on every feed table) | Column | Type | Description | | -------------- | -------------- | -------------------------------------------- | | `ROW_ID` | TEXT | Unique row ID for this table (PK) | | `FILE_ID` | TEXT | Source file — joins to `FEEDS_FILES.ID` (FK) | | `FILE_FEED_ID` | TEXT | Parent feed — joins to `FEEDS.ID` (FK) | | `FILE_NAME` | TEXT | Source file name as published by CMS | | `ROWNUM` | NUMBER | Row number within the source file | | `CREATED_AT` | TIMESTAMP\_NTZ | Timestamp when the record was loaded |
## Row-level lineage Every row in this table traces to the exact CMS source file that produced it. The `FILE_ID` column joins to the `FEEDS_FILES` catalog table, and `FILE_FEED_ID` joins to the `FEEDS` master table: ```mermaid erDiagram FEEDS ||--o{ FEEDS_FILES : "ID = FEED_ID" FEEDS ||--o{ NURSING_HOMES_HEALTH_DEFICIENCIES : "ID = FILE_FEED_ID" FEEDS_FILES ||--o{ NURSING_HOMES_HEALTH_DEFICIENCIES : "ID = FILE_ID" FEEDS { text ID PK text TITLE text VIEW_NAME text ACCURAL_PERIODICITY } FEEDS_FILES { text ID PK text FEED_ID FK date TEMPORAL_START date TEMPORAL_END date CMS_FEED_MODIFIED number IS_LATEST } NURSING_HOMES_HEALTH_DEFICIENCIES { text ROW_ID PK text FILE_ID FK text FILE_FEED_ID FK text DATA_PERIOD text CMS_CERTIFICATION_NUMBER_CCN text PROVIDER_NAME text PROVIDER_ADDRESS number remaining_20_data_columns } ``` Trace any row back to its source file and reporting period: ```sql SELECT d.DATA_PERIOD, d.CMS_CERTIFICATION_NUMBER_CCN, d.PROVIDER_NAME, ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED FROM DWV.NURSING_HOMES_HEALTH_DEFICIENCIES d JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID; ``` ## Source & provenance Published by the **Centers for Medicare & Medicaid Services** (bureau 009:38). * [Official CMS documentation](https://data.cms.gov/provider-data/topics/nursing-homes) * [R5ix Sfxw](https://data.cms.gov/provider-data/dataset/r5ix-sfxw) ## Frequently asked questions ### How often is Nursing Homes Including Rehab Services - Health Deficiencies updated? Monthly. CMS last published this feed on 2026-06-01, and Dataplex loaded it to the warehouse on 2026-06-29. New releases are added automatically when CMS publishes them. ### What years does Nursing Homes Including Rehab Services - Health Deficiencies cover? 2019 through 2026. ### How many records are in Nursing Homes Including Rehab Services - Health Deficiencies? Count the current snapshot yourself once the share is mounted: ```sql SELECT COUNT(*) FROM DWV.NURSING_HOMES_HEALTH_DEFICIENCIES d JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID WHERE ff.IS_LATEST = 1; ``` ### How do I get Nursing Homes Including Rehab Services - Health Deficiencies data? It's included in the CMS Data Feeds Dataset on the [Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) (free trial available) and via [Databricks Delta Sharing](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00). Once mounted, query `DWV.NURSING_HOMES_HEALTH_DEFICIENCIES` directly — no pipeline setup required. ## Related feeds {% content-ref url="/pages/qrQRl0TWSS9bhdKMnLKz" %} [Nursing Homes Including Rehab Services - Fire Safety Deficiencies](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/nursing-homes-including-rehab-services-fire-safety-deficiencies.md) {% endcontent-ref %} {% content-ref url="/pages/zHuxdJEK2ZnuteqUHPOB" %} [Nursing Homes Including Rehab Services - Data Collection Intervals](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/nursing-homes-including-rehab-services-data-collection-intervals.md) {% endcontent-ref %} {% content-ref url="/pages/eYYbhekCPekvwpbv9J8F" %} [Nursing Homes Including Rehab Services - Citation Code Lookup](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/nursing-homes-including-rehab-services-citation-code-lookup.md) {% endcontent-ref %} {% content-ref url="/pages/tHA84Kp2BFdlvJZLVuP9" %} [Nursing Homes Including Rehab Services - Medicare Claims Quality Measures](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/nursing-homes-including-rehab-services-medicare-claims-quality-measures.md) {% endcontent-ref %} {% content-ref url="/pages/JItZoZ6tHConsksTeIRZ" %} [Nursing Homes Including Rehab Services - State Inspection Cut Points](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/nursing-homes-including-rehab-services-state-inspection-cut-points.md) {% endcontent-ref %} ## Get this feed 1. [Start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) or purchase via [Databricks](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00) 2. Mount the share — the database and `DWV` schema appear in your account immediately 3. Run the [sample query](#sample-queries) above — no ETL, no pipeline maintenance Questions about this feed? Contact us at . *** Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset.md) — 280+ feeds · 245B+ records · updated daily. [Back to the full catalog →](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md#nursing-homes-including-rehab-services-health-deficiencies) --- # Agent Instructions This documentation is published with GitBook. GitBook is the documentation platform designed so that both humans and AI agents can read, navigate, and reason over technical content effectively. Learn more at gitbook.com. ## Querying This Documentation If you need additional information that is not directly available in this page, you can query the documentation dynamically by asking a question. Perform an HTTP GET request on the current page URL with the `ask` query parameter, and the optional `goal` query parameter: ``` GET https://docs.dataplex-consulting.com/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/nursing-homes-including-rehab-services-health-deficiencies.md?ask=&goal= ``` `ask` is the immediate question: it should be specific, self-contained, and written in natural language. `goal` is optional and describes the broader end goal you are ultimately trying to accomplish on behalf of the user. GitBook uses it to tailor the answer towards what is most useful for that goal. The response will contain a direct answer to the question and relevant excerpts and sources from the documentation. Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.