Skilled Nursing Facility Value-Based Purchasing - National Level
National-level VBP results: readmission rates, HAI rates, staff turnover, and staffing hours with thresholds and benchmarks.
Part of the CMS Data Feeds Dataset › Medicare
Dataplex delivers this CMS feed as the analysis-ready table DWV.SNF_VBP_AGGREGATE on Snowflake and Databricks — 85 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.SNF_VBP_AGGREGATE
Databricks
cms_dwv.snf_vbp_aggregate
Cadence
Annual
Update pattern
Full-refresh — each file replaces the prior snapshot
CMS published
2026-03-01
Loaded
2026-07-15
Columns
24 data + 6 lineage
File versions
85
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.
Current — CMS last published this feed on 2026-03-01. Coverage runs through 2026-03-01. Next CMS release expected ~Mar 2027.
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.
Sample queries
About this feed
National-level VBP results: readmission rates, HAI rates, staff turnover, and staffing hours with thresholds and benchmarks. Single row.
— Source: CMS feed metadata
Keywords: nursing homes, SNF, VBP, value-based purchasing, readmission Theme: Medicare
Coverage timeline
2019–2026 🟩🟩🟩🟩🟩🟩🟩🟩 (🟩 covered · ⬜ no data)
8 of 8 years with snapshot releases — no gaps.
Release history
Snapshot as of 2025-12-01
2025-12-01
2026-07-15
Snapshot as of 2026-03-01
2026-03-01
2026-03-25
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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
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 2026-03-01
2026-03-01
2026-03-01
Show 75 earlier file versions
Snapshot as of 2026-01-01
2026-01-01
2026-02-28
Snapshot as of 2025-12-01
2025-12-01
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Snapshot as of 2025-11-01
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Snapshot as of 2025-09-01
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Snapshot as of 2025-07-01
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Snapshot as of 2024-12-01
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Snapshot as of 2024-10-01
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Snapshot as of 2024-01-01
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Snapshot as of 2023-12-01
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Snapshot as of 2023-11-01
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Snapshot as of 2023-10-01
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Snapshot as of 2023-09-01
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Snapshot as of 2023-08-01
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Snapshot as of 2023-07-01
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Snapshot as of 2023-06-01
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Snapshot as of 2023-05-01
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Snapshot as of 2023-04-01
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Snapshot as of 2023-01-01
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Snapshot as of 2022-12-01
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Snapshot as of 2022-11-01
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Snapshot as of 2022-10-01
2022-10-01
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Snapshot as of 2022-09-01
2022-09-01
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Snapshot as of 2022-08-01
2022-08-01
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Snapshot as of 2022-07-01
2022-07-01
2026-02-28
Snapshot as of 2022-06-01
2022-06-01
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Snapshot as of 2022-05-01
2022-05-01
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Snapshot as of 2022-04-01
2022-04-01
2026-02-28
Snapshot as of 2022-03-01
2022-03-01
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Snapshot as of 2022-01-01
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Snapshot as of 2021-12-01
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Snapshot as of 2021-11-01
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Snapshot as of 2021-09-01
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Snapshot as of 2021-07-01
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Snapshot as of 2021-06-01
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Snapshot as of 2021-05-01
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2026-02-28
Snapshot as of 2021-04-01
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Snapshot as of 2020-12-01
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Snapshot as of 2020-11-01
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Snapshot as of 2020-10-01
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Snapshot as of 2020-09-01
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Snapshot as of 2020-08-01
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Snapshot as of 2019-12-01
2019-12-01
2026-02-28
Snapshot as of 2019-10-01
2019-10-01
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Snapshot as of 2019-09-01
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Snapshot as of 2019-08-01
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2026-02-28
Snapshot as of 2019-07-01
2019-07-01
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Snapshot as of 2019-06-01
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Snapshot as of 2019-05-01
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Snapshot as of 2019-04-01
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Snapshot as of 2026-02-01
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Data dictionary
📋 24 data columns + 6 lineage columns
Data columns
VBP_PROGRAM_YEAR
NUMBER
CMS fiscal year for this VBP program cycle (e.g., 2026). Determines which baseline and performance periods apply.
BASELINE_PERIOD
TEXT
Measurement period used as the baseline for scoring (e.g., 'FY 2022' = Oct 2021–Sep 2022). Facilities are compared against this period.
PERFORMANCE_PERIOD
TEXT
Measurement period used for current performance scoring (e.g., 'FY 2024' = Oct 2023–Sep 2024). Compared against baseline to calculate improvement.
BASELINE_NATIONAL_AVG_READMISSION_RATE
NUMBER
Baseline period national average risk-standardized readmission rate (lower is better)
PERFORMANCE_NATIONAL_AVG_READMISSION_RATE
NUMBER
Performance period national average risk-standardized readmission rate
SNFRM_ACHIEVEMENT_THRESHOLD
NUMBER
SNF Readmission Measure (SNFRM) achievement threshold — the rate a SNF must beat to earn achievement points
SNFRM_BENCHMARK
NUMBER
SNFRM benchmark — the best-performing rate, used as the ceiling for achievement scoring
BASELINE_NATIONAL_AVG_HAI_RATE
NUMBER
Baseline period national average risk-standardized healthcare-associated infection (HAI) rate
PERFORMANCE_NATIONAL_AVG_HAI_RATE
NUMBER
Performance period national average HAI rate
SNF_HAI_ACHIEVEMENT_THRESHOLD
NUMBER
SNF_HAI_BENCHMARK
NUMBER
SNF HAI benchmark — ceiling rate for achievement scoring
BASELINE_NATIONAL_AVG_TURNOVER_RATE
NUMBER
Baseline period national average total nursing staff turnover rate
PERFORMANCE_NATIONAL_AVG_TURNOVER_RATE
NUMBER
Performance period national average turnover rate
TURNOVER_ACHIEVEMENT_THRESHOLD
NUMBER
Turnover achievement threshold (lower turnover is better)
TURNOVER_BENCHMARK
NUMBER
Turnover benchmark — ceiling for achievement scoring
BASELINE_NATIONAL_AVG_STAFFING_HOURS
NUMBER
Baseline period national average adjusted total nursing staff hours per resident day
PERFORMANCE_NATIONAL_AVG_STAFFING_HOURS
NUMBER
Performance period national average staffing hours per resident day
STAFFING_ACHIEVEMENT_THRESHOLD
NUMBER
Staffing achievement threshold (higher hours is better)
STAFFING_BENCHMARK
NUMBER
Staffing benchmark — ceiling for achievement scoring
RANGE_OF_PERFORMANCE_SCORES
TEXT
Range of composite performance scores across all SNFs (e.g., '0 - 100')
TOTAL_SNFS_RECEIVING_VBP
NUMBER
Total number of SNFs receiving value-based incentive payments in this program year
RANGE_OF_INCENTIVE_PAYMENT_MULTIPLIERS
TEXT
Range of incentive payment multipliers applied to SNF Medicare payments (e.g., '0.6032 - 1.7052')
RANGE_OF_VBP_PAYMENTS
TEXT
Range of value-based incentive payment dollar amounts
TOTAL_VBP_PAYMENTS
TEXT
Total dollar amount of all value-based incentive payments in this program year
Lineage columns (present on every feed table)
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:
Trace any row back to its source file and reporting period:
Source & provenance
Published by the Centers for Medicare & Medicaid Services (bureau 009:38).
Frequently asked questions
How often is Skilled Nursing Facility Value-Based Purchasing - National Level updated?
Annually. CMS last published this feed on 2026-03-01, and Dataplex loaded it to the warehouse on 2026-07-15. New releases are added automatically when CMS publishes them.
What years does Skilled Nursing Facility Value-Based Purchasing - National Level cover?
2019 through 2026.
How many records are in Skilled Nursing Facility Value-Based Purchasing - National Level?
Count the current snapshot yourself once the share is mounted:
How do I get Skilled Nursing Facility Value-Based Purchasing - National Level data?
It's included in the CMS Data Feeds Dataset on the Snowflake Marketplace (free trial available) and via Databricks Delta Sharing. Once mounted, query DWV.SNF_VBP_AGGREGATE directly — no pipeline setup required.
Related feeds
Skilled Nursing Facility Value-Based Purchasing - Facility LevelSkilled Nursing Facility Quality Reporting Program - National DataSkilled Nursing Facility Quality Reporting Program - Provider DataSkilled Nursing Facility Quality Reporting Program - Swing BedsNursing Homes Including Rehab Services - Medicare Claims Quality MeasuresGet this feed
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