Enforcement · National Overview
Nursing homes with federal penalties
6,955 facilities nationwide have received federal enforcement actions — civil money penalties or denials of payment — totaling $470,829,164. Select a state to see the full roster.
| State | Facilities with penalties | Enforcement actions | Total fines |
|---|---|---|---|
| Illinois | 472 | 1,828 | $64,276,936 |
| Texas | 827 | 2,089 | $62,998,865 |
| California | 536 | 1,498 | $31,162,180 |
| Florida | 303 | 796 | $21,456,464 |
| Ohio | 321 | 721 | $21,262,896 |
| Missouri | 239 | 692 | $18,059,409 |
| North Carolina | 253 | 650 | $17,749,447 |
| Pennsylvania | 314 | 647 | $17,490,556 |
| Michigan | 211 | 554 | $15,373,568 |
| Louisiana | 144 | 323 | $14,422,438 |
| New York | 184 | 382 | $13,702,579 |
| Wisconsin | 143 | 383 | $13,177,564 |
| Massachusetts | 183 | 307 | $12,954,852 |
| New Jersey | 142 | 286 | $12,016,695 |
| Washington | 125 | 255 | $10,268,974 |
| Tennessee | 107 | 222 | $8,527,279 |
| Iowa | 162 | 354 | $8,205,750 |
| Minnesota | 149 | 346 | $6,267,917 |
| Kansas | 151 | 378 | $6,247,085 |
| Georgia | 145 | 326 | $6,128,616 |
| Oklahoma | 142 | 383 | $5,923,676 |
| Colorado | 136 | 321 | $5,335,404 |
| Kentucky | 93 | 243 | $5,189,110 |
| Rhode Island | 53 | 161 | $5,183,651 |
| Virginia | 93 | 155 | $5,169,250 |
| Maryland | 89 | 147 | $4,987,625 |
| Mississippi | 103 | 238 | $4,265,176 |
| Connecticut | 98 | 176 | $4,163,058 |
| Oregon | 71 | 123 | $4,060,391 |
| West Virginia | 69 | 108 | $3,706,947 |
| Montana | 45 | 109 | $3,642,802 |
| Alabama | 46 | 118 | $3,341,161 |
| New Mexico | 42 | 130 | $3,297,743 |
| South Carolina | 106 | 247 | $3,246,673 |
| Vermont | 23 | 49 | $3,130,210 |
| Indiana | 103 | 185 | $2,901,945 |
| Delaware | 29 | 61 | $2,816,448 |
| South Dakota | 67 | 137 | $2,650,192 |
| Utah | 50 | 101 | $2,420,202 |
| North Dakota | 44 | 79 | $2,035,612 |
| Arkansas | 71 | 118 | $1,944,559 |
| Nebraska | 59 | 117 | $1,722,913 |
| Idaho | 28 | 52 | $1,162,749 |
| Arizona | 38 | 68 | $1,118,813 |
| District of Columbia | 14 | 27 | $1,044,110 |
| Nevada | 26 | 39 | $986,583 |
| Wyoming | 23 | 54 | $912,057 |
| Hawaii | 22 | 29 | $860,582 |
| New Hampshire | 23 | 44 | $730,645 |
| Maine | 29 | 42 | $582,434 |
| Alaska | 6 | 13 | $492,290 |
| Puerto Rico | 2 | 2 | $40,836 |
| Guam | 1 | 2 | $13,247 |
Think something went wrong with a loved one's care?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys