States with the most, least SNF deficiencies

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So far in 2026, CMS has handed out 55,981 deficiencies to skilled nursing facilities across the nation.

Becker’s collected a report on all of the deficiencies given by CMS in 2026 at freestanding and hospital-based facilities. This includes dually certified, district part, Medicare only and Medicaid only nursing facilities. The total also includes deficiencies that were corrected. 

In 2025, skilled nursing facilities received a total of 111,099 deficiencies, meaning this year’s deficiency count is on track to be similar to last year’s by December.

KFF found that 27% of certified nursing facilities in rural communities received deficiencies for actual harm or immediate jeopardy in 2025, compared to 29% of facilities in urban communities. 

Among deficiencies, 86% were isolated and patterned with potential for more than minimal harm, but no actual harm. For immediate-jeopardy deficiencies, 752 were given for isolated immediate jeopardy, and 38 for pattern of actual harm. 

Here are the states and the District of Columbia by their total deficiencies so far in 2026.

Alabama: 59

Alaska: 41

Arizona: 351

Arkansas: 153

California: 8,412

Colorado: 559

Connecticut: 972

Delaware: 220

District of Columbia: 102

Florida: 1,435

Georgia: 725

Hawaii: 220

Idaho: 370

Illinois: 4,149

Indiana: 1,720

Iowa: 1,197

Kansas: 706

Kentucky: 393

Louisiana: 794

Maine: 330

Maryland: 1,782

Massachusetts: 1,126

Michigan: 2,152

Minnesota: 1,106

Mississippi: 512

Missouri: 1,779

Montana: 351

Nebraska: 600

Nevada: 290

New Hampshire: 153

New Jersey: 1,157

New Mexico: 484

New York: 1,388

North Carolina: 751

North Dakota: 157

Ohio: 3,499

Oklahoma: 404

Oregon: 492

Pennsylvania: 3,629

Rhode Island: 292

South Carolina: 367

South Dakota: 259

Tennessee: 347

Texas: 5,084

Utah: 240

Vermont: 124

Virginia: 943

Washington: 1,421

West Virginia: 589

Wisconsin: 1,432

Wyoming: 110

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