Federal update · July 2026
Nursing Home Rating Changes: July 2026 Federal Update
In the July 2026 federal update, 3419 nursing homes in the U.S. changed their overall Medicare rating (1835 lower, 1584 higher), 55 were added to the federal Special Focus watch list, and 107 were newly flagged with the federal abuse indicator. These are factual changes in the U.S. federal (CMS) data, comparing the July 2026 release with June 2026.
Read the July 2026 roundup: what changed and why →
Newly added to the federal watch list 55 facilities
The Special Focus Facility program flags nursing homes with a persistent pattern of serious quality problems.
Newly flagged with the federal abuse indicator 107
Overall rating downgraded 1835, showing top 250
Overall rating improved 1584, showing top 250
Changes compare the July 2026 U.S. federal (CMS) nursing home release with the June 2026 release. The facts are CMS's; the presentation is Open Care Data's. Ratings and flags can change again in future updates. Open Care Data is not affiliated with CMS, Medicare, or any government agency. How we use this data.