AuditPoint Institutional Intelligence Platform

An AuditPoint Platform

CareIndex.

Post-Acute Care Intelligence

Every Medicare/Medicaid-certified skilled nursing facility, home health agency, and hospice provider in the United States — scored across compliance, staffing, financials, and ownership. Built for capital transactions, not consumer research.

14,710
SNFs tracked
12,251
HHAs tracked
6,943
Hospices scored
33,904
Total providers
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Seven federal datasets.
One assembled picture.

CMS publishes provider data across seven separate programs — none of them joined. CareIndex ingests all seven, joins them at the facility level, and produces a single scored intelligence record per provider. No estimates, no surveys, no third-party aggregators.

The result: a complete compliance, staffing, financial, and ownership profile for every certified provider in the country, updated monthly.

The hospice segment adds three additional federal datasets — quality reporting, patient experience surveys, and claims-based fraud indicators. CareIndex scored all 6,943 hospice providers against national norms before CMS announced its May 2026 moratorium suspending 800+ providers for fraud. The late live discharge rate — CMS's primary claims-based fraud signal — is ingested and surfaced per provider.

01
CMS Provider Data Catalog
Star ratings, health inspection ratings, deficiency history, staffing ratings, quality measures, and Special Focus Facility designations. Updated monthly. 14,710 SNFs and 12,251 HHAs.
Federal
02
Payroll-Based Journal (PBJ)
Daily staffing records submitted to CMS. RN hours per resident day, contract staff mix, zero-RN days. 11-quarter history — Q1 2023 through Q1 2026.
Federal
03
HCRIS Cost Reports
Facility-level financial statements. Total revenue, operating costs, payer mix (Medicare/Medicaid/private pay), operating margin. FY2024 vintage.
Federal
04
CMS Home Health Compare
Quality measures, visit frequency, patient outcomes, and Value-Based Purchasing scores for 12,251 certified home health agencies.
Federal
05
CMS Hospice Quality Reporting Program
HIS and HOPE quality measures across 6,943 hospice providers. Symptom management, care planning, and patient experience indicators.
Federal
06
CMS Hospice CAHPS Survey
Patient and caregiver experience measures. Nine CAHPS domains including communication, emotional support, and overall rating.
Federal
07
CMS Hospice Care Index (Claims)
Claims-based measures including late live discharge rate, skilled nurse visit intensity, and burdensome transitions. Primary fraud detection signal used by CMS.
Federal

What the data surfaces.

Compliance
Special Focus Facility Status
CMS designates facilities with persistent serious deficiencies as Special Focus Facilities or SFF Candidates. These designations are a primary compliance risk signal — they precede enforcement actions and reimbursement clawbacks.
CMS PDC · Monthly
Quality
Star Rating vs. Operating Margin
CareIndex joins CMS star ratings to HCRIS financial data at the facility level. The correlation between ratings and financial performance is weaker than most buyers assume — 49.2% of 5-star facilities are operating at a loss.
CMS PDC + HCRIS · FY2024
Staffing
RN Hours & Contract Mix
PBJ data reveals actual daily staffing levels, not self-reported averages. Facilities below CMS RN benchmarks and those dependent on contract staff carry higher compliance and operational risk.
CMS PBJ · Q1 2026
Financial
Operating Margin by Payer Mix
HCRIS cost reports reveal the revenue structure behind every facility — Medicare %, Medicaid %, and private pay %. Private pay concentration correlates directly with margin stability and acquisition premium.
HCRIS · FY2024
Regulatory
Immediate Jeopardy Citations
The most serious deficiency classification — issued when CMS determines a provider's noncompliance has caused, or is likely to cause, serious injury or death. 8,318 IJ citations tracked over a 3-year window.
CMS Health Deficiencies · 3yr
Home Health
VBP Accountability Gap
41% of home health agencies fall outside CMS Value-Based Purchasing — they face zero federal quality accountability. A hidden risk layer in HH portfolios.
CMS VBP · June 2026

The Score

CareIndex
Compliance Tier

CareIndex derives a three-tier compliance classification from CMS federal data. No modeling, no estimates — each tier is a direct derivation from government-reported star ratings and SFF designations, with methodology fully disclosed.

Compliant
Overall rating ≥ 4 stars. No SFF or SFF Candidate designation. Lowest regulatory risk profile.
At Risk
Overall rating = 3 stars. Not SFF designated. Elevated monitoring warranted — midpoint between compliant and non-compliant.
Non-Compliant
SFF or SFF Candidate designation, OR overall rating ≤ 2 stars. Highest regulatory risk. Enforcement action, civil money penalties, and reimbursement clawbacks are elevated probability outcomes.

CareIndex compliance tiers are AuditPoint derived analytical outputs — not official CMS designations. All inputs are sourced from CMS federal data with vintage disclosed per report.

Additional Scored Metrics

Alert Count
Composite of fines, abuse icon flags, and SFF status. Higher alert counts predict adverse events.
Composite
Private Pay %
Percentage of revenue from private pay sources. Higher % signals margin stability and acquisition premium.
HCRIS
Staffing Rating
CMS staffing star rating derived from PBJ daily records. RN hours and contract mix are the key drivers.
PBJ
Opportunity Score
Proprietary metric for staffing agency clients — identifies facilities with acute staffing gaps by territory.
Derived

Built for institutional decisions.

Capital Transactions
Private Equity & REITs
Screening SNF and HH acquisition targets before LOI. Identifying off-market operators with strong private pay concentration and clean compliance records.
Screen all TX facilities for compliance tier, private pay %, and alert count before site visits
Flag SFF-designated facilities in a target portfolio pre-close
Benchmark operating margin against state peer group for valuation support
Credit & Lending
Lenders & Credit Officers
Sizing exposure to SNF operators. Monitoring portfolio facilities for deteriorating compliance or staffing signals between annual reviews.
Identify which facilities in a loan portfolio are within 60 days of an Immediate Jeopardy citation
Monitor star rating trends for facilities securing operating loans
Screen new originations for SFF designation and deficiency history
Workforce
Staffing Agencies
Prospecting by Opportunity Score — identifying facilities with acute staffing gaps by territory before competitors do.
Rank facilities by Opportunity Score within a sales rep's territory
Identify zero-RN-day facilities as highest-urgency outreach targets
Cross-reference staffing gaps with compliance tier for prioritization

Sample Findings · June 2026

What the data tells us right now.

Sourced directly from CMS and HCRIS. Verifiable. Citable.

SNF · Financial
49.2%
of 5-star nursing facilities are currently operating at a loss. Star rating carries no predictive value for financial performance (correlation: −0.05).
HCRIS · FY2024
Quality · Population
538,130
Americans currently reside in 1–2 star rated nursing facilities — the lowest-quality tier under CMS's own classification system. Source: CMS Provider Data Catalog.
CMS PDC · June 2026
Home Health · Accountability
5,039
home health agencies operate outside CMS Value-Based Purchasing measurement entirely — with no federal quality accountability score under the program.
CMS VBP · June 2026

Request CareIndex intelligence.

CareIndex reports are available per-decision — no subscription required. Facility-level reports, portfolio screening, and custom state-level analysis available on inquiry.

CoverageAll 50 states
SNFs tracked14,710
HHAs tracked12,251
Refresh cadenceMonthly
Current vintageCMS Q1 2026 · HCRIS FY2024
Pricing modelPer-decision · No subscription
DeliveryPDF report · Data export on request