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Methodology

Where every number comes from, exactly how it's computed, and how to correct it.

Every number traces to a record

HomeTruth summarizes government records; it does not grade facilities. So every figure we display has to be a fair and true reflection of the record behind it. Before each daily update publishes, an automated check recomputes every number two ways — the way the page shows it, and directly from the source rows — and refuses to ship if they ever disagree. A count of violations shown here equals the state's own count for that facility, to the citation.

✓ All displayed metrics reconciled to source rows · data as of 2026-07-08.

The metrics, one by one

Each metric below lists what it counts, the public source, the formula, and the date it reflects.

Facilities covered

1,177

Distinct licensed NY adult-care facilities and nursing homes in our store, including retained-closed.

Source: NYSDOH Health Facility General Information (vn5v-hh5r) + CMS Provider Information (4pq5-n9py) · as of 2026-07-08

ACF violations cited

7,121

Sum of every citation across every archived inspection. Equals the state-published violation count per survey exactly, and equals the number of citation rows we store.

Source: NYSDOH ACF inspection reports (profiles.health.ny.gov/acf/tab_inspections) · as of 2026-07-08

Facilities with enforcement on record

420

Count of facilities listed on the state's enforcement directory. The directory flag only; order details and fine amounts are pending a public-records request.

Source: NYSDOH enforcement-action directory (profiles.health.ny.gov/{acf,nursing_home}/enforcement_search) · as of 2026-07-08

Nursing homes with serious deficiencies

216

Count of nursing homes with at least one deficiency at CMS scope/severity G–L (actual harm or immediate jeopardy).

Source: CMS Health Deficiencies (r5ix-sfxw) · as of 2026-07-08

Federal Special Focus Facilities

18

Count of nursing homes CMS flags as Special Focus (or a recent candidate), copied from the federal record.

Source: CMS Provider Information (4pq5-n9py), special-focus status · as of 2026-07-08

Nursing-home occupancy

586

(capacity − available) ÷ capacity for the latest reported week. Joined to CMS facilities only through the reviewed deterministic crosswalk (etl/xwalk.py); unmatched facilities show no occupancy rather than risk a wrong match.

Source: NYSDOH Nursing Home Weekly Bed Census (izta-vnpq, uhyy-xp9s) · as of 2026-07-08

How we match a facility to its records

New York and the federal government identify the same nursing home with different ID numbers. Joining a facility's state occupancy record to its federal inspection record is where a careless match could put one home's history on another's page — the single error we most need to avoid. So the match is deterministic, not a name-similarity guess: two facilities are linked only when at least two independent identifiers — phone number, exact street address, type-stripped name — point to the same place. When they don't agree, the facility is excluded from that joined view and logged for human review, rather than shown with a number we can't stand behind.

What a record can't tell you

A citation is a moment in time, not a verdict — a facility can correct a problem the week after a survey finds it, and we show correction status and dates so you can see that. A clean record isn't a guarantee, and the newest events (an enforcement order's details, a real monthly price) often aren't published by the state at all. We label every field by how we know it — a government record, a family's report, or our own calculation — and never dress one up as another.

If a number is wrong, tell us

We correct against the record, publicly and promptly. If something here doesn't match the source — or the source itself is wrong about a facility you know — email corrections@hometruth.care with the facility and what you see, and we'll trace it back to the row and fix it.

The New York State Department of Health makes no representation, warranty or guarantee relating to the data or analyses derived from these data. HomeTruth is an independent project, not affiliated with any government agency, and does not provide legal, medical, or financial advice. See how HomeTruth works for our sources and firewall.