The government published the data.
Nobody joined it.

Medicaid funds them. Medicaid ratings flag them. Neither dataset is joined.

Medicaid is the primary payer for most nursing home residents in the United States. For the 331 facilities identified here, it accounts for more than 85% of patient days. These are not institutions with diverse revenue — they are structurally dependent on a single federal program.

All 331 are simultaneously operating at a net loss according to their most recent HCRIS cost report filings, and all hold 1- or 2-star ratings under CMS's Five-Star Quality Rating System. The combined net loss across the group is $502.8 million for fiscal year 2024.

The three signals — payer concentration, financial loss, and low quality rating — exist in three separate federal systems. HCRIS is a cost reporting system. The payer mix comes from CMS provider data. The star rating is a CMS quality composite. None of the three references the others.

As CMS Administrator Mehmet Oz announced new Medicaid eligibility and reimbursement changes on June 2, 2026, these 331 facilities sit at the intersection of maximum Medicaid exposure, demonstrated financial loss, and lowest clinical quality — in the same data CMS uses to administer the program.

CMS publishes the fraud signal. The signal is in the data. The data is public.

The Hospice Care Index late live discharge rate measures the percentage of patients who are discharged alive late in their hospice stay. CMS uses this as a primary indicator of potential enrollment fraud — it suggests patients were admitted to hospice who did not qualify, and were discharged when that became apparent.

The national median late live discharge rate across 5,579 hospice providers with sufficient claims data is 36.8%. The 90th percentile is 57%. The 13 providers identified here reported a rate of 100% — every patient with a late live discharge was discharged alive. Eight of the thirteen are in California, concentrated in the Los Angeles metro area: Tujunga, Burbank, Glendale, Van Nuys, Reseda, Los Angeles, and Tarzana.

This is CMS's own data, published in CMS's own Hospice Care Index. On May 13, 2026, CMS Administrator Mehmet Oz announced a six-month moratorium on new Medicare hospice enrollments, citing systemic fraud and suspending more than 800 providers representing $1.4 billion in Medicare billings. The late live discharge rate is one of the primary signals CMS uses to identify those providers. The 13 providers below reported that signal at its maximum value — in federal data that has been publicly available throughout.

HCI scores range 0–100. Source: CMS Hospice Care Index. Full provider list available on request.

OSHA told 41,648 employers to fix a hazard. The hazard is still open.

An abatement order is OSHA's formal requirement that an employer correct a cited workplace hazard by a specified date. An open abatement means the employer has not demonstrated to OSHA's satisfaction that the hazard has been corrected. The citation stands. The penalty has been assessed. The hazard is officially unresolved.

Of the 41,648 employers with open abatement orders, 750 also have willful violations on record — citations where OSHA determined the employer knowingly disregarded a safety requirement or was aware of the hazard and made no reasonable effort to eliminate it. The combined penalties across the full open abatement universe total $457.5 million.

A willful violation with an open abatement order means the employer knew about the hazard, was penalized for it, and the hazard is still present. These are not administrative oversights. They are documented in OSHA's own enforcement records — the same records the agency uses to prioritize future inspections. The 41,648 figure represents the current state of OSHA's own enforcement backlog, in OSHA's own data.