SeniorIndex
SeniorIndex.ai
Market Intelligence for Senior Care

Independent market intelligence for the U.S. senior care landscape.

SeniorIndex tracks every certified nursing home and home health agency in America — 14,710 skilled nursing facilities and 12,251 home health agencies across all 50 states — and publishes research, data, and analysis on the structure of the post-acute care industry.

Turn public data into usable intelligence

The U.S. senior care landscape is one of the most heavily documented sectors in the American economy. Federal and state agencies publish staffing records, inspection results, ownership histories, financial filings, and penalty data — tens of millions of records, refreshed on a continuous basis. Very little of it is assembled, cross-referenced, or made usable for the people who need to understand this industry.

SeniorIndex does that work. We don't generate the underlying data — we interpret it. We aggregate records from their original sources, reconcile inconsistencies across datasets, compute benchmarks and composite scores from documented formulas, and publish the results as research, reference data, and paid reports. Every figure we publish is traceable to a public source.

Our role is description, not advocacy. We cover the industry as the data shows it, and we serve every reader the same figures regardless of their position in the market — operators, agencies, lenders, investors, regulators, researchers, and journalists.

Seven areas of continuous research
Each area is tracked across our full provider universe — 14,710 skilled nursing facilities and 12,251 home health agencies — and refreshed on a documented cadence. Findings are published in The Brief, in our reports, and on the site.
Staffing & Workforce
Daily staffing records at facility level, split by employee and contract hours across every nursing category. RN coverage, weekend patterns, zero-RN days, turnover, and contract dependency. Refreshed quarterly.
Ownership & Market Structure
Chain affiliation, ownership history, transfer records, multi-facility concentration, and market-level competitive structure at the county and state level.
Enforcement & Quality
Nine years of inspection deficiencies with severity classification, immediate jeopardy and actual harm flags, civil monetary penalties, Special Focus Facility status, and quality ratings.
Financials
Facility-level cost report filings covering revenue by payer source, operating expenses, and financial position. Benchmarked against state and national averages.
Regulatory Landscape
Federal and state staffing rules, enforcement mechanisms, penalty structures, and the current post-repeal regulatory environment. Every claim cited to its source of authority.
Market Demographics
County-level population, age distribution, income, and household composition layered against facility supply to identify over- and under-served markets.
Home Health Agencies
Quality of care, patient experience, Value-Based Purchasing performance, cost per visit, visit volume by discipline, and service area coverage for all 12,251 certified home health agencies. Scored and graded via the SeniorIndex Agency Score.
Principles

Independence

We publish the same data and the same analysis regardless of who reads it. We do not represent any buyer, seller, operator, trade group, or policy position, and we do not tailor findings to the interests of paying customers.

Source transparency

Every figure we publish is traceable to a public federal or state dataset. Our reports name the data layers they draw from and the date each layer was last refreshed.

Current data

Our data pipelines run on documented schedules and every publication names its data vintage. When the underlying sources update, our figures update with them.

Description, not advocacy

We describe the industry as the data shows it. We do not lobby, campaign, endorse candidates, or take positions on pending legislation.

What we publish
Our research reaches readers through three channels: a free monthly brief, a catalog of paid reports, and ongoing coverage of the regulatory landscape.
How our data is built

We ingest data directly from primary federal and state sources, normalize identifiers across datasets, reconcile reporting inconsistencies, and compute composite scores from documented formulas. Every report we publish names the data layers it draws from, the date each layer was refreshed, and the known limitations of the underlying sources.

Our composite scores — including the Staffing Opportunity Score and the Stability Score — are built from weighted sub-metrics whose formulas are published in the methodology section of every report that uses them. We do not hide our math.

Read the full methodology →