FileFlo is the compliance document intelligence platform for regulated industries. Connect cloud storage (Google Drive, Dropbox, Box, OneDrive, SharePoint) or upload a folder. FileFlo reads every compliance document, names the regulation behind every gap with the exact CFR section, and ships an audit binder in the regulator's format. One platform across logistics (FMCSA), healthcare (CMS — HHA / hospice / SNF), construction (OSHA), cannabis (state programs), aviation (FAA), and manufacturing (OSHA + EPA). Pricing: $89/mo Starter, $299/mo Professional, 5-day free trial on both.

How is FileFlo different from a compliance tab in my ops platform?

Most ops platforms (TMS, EHR, ERP, seed-to-sale) ship compliance as a side feature. They track only one regulator, make you manually upload and tag every document, show generic 'expired' flags with no regulatory context, and never produce an audit binder organized for the surveyor's checklist. FileFlo is cross-regulator (FMCSA + CMS + OSHA + EPA + FAA + state cannabis), AI-classifies your storage automatically, cites the exact CFR section behind every gap, and ships audit binders in the inspector's format (F-tag order for SNF, BASIC order for FMCSA, 1910 subpart order for OSHA). Compliance is the whole product, not a tab.

What does FileFlo cost?

Two tiers. Starter is $89/month (or $890/year, effectively $74/mo) — 100 documents per month, 3 users, the rule-pack for one regulator. Professional is $299/month (or $2,990/year, effectively $249/mo) — unlimited documents, unlimited users, every rule-pack across all six regulators, predictive scoring, multi-location dashboards, and inspector portal. Both include the audit binder, renewal alerts, and a 5-day free trial. One FMCSA violation costs $16,550 and one OSHA serious violation costs $16,131 — preventing a single one pays for years of FileFlo.

Which industries and regulators does FileFlo cover?

Six anchor industries with dedicated rule-packs: Logistics (FMCSA, 49 CFR Parts 380-399), Healthcare (CMS — 42 CFR Part 484 for HHA, Part 418 for hospice, Part 483 for SNF, plus HIPAA), Construction (OSHA, 29 CFR 1926), Cannabis (state programs including Michigan CRA, Arizona ADHS, California DCC, plus METRC and BioTrack tracking), Aviation (FAA, 14 CFR Part 135), Manufacturing (OSHA general industry 29 CFR 1910 plus EPA 40 CFR). Adjacent verticals with solution surfaces: property management, energy & utilities, food service, warehousing.

How does FileFlo handle document ingestion?

Connect Google Drive, Dropbox, Box, OneDrive, or SharePoint, or upload a folder directly. FileFlo's AI auto-classifies every document into one of 600+ document types (DQF, OSHA training cert, OASIS submission, METRC export, pilot record, SDS, COI, etc), extracts expiration dates and key fields, assigns the document to the right entity (driver, employee, location, vehicle, facility), and validates against the rule-pack for that regulator. Manual review and override is supported on every extracted field — FileFlo assists, doesn't replace human judgment.

How long does setup take?

Most teams are operational within a few hours. Connect your storage or upload a folder, FileFlo's AI extracts expiration dates and sets up tracking, you add team members and configure rule-packs for your industry. No complex IT integration. FileFlo sits beside your existing HRIS, LMS, ops platform, and safety systems as the compliance proof layer — it doesn't replace them.

Are there free FileFlo tools to evaluate before signing up?

Yes. Three free CFR-cited audits at https://www.getfileflo.com/tools/: FMCSA Audit-Readiness Score (49 CFR), CMS Survey-Readiness Score (42 CFR Parts 484/418/483), and OSHA Compliance-Readiness Score (29 CFR). Each takes about three minutes, no signup, no credit card, no email. The audit reports cite the exact CFR section behind every gap. FileFlo also publishes free public profiles for ~50,000 motor carriers, 12,392 home health agencies, 14,699 nursing homes, and 6,943 hospices — each with a compliance indicator derived from FMCSA Socrata or CMS Care Compare data.

How does the CMS 5-star rating work?

The Overall Star Rating combines three component ratings on a 1-5 scale: health inspection (most heavily weighted), staffing levels (RN and total nurse staffing per resident day), and quality measures (15+ short-stay and long-stay measures). Higher is better.

What is a Special Focus Facility (SFF)?

Special Focus Facility (SFF) is a CMS designation for nursing homes with a persistent record of poor survey performance. SFFs are surveyed twice as often as other nursing homes and face termination from Medicare and Medicaid if they do not improve within roughly 18-24 months. CMS publishes the SFF list and SFF candidate list monthly.

What are CMS civil money penalties (CMPs)?

CMS Civil Money Penalties (CMPs) are fines imposed on nursing facilities for deficiencies identified during state surveys. CMPs can be per-day or per-instance and are published by CMS on the Nursing Home Care Compare Penalties dataset. Fine amounts and counts are FileFlo's primary objective enforcement signal.

How is the FileFlo Risk Indicator calculated for nursing homes?

FileFlo's SNF Risk Indicator is a 0-100 composite score: 5-star ratings 85% and CMS fines on record 15%. Scores 80+ are Low risk; 60-79 Moderate; below 60 High. It is FileFlo's analytical opinion based on published data, not a CMS rating or regulatory finding.

FileFloNursing Home Compliance Hub

Home Health Hub →

Nursing Home
Compliance Lookup

14,699 Medicare-certified skilled nursing facilities. CMS 5-star ratings, real fines on record, Special Focus Facility status, and the FileFlo Risk Indicator for every SNF in the U.S.

Run your facility through the audit

3-minute survey-readiness score. No signup. CFR citations on every gap.

Get my survey score →

Free: CMS Nursing Home Survey Prep Checklist

F-Tag-by-Tag preparation, CMS-2567 reading guide, Plan of Correction template (5 elements), Joint Commission tracer prep, HIPAA Security Risk Analysis template.

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Special Focus Facilities (CMS designated)

CMS targets these nursing homes for twice-frequency surveys until they improve or are terminated from Medicare.

Access Mental Health56/100

Peabody, KS·SFF

Arcadia Care Peoria Heights54/100

Peoria Heights, IL·SFF

Arcadia Care Watseka51/100

Watseka, IL·SFF

Artesia Palms Care Center53/100

Artesia, CA·SFF

Ashley Rehabilitation And Health Care Center57/100

Rogers, AR·SFF

Aspen Point Health And Rehabilitation50/100

Saint Charles, MO·SFF

Avantara Norton55/100

Sioux Falls, SD·SFF

Aventura At The Bay51/100

Saint Petersburg, FL·SFF

Belleview Valley Nursing Home53/100

Belleview, MO·SFF

Billings Rehabilitation And Nursing LLC57/100

Billings, MT·SFF

Carroll Park Healthcare53/100

Baltimore, MD·SFF

Casa Real52/100

Santa Fe, NM·SFF

Highest CMS fines on record

Sorted by total imposed fines per CMS Nursing Home Care Compare.

Autumn Meadows Of Cahokia$955,600

Cahokia, IL·1★·SFF Candidate

Majestic Gardens At Memphis Rehab & Snc$810,404

Memphis, TN·1★

Bria Of Cahokia$798,532

Cahokia, IL·1★

Nexus Pavilion At Belleville$791,021

Belleville, IL·1★·SFF Candidate

Avir At Lindale$774,461

Lindale, TX·1★

Mohawk Meadows$738,307

Lafayette, NJ·1★

Nexus At Alton$711,017

Alton, IL·1★

Bishop Rehabilitation And Nursing Center$699,602

Syracuse, NY·1★

Legacy Nursing At St. Christina$656,474

Pineville, LA·1★

Springfield Health & Rehab$637,467

Springfield, VT·1★·SFF Candidate

Whispering Pines Lodge$624,499

Longview, TX·1★·SFF Candidate

Natchitoches Nursing And Rehabilitation Center, Ll$616,611

Natchitoches, LA·1★

5-star nursing homes

Country View Living100/100

Dimmitt, TX·5★

Mrc The Crossings100/100

League City, TX·5★

Sagecrest Alzheimers Care Center100/100

San Angelo, TX·5★

C C Young Memorial Home100/100

Dallas, TX·5★

The Methodist Hospital Snf100/100

Houston, TX·5★

Trinity Terrace100/100

Fort Worth, TX·5★

Creekview Skilled Nursing100/100

Pleasanton, CA·5★

Lakeside Special Care Center100/100

Lakeside, CA·5★

Baywood Court Health Center100/100

Castro Valley, CA·5★

Veterans Home Of California - Barstow100/100

Barstow, CA·5★

Vi At La Jolla Village100/100

San Diego, CA·5★

San Francisco Towers100/100

San Francisco, CA·5★

Browse by state (53 jurisdictions)

Texas1,176

797 need fixes·147 top-rated

California1,162

514 need fixes·288 top-rated

Ohio922

455 need fixes·203 top-rated

Florida694

292 need fixes·175 top-rated

Illinois667

458 need fixes·91 top-rated

Pennsylvania657

354 need fixes·149 top-rated

New York596

316 need fixes·135 top-rated

Indiana507

244 need fixes·120 top-rated

Missouri487

342 need fixes·51 top-rated

Michigan423

179 need fixes·105 top-rated

North Carolina418

235 need fixes·83 top-rated

Iowa390

178 need fixes·99 top-rated

Georgia356

231 need fixes·43 top-rated

New Jersey348

141 need fixes·88 top-rated

Massachusetts341

177 need fixes·78 top-rated

Minnesota338

148 need fixes·83 top-rated

Wisconsin323

157 need fixes·71 top-rated

Tennessee303

169 need fixes·54 top-rated

Kansas297

154 need fixes·64 top-rated

Virginia289

155 need fixes·60 top-rated

Oklahoma283

177 need fixes·35 top-rated

Kentucky268

145 need fixes·47 top-rated

Louisiana266

193 need fixes·21 top-rated

Alabama224

109 need fixes·43 top-rated

Arkansas221

80 need fixes·58 top-rated

Maryland221

107 need fixes·53 top-rated

Colorado210

93 need fixes·46 top-rated

Mississippi202

130 need fixes·33 top-rated

Washington194

82 need fixes·51 top-rated

Connecticut191

96 need fixes·49 top-rated

South Carolina187

95 need fixes·39 top-rated

Nebraska179

96 need fixes·36 top-rated

Arizona140

48 need fixes·35 top-rated

Oregon128

59 need fixes·29 top-rated

West Virginia123

69 need fixes·22 top-rated

Utah97

39 need fixes·25 top-rated

South Dakota96

56 need fixes·19 top-rated

Idaho80

35 need fixes·18 top-rated

Maine78

41 need fixes·16 top-rated

New Hampshire74

41 need fixes·13 top-rated

Rhode Island73

38 need fixes·12 top-rated

North Dakota72

35 need fixes·24 top-rated

New Mexico68

37 need fixes·11 top-rated

Nevada66

27 need fixes·17 top-rated

Montana61

28 need fixes·13 top-rated

Delaware44

15 need fixes·11 top-rated

Hawaii42

8 need fixes·16 top-rated

Wyoming36

19 need fixes·9 top-rated

Vermont34

23 need fixes·4 top-rated

Alaska20

9 need fixes·7 top-rated

District of Columbia17

4 need fixes·5 top-rated

Puerto Rico9

6 need fixes·1 top-rated

Guam1

1 need fixes

Frequently Asked Questions about Nursing Homes

There are 14,699 CMS-certified skilled nursing facilities currently in the FileFlo directory, sourced directly from the CMS Nursing Home Care Compare Provider Information dataset. Star ratings refresh monthly; FileFlo re-syncs after each CMS publish.

Source: CMS Nursing Home Care Compare. Compliance scores are FileFlo's derived 0-100 metric combining 5-star ratings (85% weight) and CMS-imposed fines on record (15% weight). For official Medicare information, visit medicare.gov/care-compare.