CMS lists nursing homes in any state and District of Columbia that have a history of serious quality problems. These Special Focus Facilities (SFF) have been officially entered into the federal government’s SFF program to monitor care. Homes on the list may have a history of “yo-yo” compliance, with a good survey followed by substandard quality on the next, thus unable to sustain good care. Some nursing homes are listed as Showing Improvement or having graduated out of the program. In addition, CMS now reports hundreds of nursing homes (nearly 7 pages) that are candidates for the SFF program, based on quality issues over the prior 3 years. Up to 30 nursing homes per state are on the Special Focus Facility Candidate list (Table F). These nursing homes are likely just as troubled as those in the SFF program. Beware if your nursing home is on the SFF list. Download the “SFF Posting”. Updated October 26, 2022.