Pain Qualified Prospect Feed — Validated with live CMS penalty data
A Data-Driven Outbound Workflow for August Health
Using CMS penalty and deficiency data to identify nursing home operators with provable compliance failures
at the exact moment post-penalty urgency creates budget for system changes.
50–80
Qualified targets per month
Validated Workflow
The “Penalty Cascade”
Using the CMS Penalties database to identify nursing home operators with significant fines,
cross-referenced with deficiency citations and ownership data, at the exact moment post-penalty
urgency drives systemic compliance investment.
How It Works
1
Query the CMS Penalties database for facilities with fines above $10,000, filtering by recency and penalty type (civil monetary penalties, payment denials).
2
Cross-reference with CMS deficiency citations to identify the specific compliance failures that triggered each penalty (care planning gaps, medication errors, infection control breakdowns).
3
Join with CMS ownership data to identify parent operators, rolling up facility-level penalties to the organizational level to surface systemic patterns.
4
Filter for multi-site operators in August Health's ICP: 10+ communities, senior living focus, with penalty histories suggesting documentation or clinical monitoring gaps.
5
Score by urgency: penalty amount, recency, repeat offender status, associated payment denials, and Five-Star rating trajectory.
6
Deliver verified lead cards with operator details, penalty history, deficiency root causes, and compliance gap analysis mapped to EHR capabilities.
Validation Score: 23 / 25
Verified Opportunities
Sample Lead Cards
Real nursing home operators with recent CMS penalties, verified against the CMS penalties dataset.
Each card represents an operator with provable compliance pain and active regulatory urgency.
Penalty Date
October 3, 2025
Signal
Largest single CMS fine in recent dataset, indicating severe compliance failure requiring systemic corrective action
Repeat Offender
Total Penalties
$757,956 across 3 penalty events
Timeline
March 2023 ($58,354) → December 2023 ($321,165 + 42 day payment denial) → July 2024 ($378,437 + 50 day payment denial)
Status
Special Focus Facility — under enhanced CMS oversight
Signal
Escalating penalties with correction plans that failed, plus 92 total days of payment denial directly blocking revenue
Penalty Date
July 26, 2025
Signal
Significant single-facility penalty indicating compliance gaps that likely exist across the operator's portfolio
Penalty Date
August 29, 2025
Signal
Recent large penalty in a high-growth senior living market, creating immediate compliance urgency
Additional Opportunities
Backup Workflows
These workflows passed theoretical evaluation and represent additional prospecting angles using publicly accessible regulatory data.
Backup Workflows (Passed Theoretical Evaluation)
Survey Deficiency Spiral
Monitors nursing homes receiving repeat survey deficiencies in the same clinical category (medication management, infection control, care planning). When a facility's correction plan fails and the same deficiency appears in consecutive surveys, it signals a systemic process failure that better clinical documentation tools could address.
Ownership Change Scramble
Tracks ownership changes at nursing homes using CMS change-of-ownership data and deal announcements. New operators typically standardize their technology stack within the first six months of acquisition, creating a defined buying window for EHR platforms.
Staffing Crisis Indicator
Identifies facilities with staffing levels below CMS thresholds and high agency nurse usage from payroll-based journal data. Chronically understaffed facilities need technology that reduces documentation burden and simplifies onboarding for temporary staff.
Five-Star Free Fall
Monitors nursing homes experiencing significant drops in their CMS Five-Star Quality Rating. A two-star drop signals operational deterioration that often correlates with clinical documentation gaps and process failures across the facility.
Quality Measure Deterioration
Tracks declining clinical quality metrics (fall rates, pressure ulcers, UTIs, weight loss) at the facility level. Worsening quality measures indicate clinical monitoring gaps that predictive analytics and modern EHR systems are designed to catch early.
What You're Looking At
The lead cards in this report aren't a one-time research project. They're a sample of what
a Pain-Qualified Prospect Feed looks like — monitoring
the CMS penalties database continuously and surfacing nursing home operators with
compliance-driven regulatory pain the moment the signal fires.
What the Feed Looks Like
Every Week
25–50 prospects, each with the penalty signal, why it creates urgency, a ready-to-use
outreach angle, and verified VP Operations / VP Clinical contacts.
Week 1 Onboarding
ICP & Pain Signal Map for your vertical, outreach templates for each signal type,
and a competitive landscape snapshot — all ready before the first feed ships.
Monthly Refinement
You tell us which prospects turned into meetings. We adjust signal weighting so
the feed gets sharper every month.
The Guarantee
50 pain-qualified prospects with verified contact info in your first 30 days —
or you don't pay for the first month.
Built for B2B sales teams who'd rather have 50 reasons to call than 5,000 names to guess from.
Want to see the full Penalty Cascade list?
We'll pull 50+ nursing home operators with active penalty pain in your target segments,
walk you through the data live, and show you exactly what lands in your inbox each week.
Book 15 Minutes