Hospital immediate jeopardy surveys by state: 5 years of CMS data

 Surveyors found immediate jeopardy at U.S. hospitals in 1,346 surveys from 2021 through 2025, according to a Becker’s analysis of CMS data.

An immediate jeopardy is the most serious finding a hospital can receive. It means a hospital’s failure to meet Medicare requirements has caused, or is likely to cause, serious injury, harm, impairment or death to a patient. A hospital that does not remove an immediate jeopardy can lose its Medicare participation in as little as 23 days.

Hospital immediate jeopardy surveys rose from 248 in 2021 and 255 in 2022 to a five-year high of 330 in 2023. They then fell to 279 in 2024 and 234 in 2025. Figures include the 50 states and Washington, D.C., and exclude U.S. territories such as Puerto Rico and Guam.

Becker’s also reviewed 2019 and 2020 data for comparison. The share of surveys resulting in an immediate jeopardy held steady at about 5% from 2019 through 2022, despite fewer inspections during the pandemic, before rising to 6.4% in 2023

Becker’s analyzed CMS Form 2567 deficiency reports for hospitals with surveys dated from Jan. 1, 2021, through Sept. 14, 2026. A survey was counted when the report stated that surveyors identified an immediate jeopardy. Because one survey can include more than one immediate jeopardy, the figures count surveys, not individual findings. State rates are immediate jeopardy surveys per 100 hospitals surveyed from 2021 to 2025.

The national rate was 25.9, and 5.1% of all surveys ended in an immediate jeopardy.

Some 2025 and 2026 counts are likely to rise. Immediate jeopardy cases often take longer to resolve than routine surveys, so their reports post later. Rates also partly reflect how often and how strictly each state’s survey agency inspects hospitals.

Four takeaways:

• Nearly all start with a complaint. About 95% of immediate jeopardy surveys from 2021 to 2025 began with a complaint investigation rather than a routine inspection.

• Psychiatric hospitals are cited at a higher rate. About 7% of psychiatric hospital surveys ended in an immediate jeopardy, compared with about 5% for general acute care hospitals. Psychiatric hospitals accounted for 22% of all immediate jeopardy surveys.

• Patient rights are cited most often. Patient rights were cited in 54% of immediate jeopardy surveys. Next were nursing services (30%), governing body (19%) and quality assessment and performance improvement (17%). 

• Rhode Island is the outlier. Its 23 immediate jeopardy surveys occurred at eight of its 16 hospitals surveyed, a rate of 143.8 per 100 hospitals, more than five times the national rate. Among states with 20 or more hospitals surveyed, New Jersey (74.7), Oregon (65.7) and Colorado (58.7) had the highest rates. 

Here’s how states compare, ranked by immediate jeopardy surveys per 100 hospitals surveyed from 2021 to 2025:

State	Immediate jeopardy surveys between 2021 and 2025	Rate per 100 hospitals surveyed, 2021-25	2025 count	2026 count so far
Rhode Island	23	143.8	3	4
New Jersey	71	74.7	13	0
Oregon	23	65.7	3	1
Colorado	61	58.7	5	2
West Virginia	30	50.8	2	0
Connecticut	16	50	2	0
Missouri	66	49.3	13	0
Illinois	91	46.9	10	3
New York	68	43.3	12	1
Tennessee	59	40.7	7	4
Delaware	7	38.9	0	0
California	143	38.8	42	13
Pennsylvania	63	34.2	5	1
Georgia	47	33.1	7	8
Kansas	32	29.9	6	1
Minnesota	34	29.3	6	3
New Mexico	13	27.1	1	0
Alaska	4	26.7	0	1
National rate (U.S. total)	1,346	25.9	234	70
Texas	135	23.9	19	9
Florida	50	22.6	9	0
North Carolina	28	22.6	5	5
Washington	20	22.5	2	0
Arizona	19	22.1	5	2
Alabama	17	21.2	2	0
District of Columbia	2	18.2	0	0
Michigan	26	17.6	5	4
Massachusetts	15	16.9	4	0
Iowa	18	15.8	0	1
Arkansas	14	15.7	4	0
Montana	9	15.5	0	0
Idaho	6	15.4	2	1
Louisiana	28	15.3	7	1
Virginia	13	12.9	1	0
Maine	5	12.5	0	0
Indiana	15	11.2	8	2
Hawaii	2	10.5	1	0
South Carolina	5	10.2	3	0
South Dakota	6	10.2	0	0
Utah	4	9.8	1	0
Ohio	19	9.7	10	2
Wisconsin	13	9.4	3	1
Kentucky	8	8.7	1	0
Wyoming	2	7.7	2	0
Nevada	2	7.1	0	0
Mississippi	5	5.2	2	0
Nebraska	4	4.5	0	0
Maryland	1	4.3	0	0
Oklahoma	4	3.6	1	0
North Dakota	0	0	0	0
New Hampshire	0	0	0	0
Vermont	0	0	0	0

https://www.beckershospitalreview.com/legal-regulatory-issues/hospital-immediate-jeopardy-surveys-by-state-5-years-of-cms-data/

AHA, Anthropic help shape state oversight of autonomous clinical AI

 The American Hospital Association, American Medical Association, Anthropic and Elevance Health are participating in a national workgroup developing recommendations for how state medical boards should oversee AI in medical practice, a spokesperson for the Federation of State Medical Boards confirmed to Becker’s.

FSMB announced the workgroup in May to develop recommendations and/or model guidelines for state medical boards, particularly regarding AI systems that perform clinical functions with limited or no direct physician supervision. The effort comes as companies test how AI can be used in diagnosis, prescribing and other clinical functions, and as states propose and implement regulatory sandbox frameworks, according to FSMB’s news release.

The group met in Washington in early October, the FSMB spokesperson confirmed to Becker’s.

An AHA spokesperson separately confirmed to Becker’s that the association is participating in the workgroup. The spokesperson also confirmed that the group is examining oversight of AI systems that perform clinical functions with limited or no direct physician supervision.

Draft recommendations are expected in the coming weeks or months, according to the FSMB spokesperson. The guidance is intended to inform state medical board policies and potentially broader state-level regulation.

The initiative builds on FSMB’s previous work examining the use of AI in medical practice, including its 2024 policy guidance.

Becker’s has reached out to Anthropic for comment and will update this story if more information becomes available.

https://www.beckershospitalreview.com/healthcare-information-technology/ai/aha-anthropic-help-shape-state-oversight-of-autonomous-clinical-ai/

Anthropic bans accounts to prevent election abuse

 Anthropic PBC revealed in a statement on Wednesday that its teams continued to investigate coordinated abuse related to elections, including the midterms in the United States, with a goal of preventing this from happening.

"In one case, foreign-based operators of a fake news site used Claude to produce US midterm coverage favoring Russian, Iranian, and North Korean narratives. We've also observed threat actors seeking to exploit the election for financial gain, using Claude to produce fabricated news and other content designed to attract American audiences and generate advertising revenue," Anthropic detailed, adding that all of these accounts were banned.

Overall, the company said that it is doing its best to make sure Claude remains neutral but useful during the election season.

https://breakingthenews.net/Article/Anthropic-bans-accounts-to-prevent-election-abuse/67298826

Zelensky rules out resigning, holding elections

 Ukrainian President Volodymyr Zelensky said he has no intention of resigning, describing remaining in office as "his responsibility" in an interview with Piers Morgan published on Wednesday.

Zelensky also ruled out holding elections under current conditions, pushing back against US President Donald Trump's calls for Ukraine to elect a new leader.

He also said that Ukraine counts on its partnership with the United States despite agreeing he felt betrayed by US President Donald Trump over an "energy ceasefire" and Russian diesel deal.

https://breakingthenews.net/Article/Zelensky-rules-out-resigning-holding-elections/67298488

Musk to Ukraine: Starlink can't be used for military action

 SpaceX CEO and the wealthiest man in the world, Elon Musk, warned Ukraine that the Starlink network cannot be used for offensive operations.

"Starlink is a commercial service owned and controlled by SpaceX. Usage of Starlink is limited to civilian or defensive activities and cannot be used for offensive military action, as doing so would be inappropriate for a commercial company," Musk said in a response to Former Ukrainian Defense Minister Mykhailo Fedorov's post on X, in which he thanked Musk for restoring Starlink network speed and urged him to remove Starshield's speed limit.

SpaceX CEO explained that Starshield is built for and owned by the US government. "Any limits on speed or usage are decided by the US military" and US President Donald Trump.

https://breakingthenews.net/Article/Musk-to-Ukraine:-Starlink-can't-be-used-for-military-action/67298473

Trump Touts Taiwan-Alaska LNG Deal Offering Decades Of Conflict-Free Supply Beyond Hormuz

 The Gulf area conflict is rewiring global energy supply chains, with Taiwan turning to Alaska for long-term, conflict-free liquefied natural gas supplies. 

President Trump touted the latest development on Truth Social, saying Taiwan had agreed to purchase 30% of a planned Alaska LNG project's output for two decades and invest an additional $4.4 billion. Taipei, however, said binding terms remain under negotiation.

"I was just in Alaska launching the largest Energy Infrastructure Project in Alaska History: The Alaska LNG Project. This 50 Billion Dollar Infrastructure Investment from The Republic of Korea is part of their Trade and Investment Deal with me," Trump wrote on Truth Social around lunchtime in New York.

The president continued, "I am also announcing today that my Commerce Secretary, Howard Lutnick, has secured an Offtake Commitment from Taiwan of between 70 to 80 Billion Dollars for Alaska LNG. That is 30% of the Pipeline for the next 20 years."

"On top of that, Taiwan has also agreed to invest 4.4 Billion Dollars in Equity into the Project, because this is now a U.S. Federal Government Project, with all necessary permits secured, and all necessary authorizations delivered, and ready to go," he added.

Bloomberg reported that Taiwan's Ministry of Economic Affairs plans to buy 6 million tons of LNG annually and participate in the Alaska LNG project.

State-owned CPC Corp. previously signed a nonbinding letter of intent to consider investing. Deliveries could begin as early as 2032 if development proceeds on schedule, the ministry said.

Earlier this month, Trump announced a $54 billion South Korean investment in the project, but Seoul subsequently said participation would depend on commercial viability.

Alaska LNG is a proposed development that would transport natural gas from Alaska's North Slope to the state's southern coast, supplying Alaskan customers and exporting LNG to Asia.

For both countries, LNG shipped from Alaska would cross the Pacific without passing through the disrupted Strait of Hormuz, helping them diversify supplies away from that maritime chokepoint. 

https://www.zerohedge.com/energy/trump-taiwan-alaska-lng-deal-offering-decades-conflict-free-supply-beyond-hormuz

First Tracks Biotherapeutics reports positive Phase 1b ANB033 data in celiac disease

 

 showing statistically significant protection against gluten-induced damage and symptoms

• ANB033 demonstrated a favorable safety profile in the Phase 1b gluten-challenge study in celiac disease patients.
• First Tracks plans to advance the ANB033 celiac program to late-stage clinical development in 2027.

https://finviz.com/stock?t=TRAX&p=d