vital-scans open quality ledger

www.cms.gov: Lighthouse — week 2026-W40

95 pages sampled by Google Lighthouse (its own headless Chrome). Scores are 0–100 (higher is better); metrics are Core Web Vitals. Download: CSV (per-page scores) · JSON (AI-ready, includes recommendations) · Priority pages CSV · Priority pages JSON.

Trend

Lighthouse category scores over 17 weeks
Performance Accessibility Best practices SEO W24W32W401000
Lighthouse category scores by week
WeekPerformanceAccessibilityBest practicesSEO
2026-W246610010092
2026-W256410096100
2026-W266410096100
2026-W276110096100
2026-W285710096100
2026-W296210010092
2026-W306110010069
2026-W316310010092
2026-W325710096100
2026-W335610096100
2026-W345510096100
2026-W355810096100
2026-W365910092100
2026-W375710096100
2026-W385710096100
2026-W395510096100
2026-W40571008892

History & Trends → Severity, Lighthouse and other measures across 17 weeks.

Performance impact

How far pages fall short of Google's "good" benchmarks: Largest Contentful Paint ≤ 2.5s and page weight ≤ 1.6 MB. Lower is better.

Avg extra LCP over 2.5s
5.3s 76/95 pages over
Avg extra weight over 1.6 MB
0.42 MB 71/137 pages over

Set page_loads_per_week for this target to also estimate total wasted time and data (the way daily-dap uses traffic counts).

Medians across sampled pages

Performance
57/100
Accessibility
100/100
Best practices
88/100
SEO
92/100
Agentic browsing
99/100
Largest Contentful Paint
7.3s
First Contentful Paint
3.8s
Speed Index
4.4s
Total Blocking Time
0.3s
Cumulative Layout Shift
0.062

Recommendations

Issues Lighthouse flagged across the 95 sampled page(s), beyond the headline scores — grouped by category and ranked by how many pages they affect. Estimated savings (transfer bytes or load time) are Lighthouse's own estimates where available. Accessibility audits are intentionally omitted; they overlap with the axe-core findings on the Accessibility page.

Performance

Performance recommendations from Lighthouse, by sampled pages affected.
RecommendationPagesEst. saving
Network dependency tree 95/95 —
Minimize main-thread work 83/95 36.0s
Render-blocking requests 77/95 155.8s
Reduce unused CSS 77/95 4.8 MB · 25.8s
Time to Interactive 77/95 —
Reduce JavaScript execution time 76/95 30.8s
Font display 76/95 4.7s
Largest Contentful Paint 76/95 —
First Contentful Paint 75/95 —
Reduce unused JavaScript 74/95 11.2 MB · 36.8s
Max Potential First Input Delay 72/95 —
Total Blocking Time 60/95 —
Use efficient cache lifetimes 57/95 167.3s
Speed Index 56/95 —
Avoid multiple page redirects 54/95 56.5s
Document request latency 48/95 27.0s
Initial server response time was short 38/95 20.3s
Minify CSS 34/95 276 KB · 1.3s
Page prevented back/forward cache restoration 33/95 —
Minify JavaScript 32/95 102 KB · 0.8s
Forced reflow 32/95 —
LCP request discovery 31/95 —
Layout shift culprits 28/95 —
Improve image delivery 18/95 20.6s
Legacy JavaScript 13/95 2.0s
LCP breakdown 3/95 —

Best Practices

Best Practices recommendations from Lighthouse, by sampled pages affected.
RecommendationPagesEst. saving
Serves images with low resolution 51/95 —
Missing source maps for large first-party JavaScript 32/95 —
Does not use HTTPS 30/95 —
Uses third-party cookies 18/95 —
Issues were logged in the `Issues` panel in Chrome Devtools 18/95 —
Page lacks the HTML doctype, thus triggering quirks-mode 18/95 —
Charset declaration is missing or occurs too late in the HTML 18/95 —
Browser errors were logged to the console 1/95 —

SEO

SEO recommendations from Lighthouse, by sampled pages affected.
RecommendationPagesEst. saving
Document does not have a meta description 41/95 —
Image elements do not have `[alt]` attributes 18/95 —
Page is blocked from indexing 7/95 —
Links do not have descriptive text 5/95 —
Links are not crawlable 1/95 —

Agentic (AI-readiness)

Agentic (AI-readiness) recommendations from Lighthouse, by sampled pages affected.
RecommendationPagesEst. saving
WebMCP tools registered 95/95 —
WebMCP form coverage 95/95 —
WebMCP schemas are valid 95/95 —
llms.txt follows recommendations 95/95 —
Cumulative Layout Shift 28/95 —

What the Agentic score means

The Agentic (AI-readiness) score is new in Google Lighthouse (13.4+). It measures how well a page works for AI agents and assistants — the tools that increasingly mediate how people find and use government services. It checks for things like an llms.txt file (a machine-readable guide for language models), valid structured data, a well-formed accessibility tree that agents can parse, and WebMCP tool/form descriptions. A higher score means an AI assistant is more likely to understand the page and complete tasks on a citizen's behalf correctly.

It is experimental and evolving; treat it as a forward-looking signal, not a compliance requirement. Median across sampled pages: 99/100.

Gaps found on the sampled pages: WebMCP tools registered (95), WebMCP form coverage (95), WebMCP schemas are valid (95), llms.txt follows recommendations (95), Cumulative Layout Shift (28).

Per-page results

Lighthouse scores and Core Web Vitals per sampled page (2026-W40). Agentic = experimental agentic-browsing score. PWA / offline readiness is tracked in the Standards tab (Lighthouse 12+ removed the PWA category). — click a column heading to sort
/medicare-coverage-database/view/article.aspx531007810010010.4s11.3s10.4s0.2s0.007
/medicare/regulations-guidance/transmittals/2026-transmittals/r13945mpi6210010092994.4s9.2s4.4s0.2s0.066
/medicare-coverage-database/view/ncacal-public-comments.aspx51100961001003.8s7.2s3.8s0.6s0.048
/medicare-coverage-database/view/lcd.aspx3597781006910.4s11.4s10.4s0.2s0.316
/medicare/medicaid-coordination/states/medicaid-integrity-program501005992942.3s5.8s5.9s0.8s0.11
/medicare/regulations-guidance/transmittals/2025-transmittals/r13364cp4810077921005.4s10.7s5.4s0.5s0
/outreach-and-education/reach-out/find-tools-to-help-you-help-others/open-enrollment-outreach-and-media-materials44100771001004.4s10.9s6.0s0.7s0
/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0018.html997070831001.6s1.6s2.6s0.0s0
/medicare-coverage-database/view/lcd.aspx599778100732.2s7.3s3.0s0.1s0.264
/medicare-coverage-database/view/lcd.aspx49979610010010.0s10.6s10.0s0.3s0
/medicare-coverage-database/search-results.aspx5210096921007.5s12.8s7.5s0.3s0
/about-cms/who-we-are/leadership/digital-service-cms59100100921004.8s10.2s4.8s0.2s0
/data-research6910010085991.9s5.8s2.5s0.3s0.065
/privacy/third-party-privacy-policies54100771001004.1s11.1s5.6s0.4s0
/medicare/enrollment-renewal/providers-suppliers501001001001004.9s12.3s5.1s0.5s0
/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0668.html996270831001.6s1.6s1.6s0.0s0
/medicare/regulations-guidance/transmittals/2023-transmittals5310010069531.8s3.8s2.6s0.4s0.803
/medicare-coverage-database/view/lcd.aspx48949610010012.1s13.0s12.1s0.3s0
/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0049.html92628883871.9s1.9s1.9s0.0s0.156
/marketplace/resources/fact-sheets-faqs621001001001004.3s9.0s5.3s0.1s0
/priorities/innovation/innovation-models/making-care-primary37100771001005.9s13.4s7.0s1.0s0
/medicare/regulations-guidance/transmittals/2023-transmittals/r12359cp461007792995.2s10.8s5.2s0.6s0.066
/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P2001.html756288831002.0s2.0s4.5s0.8s0
/medicare-coverage-database/view/lcd.aspx2594961005110.4s11.2s10.4s0.3s0.962
/about-cms/what-we-do/nursing-homes8610010092941.8s2.9s2.9s0.2s0.106
/regulations-and-guidance/guidance/transmittals/transmittals/r10524pi5510077921005.4s13.2s7.2s0.2s0
/medicare/regulations-guidance/transmittals/2026-transmittals3910077611005.2s12.9s6.9s0.8s0
/medicare-coverage-database/view/lcd.aspx47979610010010.2s11.0s10.2s0.4s0
/medicare-coverage-database/view/cal.aspx56979210010010.3s10.6s10.3s0.0s0
/medicare-coverage-database/view/article.aspx40100781008010.1s11.3s10.1s0.3s0.212
/medicare-coverage-database/view/ncacal-decision-memo.aspx519696100542.0s7.3s2.7s0.1s0.7
/acronyms6710077611004.4s5.2s4.4s0.2s0
/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r4127cp4810077921005.1s12.0s5.5s0.5s0
/medicare-coverage-database/view/article.aspx5210078929910.2s11.2s10.2s0.2s0.062
/medicare-coverage-database/view/lcd.aspx379496100753.5s4.4s6.2s1.1s0.254
/medicare-coverage-database/view/article.aspx48979610010010.0s10.6s10.0s0.3s0
/apps/ama/license.asp68997761881.9s5.0s2.8s0.3s0.15
/medicare-coverage-database/view/article.aspx52100961001009.9s10.6s9.9s0.2s0
/icd10m/version36-fullcode-cms/fullcode_cms/P0050.html997070831001.7s1.7s1.7s0.0s0
/medicare/regulations-guidance/transmittals/2024-transmittals/r12558cp64100100921004.4s9.1s4.4s0.0s0
/medicare-coverage-database/view/lcd.aspx55100961001006.7s12.0s6.7s0.2s0
/medicare-coverage-database/view/article.aspx681007892983.0s8.4s3.0s0.1s0.074
/medicare/employers-plan-sponsors/creditable-coverage/disclosure-form5410077100994.6s9.7s4.6s0.4s0.065
/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0034.html997070831001.6s1.6s1.6s0.1s0
/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0142.html93547083871.3s1.3s1.3s0.0s0.156
/medicare/coding-billing/skilled-nursing-facility-snf-consolidated-billing/2019-part-a-mac-update65100100100951.8s5.1s2.7s0.5s0.098
/medicare-coverage-database/view/lcd.aspx5197961001003.6s4.0s4.7s1.9s0
/medicare-coverage-database/view/lcd.aspx489778100734.0s5.6s13.6s0.1s0.265
/medicare/regulations-guidance/transmittals/2021-transmittals3510077691005.3s13.4s6.6s1.2s0
/medicare/provider-enrollment-and-certification/guidanceforlawsandregulations/nursing-homes90100100100961.8s2.9s2.4s0.2s0.095
/medical-bill-rights/help/guides621009692994.8s11.5s4.8s0.1s0.065
/about-cms/leadership/organization68100100100991.8s5.1s2.4s0.4s0.067
/medicare/regulations-guidance/transmittals/2024-transmittals/r12493otn671008192982.1s5.5s2.5s0.4s0.071
/medicare-coverage-database/view/article.aspx579778100997.1s11.1s7.1s0.1s0.058
/nosurprises/privacy4998591001005.5s12.9s7.3s0.4s0
/medicare/payment/fee-schedules/clinical-laboratory-fee-schedule-clfs82100100100851.9s2.2s2.0s0.3s0.174
/medicare-coverage-database/view/lcd.aspx409478100703.4s8.7s17.6s0.2s0.301
/newsroom/press-releases/report-details-national-health-care-spending-increases-200156100771001004.4s9.9s4.5s0.3s0
/medicare-coverage-database/view/article.aspx53100961001007.5s13.0s7.5s0.2s0
/icd10m/version38-fullcode-cms/fullcode_cms/P0661.html967088831002.1s2.1s2.8s0.0s0
/icd10m/version372-fullcode-cms/fullcode_cms/P0004.html93707083881.6s1.7s1.6s0.1s0.152
/medicare/forms-notices/cms-forms71100100100951.8s4.9s2.4s0.3s0.098
/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0019.html98707083971.6s1.6s1.6s0.0s0.079
/medicare-coverage-database/view/lcd.aspx3697961007210.0s10.8s10.0s0.3s0.279
/medicare/physician-fee-schedule/search/overview499810092832.6s5.9s3.0s0.7s0.184
/medicare/regulations-guidance/transmittals/2017-transmittals46100100691005.0s9.9s5.0s0.7s0
/icd10m/version37-fullcode-cms/fullcode_cms/P0094.html92707083871.4s1.4s2.7s0.1s0.156
/newsroom/fact-sheets/no-surprises-act-independent-dispute-resolution-process-proposed-rule-fact-sheet65100811001002.9s6.4s3.2s0.3s0.022
/medicare/coding-billing/therapy-services70100100100991.8s5.3s2.5s0.4s0.065
/about-cms/contact/directory/ars-aberdeen-llc/15563264410077921004.4s10.8s6.0s0.7s0
/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0148.html997088831001.6s1.6s1.6s0.1s0
/medicare-coverage-database/view/lcd.aspx629796100751.8s7.1s2.4s0.1s0.253
/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0358.html996288831001.6s1.7s1.6s0.0s0
/medicaid-chip/medicare-coordination/financial-alignment7898100100991.8s5.0s1.8s0.2s0.066
/marketplace-private-insurance/resources/data-resources75100100100851.7s3.7s1.8s0.3s0.174
/icd10m/version39-fullcode-cms/fullcode_cms/P0337.html987088831001.8s1.8s1.8s0.1s0.039
/about-cms/contact/directory/baymark-health-services-west-virginia-inc/15592316810010092991.8s4.8s2.4s0.5s0.065
/about-cms/contact/speaking-engagement-request-form6310077100991.7s5.0s3.9s0.6s0.065
/medicare-coverage-database/view/article.aspx52100781009910.3s11.1s10.3s0.2s0.062
/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0104.html997070831001.3s1.3s2.4s0.1s0
/medicare-coverage-database/view/lcd.aspx3494961007510.1s11.0s10.1s0.4s0.249
/regulations-and-guidance/administrative-simplification/nationalprovidentstand68100100100871.8s4.2s2.7s0.4s0.157
/medicare-coverage-database/details/nca-view-public-comments.aspx53100961001003.4s6.9s3.4s0.6s0.033
/medicare/regulations-guidance/transmittals/2025-transmittals/r13095otn5810010092995.1s9.9s5.1s0.2s0.066
/medicare/payment/prospective-payment-systems/hospital-outpatient-pps/quarterly-addenda-updates5410010092944.7s11.1s4.7s0.3s0.108
/license/ama6299100611004.1s8.9s4.1s0.2s0
/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0011.html996270831001.8s1.8s1.8s0.0s0
/regulations-and-guidance/guidance/transmittals/transmittals/r489pr1611007792952.0s5.0s2.5s0.6s0.102
/medicare-coverage-database/view/lcd.aspx2497781005110.2s11.1s10.2s0.3s0.962
/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx32977892883.3s10.8s4.2s2.9s0.15
/icd10m/FY2024-version41-fullcode-cms/fullcode_cms/P0298.html93707083871.6s1.7s1.6s0.0s0.155
/icd10m/version372-fullcode-cms/fullcode_cms/P0641.html987070831001.9s1.9s1.9s0.0s0
/medicare-coverage-database/view/ncacal-public-comments.aspx7110078100993.9s5.1s3.9s0.1s0.067
/priorities/health-equity/minority-health/resource-center/language/vietnamese-tieng-viet519881921004.6s30.8s12.9s0.3s0
/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx329796921004.0s10.8s6.1s3.1s0