Nursing Home Ratings by State
CMS rates 14,561 of the 14,693 Medicare- and Medicaid-certified nursing homes in 53 states and territories on a 1 to 5 star scale. The stars are close to evenly spread: 21% have 5 stars and 20% have 1. A home averages 107 beds. This page uses 14,693 Medicare-certified nursing-home records from CMS Care Compare, with NPPES context where available. Every figure is traceable in the methodology.
Overall rating, all 14,561 rated homes
Source: CMS Five-Star Quality Rating System, overall rating; file processed Jul 1, 2026. 132 homes are not rated.
What the rating combines
- Health inspectionsFindings from the last three years of state surveys; weighted most heavily
- StaffingNurse and aide hours per resident per day, from payroll records
- Quality measuresResident outcomes such as falls, pressure ulcers and hospital readmissions
- OverallStarts from the inspection rating, then moves up or down for staffing and quality
Nursing Homes by state
| State | Nursing homes | Beds | Average rating |
|---|---|---|---|
| Alabama | 224 | 26,504 | 3.0 |
| Alaska | 20 | 815 | 3.5 |
| Arizona | 140 | 15,984 | 3.4 |
| Arkansas | 221 | 24,167 | 3.5 |
| California | 1,165 | 114,990 | 3.2 |
| Colorado | 210 | 19,757 | 3.1 |
| Connecticut | 191 | 22,696 | 3.0 |
| Delaware | 44 | 4,717 | 3.2 |
| District of Columbia | 17 | 2,485 | 3.4 |
| Florida | 694 | 84,517 | 3.3 |
| Georgia | 356 | 39,494 | 2.7 |
| Guam | 1 | 40 | 2.0 |
| Hawaii | 43 | 4,248 | 3.7 |
| Idaho | 80 | 6,099 | 3.1 |
| Illinois | 667 | 85,157 | 2.6 |
| Indiana | 507 | 48,888 | 3.1 |
| Iowa | 388 | 25,198 | 3.1 |
| Kansas | 296 | 18,094 | 3.1 |
| Kentucky | 267 | 25,352 | 3.0 |
| Louisiana | 266 | 32,316 | 2.5 |
| Maine | 78 | 5,830 | 3.1 |
| Maryland | 221 | 27,307 | 3.1 |
| Massachusetts | 341 | 40,961 | 3.0 |
| Michigan | 422 | 44,005 | 3.1 |
| Minnesota | 338 | 24,064 | 3.2 |
| Mississippi | 202 | 17,496 | 2.8 |
| Missouri | 487 | 50,043 | 2.5 |
| Montana | 60 | 4,997 | 2.9 |
| Nebraska | 180 | 13,711 | 2.8 |
| Nevada | 66 | 7,235 | 3.3 |
| New Hampshire | 73 | 7,326 | 3.0 |
| New Jersey | 348 | 51,022 | 3.3 |
| New Mexico | 68 | 6,919 | 2.9 |
| New York | 594 | 111,493 | 3.0 |
| North Carolina | 419 | 43,850 | 2.9 |
| North Dakota | 72 | 4,909 | 3.2 |
| Ohio | 922 | 81,107 | 3.1 |
| Oklahoma | 283 | 27,475 | 2.7 |
| Oregon | 128 | 10,600 | 3.1 |
| Pennsylvania | 656 | 83,064 | 3.0 |
| Puerto Rico | 9 | 299 | 2.9 |
| Rhode Island | 72 | 8,190 | 2.9 |
| South Carolina | 187 | 19,594 | 3.0 |
| South Dakota | 96 | 5,848 | 2.9 |
| Tennessee | 303 | 34,613 | 3.0 |
| Texas | 1,177 | 133,403 | 2.6 |
| Utah | 97 | 8,379 | 3.3 |
| Vermont | 33 | 2,951 | 2.9 |
| Virginia | 289 | 32,648 | 3.0 |
| Washington | 193 | 18,781 | 3.2 |
| West Virginia | 123 | 10,717 | 3.0 |
| Wisconsin | 323 | 24,758 | 3.0 |
| Wyoming | 36 | 2,938 | 3.0 |
Source: CMS Care Compare nursing home file processed Jul 1, 2026; average of the overall rating across rated homes.
Common questions
What does the CMS Five-Star rating measure?
CMS combines three component ratings, health inspections, staffing and quality measures, into an overall rating from 1 to 5 stars. Health inspections carry the most weight.
Why is a nursing home not rated?
CMS withholds ratings for homes that are newly certified or have too little data. 132 homes in this file have no overall rating.
Is a nursing home the same as assisted living?
No. This list covers nursing homes certified by Medicare or Medicaid (skilled nursing facilities). Assisted living and independent living are licensed by the state and are not rated by CMS.
Source: CMS Five-Star Quality Rating System, Nursing Home Provider Information, processed Jul 1, 2026 (data.cms.gov). PlainDoctor publishes the ratings as CMS releases them, with no score of its own. Not medical advice: tour a home and read its inspection reports before choosing.