Rankings
National rankings built directly from Medicare (CMS) quality data. Each ranking explains exactly how it was calculated.
Nursing Homes
- Nursing homes with the most federal fines
These nursing homes received the largest total federal civil money penalties over the past three years, according to CMS. Fines are usually tied to serious inspection findings. - Best-staffed nursing homes in the U.S.
More nursing hours per resident is linked with better care. These homes report the most total nurse staffing (RNs, LPNs and nurse aides) per resident per day, from payroll records. - Nursing homes with the lowest staff turnover
Stable staff know residents better. These homes reported the lowest share of nursing staff leaving over a year. - Special Focus Facility nursing homes (list)
CMS places a small number of nursing homes with a persistent record of serious quality problems in its Special Focus Facility (SFF) program, with more frequent inspections. Candidates are homes that qualify but have not been selected. - States ranked by nursing home quality
Each state’s average CMS overall rating, nurse staffing and share of homes with an abuse citation, side by side. - Nursing home chains compared
Average ratings, fines and warnings for every nursing home chain CMS tracks.
Hospitals
- Hospitals with the longest ER waits
Median time patients spent in the emergency department, from arrival until they left, for patients treated and sent home. - Busy hospitals with the shortest ER waits
Among hospitals with high or very high emergency volume, these had the shortest median time from ER arrival to departure for patients sent home. - Most recommended hospitals by patients
The share of surveyed patients who said they would “definitely recommend” the hospital to friends and family.
Home Health Agencies
- Top-rated home health agencies
Agencies with a 4.5 or 5-star CMS quality rating, ranked by how often patients were discharged back to the community.
Hospices
- Highest-rated hospices by families
Hospices with a 4 or 5-star family caregiver survey rating, ranked by the share of families who would definitely recommend them.