Ranking · Nursing Homes
Which states have the best nursing homes?
Each state’s average CMS overall rating, nurse staffing and share of homes with an abuse citation, side by side.
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
| # | State | Avg. stars | Nurse hrs / resident / day | 1-star homes | With abuse citation | Homes |
|---|---|---|---|---|---|---|
| 1 | Hawaii | 3.7 | 5 | 7.3% | 0% | 43 |
| 2 | Arkansas | 3.4 | 4 | 11% | 3.2% | 221 |
| 3 | Alaska | 3.4 | 6.9 | 10% | 5% | 20 |
| 4 | District of Columbia | 3.4 | 4.7 | 5.9% | 11.8% | 17 |
| 5 | New Jersey | 3.3 | 3.8 | 9.5% | 4% | 348 |
| 6 | Utah | 3.3 | 4.1 | 9.4% | 11.3% | 97 |
| 7 | Arizona | 3.3 | 4 | 7.2% | 28.6% | 140 |
| 8 | Florida | 3.3 | 3.8 | 12.9% | 6.5% | 694 |
| 9 | Washington | 3.3 | 4.4 | 11.5% | 8.3% | 193 |
| 10 | Maryland | 3.2 | 3.9 | 15.1% | 10.9% | 221 |
| 11 | Delaware | 3.2 | 4.3 | 4.7% | 22.7% | 44 |
| 12 | Ohio | 3.2 | 3.7 | 12.9% | 4.3% | 922 |
| 13 | California | 3.2 | 4.5 | 16.1% | 10% | 1,165 |
| 14 | Colorado | 3.2 | 3.7 | 12.5% | 24.3% | 210 |
| 15 | Minnesota | 3.2 | 4.2 | 19% | 7.4% | 338 |
| 16 | North Dakota | 3.2 | 4.4 | 19.7% | 15.3% | 72 |
| 17 | Idaho | 3.2 | 4 | 20.3% | 10% | 80 |
| 18 | Indiana | 3.1 | 3.7 | 17.9% | 6.9% | 507 |
| 19 | Nevada | 3.1 | 4.3 | 21.5% | 13.6% | 66 |
| 20 | Michigan | 3.1 | 4 | 17.1% | 14.2% | 422 |
| 21 | Oregon | 3.1 | 5 | 17.3% | 10.2% | 128 |
| 22 | Kansas | 3.1 | 4.1 | 19.1% | 7.1% | 296 |
| 23 | Iowa | 3.1 | 3.8 | 20.3% | 4.4% | 387 |
| 24 | Maine | 3.1 | 4.3 | 19.5% | 0% | 78 |
| 25 | Massachusetts | 3 | 3.9 | 19.2% | 1.8% | 341 |
| 26 | New Hampshire | 3 | 3.9 | 16.4% | 0% | 73 |
| 27 | Tennessee | 3 | 3.8 | 19.3% | 4% | 303 |
| 28 | New York | 3 | 3.6 | 18.8% | 8.3% | 593 |
| 29 | West Virginia | 3 | 3.7 | 20.5% | 7.3% | 123 |
| 30 | South Carolina | 3 | 3.8 | 21% | 6.4% | 187 |
| 31 | Alabama | 3 | 3.9 | 18.8% | 5.4% | 224 |
| 32 | Connecticut | 3 | 3.7 | 18.9% | 24.1% | 191 |
| 33 | Kentucky | 3 | 4 | 22.2% | 1.9% | 267 |
| 34 | Wisconsin | 3 | 4.2 | 21.8% | 6.2% | 323 |
| 35 | Pennsylvania | 3 | 3.9 | 22.2% | 16% | 656 |
| 36 | Virginia | 3 | 3.8 | 21% | 10.4% | 289 |
| 37 | South Dakota | 2.9 | 3.8 | 20.2% | 13.5% | 96 |
| 38 | North Carolina | 2.9 | 3.9 | 21.9% | 7.9% | 419 |
| 39 | Vermont | 2.9 | 4.2 | 21.9% | 12.1% | 33 |
| 40 | Rhode Island | 2.9 | 3.7 | 18.3% | 8.3% | 72 |
| 41 | Montana | 2.9 | 4 | 22% | 9.8% | 61 |
| 42 | Wyoming | 2.9 | 3.9 | 20% | 30.6% | 36 |
| 43 | New Mexico | 2.9 | 3.5 | 17.9% | 19.1% | 68 |
| 44 | Nebraska | 2.8 | 4 | 28.7% | 0.6% | 180 |
| 45 | Mississippi | 2.7 | 4.2 | 25.6% | 9.4% | 202 |
| 46 | Oklahoma | 2.7 | 3.8 | 26.3% | 9.9% | 283 |
| 47 | Georgia | 2.7 | 3.6 | 28.8% | 6.2% | 356 |
| 48 | Texas | 2.7 | 3.4 | 27.6% | 10.5% | 1,177 |
| 49 | Louisiana | 2.6 | 3.8 | 33.7% | 4.9% | 265 |
| 50 | Illinois | 2.5 | 3.4 | 37.1% | 28.7% | 666 |
| 51 | Missouri | 2.5 | 3.4 | 34% | 12.9% | 487 |
How this ranking works
Simple averages across all CMS-rated nursing homes in each state (each home counts equally). A ranking is a starting point, not a recommendation. Open each facility page for the full picture.