Nursing homes by state
Medicare rates every nursing home that takes Medicare or Medicaid. Pick a state to see the 14,690 homes' star ratings, recent inspection citations, staffing and fines, city by city.
Data from Medicare (CMS), updated October 2026, from Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.
| State | Nursing homes | 5-star overall rating | 1-star overall rating | Special Focus Facilities |
|---|---|---|---|---|
| Alabama | 224 | 45 | 42 | 1 |
| Alaska | 20 | 6 | 2 | 0 |
| Arizona | 140 | 38 | 10 | 1 |
| Arkansas | 221 | 66 | 24 | 1 |
| California | 1,165 | 270 | 186 | 6 |
| Colorado | 210 | 50 | 26 | 1 |
| Connecticut | 191 | 42 | 36 | 1 |
| Delaware | 44 | 9 | 2 | 1 |
| District of Columbia | 17 | 4 | 1 | 0 |
| Florida | 694 | 178 | 89 | 3 |
| Georgia | 356 | 50 | 102 | 2 |
| Guam | 1 | 0 | 0 | 0 |
| Hawaii | 43 | 17 | 3 | 1 |
| Idaho | 80 | 18 | 16 | 1 |
| Illinois | 666 | 93 | 245 | 4 |
| Indiana | 507 | 119 | 90 | 3 |
| Iowa | 387 | 91 | 78 | 2 |
| Kansas | 296 | 73 | 56 | 2 |
| Kentucky | 267 | 52 | 59 | 1 |
| Louisiana | 265 | 26 | 89 | 1 |
| Maine | 78 | 17 | 15 | 1 |
| Maryland | 221 | 54 | 33 | 1 |
| Massachusetts | 341 | 71 | 65 | 2 |
| Michigan | 422 | 104 | 72 | 2 |
| Minnesota | 338 | 89 | 64 | 2 |
| Mississippi | 202 | 33 | 51 | 1 |
| Missouri | 487 | 53 | 163 | 3 |
| Montana | 61 | 11 | 13 | 1 |
| Nebraska | 180 | 35 | 51 | 1 |
| Nevada | 66 | 19 | 14 | 1 |
| New Hampshire | 73 | 13 | 12 | 0 |
| New Jersey | 348 | 82 | 33 | 2 |
| New Mexico | 68 | 14 | 12 | 1 |
| New York | 593 | 136 | 111 | 3 |
| North Carolina | 419 | 81 | 91 | 2 |
| North Dakota | 72 | 17 | 14 | 1 |
| Ohio | 922 | 209 | 118 | 5 |
| Oklahoma | 283 | 35 | 74 | 2 |
| Oregon | 128 | 28 | 22 | 1 |
| Pennsylvania | 656 | 157 | 145 | 4 |
| Puerto Rico | 9 | 2 | 2 | 0 |
| Rhode Island | 72 | 10 | 13 | 1 |
| South Carolina | 187 | 39 | 39 | 1 |
| South Dakota | 96 | 19 | 19 | 1 |
| Tennessee | 303 | 56 | 58 | 2 |
| Texas | 1,177 | 141 | 322 | 6 |
| Utah | 97 | 25 | 9 | 1 |
| Vermont | 33 | 4 | 7 | 1 |
| Virginia | 289 | 57 | 60 | 1 |
| Washington | 193 | 50 | 22 | 1 |
| West Virginia | 123 | 21 | 25 | 1 |
| Wisconsin | 323 | 74 | 70 | 2 |
| Wyoming | 36 | 8 | 7 | 1 |
How Medicare rates nursing homes
Medicare gives each nursing home an overall rating of 1 to 5 stars, built from three parts that are also rated on their own: health inspections, staffing, and quality measures, which track how residents do. State inspectors visit about once a year and whenever someone files a complaint; each problem they find is a citation, graded by how much harm it did and how many residents it affected.
Medicare also flags homes with a history of serious problems as Special Focus Facilities, which get extra inspections, and marks homes recently cited for abuse.
Thinking about care at home instead? See help at home, assisted living and Medicare-certified home health agencies.
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.