PlainNursing
CMS Nursing Home Compare · March 2026

Best-Rated Nursing Homes

Of 14,572 rated U.S. nursing homes, 2,942 (20%) hold the top 5-star CMS overall rating, all tied at the ceiling. The 50 below are ordered by the strength of their underlying health-inspection, staffing, and quality-measure sub-ratings (certified-bed capacity breaks any remaining tie).

According to the federal Centers for Medicare & Medicaid Services Nursing Home Compare dataset, only about one in five rated homes reaches the 5-star mark. See our methodology for sourcing.

2,942
Five-star homes nationwide (20%)
50
Largest 5-star homes shown
5 / 5
CMS overall rating, top tier
14,572
Rated U.S. nursing homes

A 5-star overall rating reflects strong health-inspection, staffing, and quality-measure performance relative to in-state peers, always confirm current status and visit before deciding.

How U.S. nursing homes are rated

The 50 homes below all sit in the top band of this curve. Across every rated U.S. facility, the 5-star tier is the smallest of five.

5-star29424-star28073-star28192-star30661-star2938
CMS overall star-rating distribution across all 14,572 rated U.S. nursing homes · March 2026

The 50 largest 5-star homes

# Facility Location Rating Beds
1 Iowa Veterans Home Marshalltown, IA
702
2 Masonic Village at Elizabethtown Elizabethtown, PA
434
3 Dr Susan Smith Mckinney Nursing and Rehab Center Brooklyn, NY
320
4 Lutheran Home, the Cape Girardeau, MO
274
5 Glen at Willow Valley Lancaster, PA
262
6 Joseph L Morse Health Center INC the West Palm Beach, FL
230
7 Riviera Health Resort Coral Gables, FL
223
8 Wynscape Health & Rehab Wheaton, IL
209
9 Saint Paul Homes Greenville, PA
192
10 Avera Sister James Care Center Yankton, SD
187
11 Roosevelt Care Center At Old Bridge Old Bridge, NJ
180
12 Bethany Skilled Nursing Facility Framingham, MA
169
13 Park View Health Center Oshkosh, WI
168
14 Care One at Holyoke Holyoke, MA
164
15 Mission View Health Center San Luis Obispo, CA
162
16 Emerson Health Care Center Emerson, NJ
155
17 Brookestone Village Omaha, NE
140
18 Beth Israel at Shalom Park Aurora, CO
135
19 Linden Ponds Hingham, MA
132
20 C C Young Memorial Home Dallas, TX
129
21 Swiss Village Berne, IN
128
22 Michigan Veteran Homes at Grand Rapids Grand Rapids, MI
128
23 Sunshine Children'S Home and Rehab Center Ossining, NY
122
24 Briarcliffe Manor Johnston, RI
122
25 Valley View Villa Fort Morgan, CO
120
26 Edward J Healey Rehabilitation and Nursing Center Riviera Beach, FL
120
27 Westminster Oaks Tallahassee, FL
120
28 Gardens Court Palm Beach Gardens, FL
120
29 Homewood Living Frederick Frederick, MD
120
30 Parker at Somerset, INC Somerset, NJ
120
31 Kirby Pines Manor Memphis, TN
120
32 Nazareth Home Louisville, KY
118
33 Fairmount Homes Ephrata, PA
114
34 Tallahassee Memorial Hospital Extended Care Tallahassee, FL
113
35 Healthpark Care Center Fort Myers, FL
112
36 Alameda County Medical Center D/P SNF San Leandro, CA
109
37 Reformed Church Home Old Bridge, NJ
108
38 Waveny Care Center New Canaan, CT
106
39 Friendship Manor Nursing & Rehab Center National City, CA
104
40 St. Jane de Chantal Lincoln, NE
103
41 Fleet Landing Atlantic Beach, FL
100
42 Manor at Elfindale, the Springfield, MO
100
43 Folsom Care Center Folsom, CA
99
44 Glenwood Care Center Oxnard, CA
99
45 Morton Bakar Center Hayward, CA
97
46 Merced Behavioral Center Merced, CA
96
47 Springs at Monarch Landing, the Naperville, IL
96
48 Newport House Omaha, NE
96
49 Lakeside Special Care Center Lakeside, CA
94
50 Moorings of Arlington Heights Arlington Hts, IL
92

Using this ranking

A 5-star overall rating is the top tier, but read the facility record, not just the badge.

  • Open any home to see its health-inspection, staffing, and quality sub-ratings, a 5-star overall can still hide a weaker sub-score. See a top facility
  • Ratings are curved within each state, so compare a home against its own state picture before deciding. States by rating
  • Cross-check the most-penalized homes so a strong rating is not the only thing you weigh. Most-fined homes

CMS ratings are state-normalized and refreshed quarterly; confirm current status and visit in person before any placement decision.