PlainNursing
CMS Nursing Home Compare · August 2026

Nursing Homes in District of Columbia

17 Medicare- and Medicaid-certified facilities · DC · ranked on CMS Five-Star ratings, staffing, and penalties

District of Columbia's 17 Medicare- and Medicaid-certified nursing homes average 3.4 of 5 CMS overall stars, above the 3.0-star national average, ranking #4 of 51 states/territories with ≥15 homes by average overall rating; 4 hold the top 5-star rating while 1 sit at the 1-star floor (CMS Nursing Home Compare, August 2026).

Ratings are force-curved within each state, so District of Columbia's averages are best read against its own facilities and the national mean, not used to rank one state's 3-star home against another's.

3.4 / 5
Above average · nat'l 3.0
#4 of 51
State rank by avg CMS overall (≥15 homes)
17
Certified facilities
4
Five-star homes (23.5%)

The state picture

District of Columbia's 17 rated nursing homes average 3.4 CMS overall stars, above the 3.0-star national mean, ranking #4 of 51 states on average overall rating. 4 homes sit at 5 stars and 1 at 1 star; the state beats the U.S. average on 4 of 4 staffing-and-rating metrics.

3.4 / 5
Mean CMS overall · national 3.0
#4 of 51
State rank by average overall rating
4
Five-star homes in District of Columbia
4 / 4
Metrics beating the national average

CMS overall stars are force-curved within each state · August 2026. Compare homes against District of Columbia peers, not only the U.S. mean.

State registry desk · upper-band mean · ceiling-heavy

District of Columbia's mean sits in the upper third of ≥15-home states

Among 51 states and territories with at least 15 certified homes, District of Columbia's 3.4 mean overall sits at or above the 3.1 upper-tercile cut. The in-state curve is ceiling-heavy: 4 five-star records (23.5%) outnumber the 1 one-star floor (5.9%) by more than 1.5×.

Largest absolute gap vs the U.S. mean is Nursing staff turnover (lower is better): District of Columbia 34.0% vs national 45.8% (state side of the marker on the four-metric board).

Ownership desk: Nonprofit holds 10 of 17 certified homes (59%). Mean certified beds per home ≈ 146 · published federal fines average $86K per certified home statewide.

CMS Nursing Home Compare registry fields only · August 2026. Not care-placement advice.

CMS care plate

Sheet DC · District of Columbia 3.35★ mean

STAR-LEAD · TOP-DECILE · PHOTO-FINISH · NP-HEAVY · BOOK-SPARSE · STAFF-STRONG

  • STAR-LEAD +0.37★ vs U.S.
  • TOP-DECILE #4/51
  • PHOTO-FINISH -0.03★ peer
  • NP-HEAVY 59% nonprofit
  • BOOK-SPARSE 17 homes
  • STAFF-STRONG 1.55 RN HPRD

Nearest average-rating peer: Arizona (-0.03★)

Instrument codes from this state’s CMS Nursing Home Compare sheet: star lead, peer rank, photo-finish gap, ownership sector, certified book size, and RN/turnover staffing. Not a placement score.

Average-rating neighbourhood around District of Columbia

Lowest and highest poles plus nearest average-CMS-overall peers, not a full 50-state board reprint.

HI · highest3.56★AR · near3.41★DC · this state3.35★AZ · near3.32★NJ · near3.31★UT · near3.29★MO · lowest2.51★
CMS average overall stars · neighbourhood around District of Columbia · August 2026

How District of Columbia's nursing homes are rated

District of Columbia's 17 rated facilities lean toward the CMS ceiling: 4 five-star records (23.5%) vs 1 at the one-star floor (5.9%). Force-curving still applies inside District of Columbia, so this is the state's own curve, not a cross-state absolute.

5-star44-star33-star62-star31-star1
CMS overall star-rating distribution across District of Columbia's 17 rated nursing homes · August 2026

District of Columbia vs all states by nursing-home facility count

Where this state's CMS-certified nursing-home inventory sits among every tracked state and territory (inventory signal, not a quality ranking)

17 51st of 53 higher than 2 of 53 states

States and territories, banded by CMS-certified nursing-home count

Each bar is a band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source CMS Nursing Home Compare · August 2026

Ownership sector · state inventory

Nonprofit leads District of Columbia's ownership mix (59%)

Largest sector is Nonprofit at 59% of 17 homes; no single sector clears a 60% monopoly. Inventory labels only, not a facility-level quality score. Source: CMS Nursing Home Compare, August 2026.

District of Columbia vs the national average

Metrics ordered by largest absolute gap from the U.S. mean. District of Columbia sits on the better side of the marker on 4 of 4. Opening gap: Nursing staff turnover (lower is better) (34.0% vs 45.8%).

Nursing staff turnover (lower is better) 34.0%

National average: 45.8%

Total nurse hours per resident-day 4.76

National average: 3.86

RN hours per resident-day 1.55

National average: 0.69

Avg overall rating 3.35 ★

National average: 2.98 ★

Bar = District of Columbia average · vertical marker = U.S. average. Source: CMS Nursing Home Compare · August 2026.

What the District of Columbia Nursing Home Record Reveals

District of Columbia hosts 17 Medicare- and Medicaid-certified nursing facilities operating 2,485 total certified beds (146 beds/home mean), with a statewide average CMS overall rating of 3.4 out of 5 stars - upper-tercile among ≥15-home peers (cut 3.1). The tip is ceiling-heavy: 4 five-star (24%) vs 1 one-star (6%). CMS ratings are state-normalized, so the same absolute inspection record may place differently in District of Columbia than in a state with a different facility mix.

Statewide staffing reports an average of 1.55 registered-nurse hours per resident day across District of Columbia facilities (CMS payroll-based nurse staffing file). Nursing staff turnover statewide averages 34.0% on the same CMS measure. Staffing levels and turnover feed the inspection and quality-measure scores that CMS uses in the overall star rating; the District of Columbia figures above should be read against the federal CMS 2024 minimum-staffing rule, which phases in HPRD floors over several years and will reshape this distribution for facilities currently operating below the thresholds.

For families evaluating nursing home options in District of Columbia, the statewide averages above set the backdrop, but placement decisions ultimately turn on facility-level records: the specific deficiencies cited at the most recent inspection, the staffing hours actually logged (as opposed to budgeted), the enforcement history of fines and payment denials, and direct observation through in-person visits. Every facility listed below links to its full CMS record on this site. Data is sourced from CMS Nursing Home Compare and Provider Data; figures reflect the most recent refresh and should be verified with each facility and the District of Columbia state survey agency before any placement decision is finalized.

What the CMS records show in District of Columbia

District of Columbia averages 3.4 of 5 CMS stars - above the 3.0-star national mean. That aggregate describes this CMS registry; it is not a placement or suitability score.

  • Each facility record lists CMS overall, inspection, staffing, and quality fields separately. Browse facility records
  • District of Columbia's largest published federal fine is $384K; that enforcement field is distinct from the CMS star ratings. View the published record
  • The rankings page compares the same state-normalized CMS fields across eligible state cohorts. View state rankings

CMS refreshes this registry quarterly. PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

How the CMS fields are recorded

The CMS Five-Star Quality Rating program publishes separate facility fields for health inspections, total nurse staffing hours per resident day, and quality measures drawn from MDS (Minimum Data Set) clinical assessments. CMS normalizes each star field against same-state peers before combining them into the overall rating shown in this registry.

PlainNursing aggregates the current CMS facility records for District of Columbia and displays the source fields and state-relative ranks above. Those records describe the reported dataset only; they do not establish suitability, availability, admissions, or any individual’s outcome.

Source files publish quarterly at data.cms.gov. The official CMS record remains authoritative for facility fields and vintage.

Source: Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare 5-Star Quality Rating, District of Columbia · 2026 Star ratings combine health inspections, staffing, and quality measures. Updated quarterly by CMS.

This registry is informational, not medical or care-placement advice. It describes published CMS fields and links to Medicare.gov Care Compare, the official source for those records.