Nursing Homes by State
Nationwide coverage of all 50 states, the District of Columbia, and U.S. territories (53 jurisdictions in total) - compare nursing home quality, staffing, and penalties side by side.
Coverage scope: every Medicare- and Medicaid-certified nursing facility reporting to the CMS Nursing Home Compare dataset (state operators of long-term care, skilled nursing, and rehabilitation beds). State totals reflect facility counts and weighted-average CMS Five-Star ratings as of the latest monthly refresh, not subjective rankings; see our methodology for refresh cadence and how each state average is computed.
| State | Facilities | Avg Rating | 5-Star | 1-Star | Avg Beds | Avg RN Hrs | Turnover |
|---|---|---|---|---|---|---|---|
| Alabama (AL) | 224 | 3.0 | 38 | 38 | 118 | 0.64 | 48.7% |
| Alaska (AK) | 20 | 3.5 | 6 | 3 | 41 | 2.15 | 46.8% |
| Arizona (AZ) | 140 | 3.4 | 43 | 10 | 115 | 0.71 | 47.7% |
| Arkansas (AR) | 221 | 3.4 | 62 | 27 | 109 | 0.40 | 50.5% |
| California (CA) | 1,162 | 3.1 | 280 | 188 | 99 | 0.65 | 38.1% |
| Colorado (CO) | 210 | 3.1 | 50 | 29 | 94 | 0.82 | 48.6% |
| Connecticut (CT) | 191 | 3.0 | 40 | 39 | 119 | 0.70 | 37.9% |
| Delaware (DE) | 44 | 3.3 | 11 | 4 | 107 | 1.03 | 41.8% |
| District of Columbia (DC) | 17 | 3.5 | 5 | 1 | 146 | 1.74 | 33.2% |
| Florida (FL) | 694 | 3.2 | 167 | 101 | 122 | 0.73 | 42.3% |
| Georgia (GA) | 356 | 2.6 | 50 | 102 | 111 | 0.49 | 46.5% |
| Guam (GU) | 1 | 1.0 | 0 | 1 | 40 | 2.55 | N/A |
| Hawaii (HI) | 42 | 3.6 | 15 | 2 | 101 | 1.63 | 36.5% |
| Idaho (ID) | 80 | 3.1 | 19 | 15 | 76 | 0.83 | 49.0% |
| Illinois (IL) | 668 | 2.5 | 91 | 240 | 128 | 0.73 | 45.7% |
| Indiana (IN) | 507 | 3.1 | 114 | 91 | 97 | 0.66 | 47.0% |
| Iowa (IA) | 390 | 3.1 | 87 | 80 | 65 | 0.73 | 43.9% |
| Kansas (KS) | 297 | 3.0 | 55 | 64 | 61 | 0.71 | 49.5% |
| Kentucky (KY) | 268 | 2.9 | 41 | 60 | 95 | 0.77 | 46.7% |
| Louisiana (LA) | 266 | 2.4 | 23 | 94 | 121 | 0.32 | 48.0% |
| Maine (ME) | 78 | 3.0 | 16 | 13 | 75 | 1.03 | 49.3% |
| Maryland (MD) | 221 | 3.1 | 53 | 35 | 124 | 0.81 | 40.6% |
| Massachusetts (MA) | 341 | 3.0 | 74 | 73 | 120 | 0.65 | 39.5% |
| Michigan (MI) | 423 | 3.2 | 107 | 65 | 104 | 0.78 | 44.4% |
| Minnesota (MN) | 338 | 3.2 | 86 | 64 | 72 | 1.06 | 42.4% |
| Mississippi (MS) | 202 | 2.6 | 28 | 53 | 87 | 0.63 | 47.8% |
| Missouri (MO) | 487 | 2.5 | 54 | 158 | 103 | 0.46 | 57.0% |
| Montana (MT) | 61 | 3.0 | 10 | 12 | 85 | 0.94 | 55.6% |
| Nebraska (NE) | 179 | 2.9 | 32 | 47 | 76 | 0.71 | 49.3% |
| Nevada (NV) | 66 | 3.1 | 16 | 12 | 110 | 1.06 | 46.3% |
| New Hampshire (NH) | 74 | 2.9 | 13 | 15 | 100 | 0.74 | 48.5% |
| New Jersey (NJ) | 348 | 3.3 | 83 | 36 | 146 | 0.69 | 40.9% |
| New Mexico (NM) | 68 | 2.8 | 12 | 16 | 102 | 0.62 | 53.0% |
| New York (NY) | 596 | 3.0 | 138 | 118 | 187 | 0.70 | 40.5% |
| North Carolina (NC) | 418 | 2.9 | 81 | 87 | 105 | 0.59 | 50.4% |
| North Dakota (ND) | 72 | 3.1 | 17 | 14 | 69 | 0.93 | 49.0% |
| Ohio (OH) | 922 | 3.2 | 204 | 95 | 89 | 0.63 | 49.8% |
| Oklahoma (OK) | 284 | 2.7 | 40 | 85 | 97 | 0.34 | 56.4% |
| Oregon (OR) | 128 | 3.0 | 24 | 20 | 83 | 0.68 | 49.1% |
| Pennsylvania (PA) | 657 | 3.0 | 146 | 128 | 127 | 0.78 | 46.6% |
| Puerto Rico (PR) | 9 | 3.2 | 0 | 1 | 33 | 2.91 | 33.5% |
| Rhode Island (RI) | 73 | 3.1 | 15 | 12 | 113 | 0.77 | 40.4% |
| South Carolina (SC) | 187 | 3.0 | 37 | 37 | 105 | 0.63 | 47.0% |
| South Dakota (SD) | 97 | 2.9 | 19 | 19 | 61 | 0.80 | 49.7% |
| Tennessee (TN) | 303 | 3.0 | 51 | 59 | 114 | 0.61 | 48.7% |
| Texas (TX) | 1,177 | 2.8 | 154 | 269 | 114 | 0.44 | 51.5% |
| Utah (UT) | 97 | 3.3 | 25 | 10 | 86 | 1.19 | 51.7% |
| Vermont (VT) | 34 | 2.9 | 5 | 6 | 88 | 0.81 | 59.6% |
| Virginia (VA) | 289 | 3.0 | 55 | 61 | 113 | 0.69 | 48.4% |
| Washington (WA) | 194 | 3.2 | 47 | 27 | 97 | 0.88 | 46.7% |
| West Virginia (WV) | 123 | 2.8 | 17 | 27 | 85 | 0.71 | 43.1% |
| Wisconsin (WI) | 323 | 3.0 | 78 | 68 | 77 | 0.96 | 47.7% |
| Wyoming (WY) | 36 | 3.0 | 8 | 7 | 82 | 0.90 | 52.8% |