Interactive Tool
Compare Nursing Home Care by State
Select two or more states to compare nursing-home quality side by side, CMS overall, health-inspection, staffing and quality star ratings (out of 5), nurse hours per resident-day, staff turnover, and the share of 5-star homes, from official CMS Care Compare data.
What the state ledger shows
Across 53 rated states, mean CMS overall nursing-home stars sit at 3.0. Hawaii leads at 3.6 stars (34.9% five-star share), while Missouri sits at 2.5. Pick states below to compare health, staffing, quality, nurse hours, and turnover side by side.
- 53
- States with rated nursing homes
- 3.0
- Mean state overall rating
- Hawaii
- Highest overall · 3.6 / 5
- Missouri
- Lowest overall · 2.5 / 5
CMS overall stars are force-curved within each state, so cross-state gaps reflect peer curves as well as absolute quality.
Choose states
Comparison
Source: CMS Nursing Home Care Compare. Star ratings are 1–5 (higher is better); see the methodology for definitions.