By State · CMS Data August 2026

Nursing Homes and Senior Care by State

Which States Have the Highest-Rated Nursing Homes?

CMS Care Compare lists 14,690 certified nursing homes across 53 states and territories. Among states with at least 20 homes, Hawaii (3.6 stars), Alaska (3.5) and Arkansas (3.4) have the highest average overall ratings. Pick your state for every city, assisted living and memory care rules, Medicaid limits and the ombudsman.

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

Choose Your State

Nursing homes by state
State	Nursing homes	Cities	Average overall stars	4 or 5 stars	Nursing hours per resident per day	CMS abuse icon
Senior care in Alabama	224	130	3.0	86	3.9	12
Senior care in Alaska	20	18	3.5	9	6.7	1
Senior care in Arizona	140	43	3.3	60	4.0	39
Senior care in Arkansas	221	121	3.4	109	4.0	7
Senior care in California	1,165	345	3.2	502	4.5	113
Senior care in Colorado	210	77	3.1	87	3.7	49
Senior care in Connecticut	191	96	3.0	75	3.7	45
Senior care in Delaware	44	14	3.3	18	4.3	8
Senior care in District of Columbia	17	1	3.4	7	4.8	2
Senior care in Florida	694	205	3.3	336	3.8	47
Senior care in Georgia	356	193	2.6	103	3.6	21
Senior care in Hawaii	43	18	3.6	23	5.0	0
Senior care in Idaho	80	40	3.1	36	4.0	7
Senior care in Illinois	666	328	2.5	207	3.4	183
Senior care in Indiana	507	187	3.1	230	3.7	32
Senior care in Iowa	387	248	3.1	163	3.8	17
Senior care in Kansas	296	181	3.1	122	4.1	23
Senior care in Kentucky	267	153	3.0	111	4.0	5
Senior care in Louisiana	265	119	2.5	78	3.7	16
Senior care in Maine	78	49	3.1	30	4.3	1
Senior care in Maryland	221	93	3.1	93	3.9	30
Senior care in Massachusetts	341	178	3.0	145	3.9	7
Senior care in Michigan	422	218	3.1	178	4.0	62
Senior care in Minnesota	338	236	3.2	156	4.2	22
Senior care in Mississippi	202	115	2.8	65	4.2	17
Senior care in Missouri	487	242	2.5	131	3.4	64
Senior care in Montana	61	43	2.9	22	4.0	9
Senior care in Nebraska	180	118	2.8	61	4.0	1
Senior care in Nevada	66	19	3.2	32	4.3	9
Senior care in New Hampshire	73	44	3.1	34	3.9	0
Senior care in New Jersey	348	191	3.3	173	3.8	15
Senior care in New Mexico	68	32	2.9	22	3.5	11
Senior care in New York	593	287	3.0	236	3.6	44
Senior care in North Carolina	419	199	2.9	157	3.8	34
Senior care in North Dakota	72	54	3.2	32	4.4	10
Senior care in Ohio	922	362	3.2	397	3.7	40
Senior care in Oklahoma	283	144	2.7	90	3.8	28
Senior care in Oregon	128	60	3.1	58	5.0	11
Senior care in Pennsylvania	656	316	3.0	251	3.9	100
Senior care in Rhode Island	72	26	2.9	30	3.7	9
Senior care in South Carolina	187	85	3.0	75	3.8	12
Senior care in South Dakota	96	71	2.9	33	3.8	13
Senior care in Tennessee	303	159	3.0	117	3.8	14
Senior care in Texas	1,177	440	2.6	344	3.4	137
Senior care in Utah	97	49	3.3	43	4.1	11
Senior care in Vermont	33	22	2.9	13	4.2	4
Senior care in Virginia	289	146	3.0	112	3.8	28
Senior care in Washington	193	88	3.2	88	4.4	17
Senior care in West Virginia	123	82	3.0	49	3.7	10
Senior care in Wisconsin	323	191	3.0	122	4.2	19
Senior care in Wyoming	36	28	2.9	12	3.9	10
Senior care in Puerto Rico	9	7	3.0	3	3.8	0
Senior care in Guam	1	1	3.0	0	7.7	0

Every figure comes from CMS Care Compare. Averages count homes CMS has rated. CMS rates health inspections against other homes in the same state, so compare overall stars across states with care. The abuse icon marks homes CMS has cited for abuse. Read how CMS star ratings work.

Sources

CMS Provider Data Catalog: Nursing Home Provider Information (August 2026)