Care data

Nursing home quality, state by state

Every Medicare and Medicaid certified nursing home in the United States, with its inspection rating, nurse staffing hours and enforcement history. Pick a state to see the facilities in it.

14,693Facilities
1,568,051Certified beds
1,435Flagged for abuse
$464,165,281Fines on record
What the abuse flag means CMS marks a facility with an abuse icon when it was cited for abuse on a recent inspection. 1,435 of the 14,693 facilities here carry that mark. It is a matter of public record, not an accusation by us.

All states

StateFacilitiesAvg ratingRN hrs/resident/dayAbuse flagsFines
Alabama2243.000.6512$3,222,572
Alaska203.452.081$640,818
Arizona1403.380.7037$1,165,518
Arkansas2213.470.417$1,995,908
California1,1653.170.67113$29,528,610
Colorado2103.120.8352$5,369,799
Connecticut1913.000.6946$4,426,641
Delaware443.230.977$2,868,295
District of Columbia173.411.612$1,337,728
Florida6943.260.7350$18,331,514
Georgia3562.680.5020$5,121,139
Guam12.002.480$13,247
Hawaii433.681.760$883,868
Idaho803.140.867$1,134,063
Illinois6672.560.71180$75,942,581
Indiana5073.140.6630$4,218,637
Iowa3883.090.7412$6,914,360
Kansas2963.090.7125$6,498,858
Kentucky2673.010.787$4,736,023
Louisiana2662.500.3018$12,878,051
Maine783.081.051$620,209
Maryland2213.120.8531$5,124,003
Massachusetts3413.040.658$12,393,832
Michigan4223.100.7863$13,782,678
Minnesota3383.181.0622$7,742,657
Mississippi2022.750.6417$3,906,436
Missouri4872.510.4664$17,255,871
Montana602.860.989$3,386,607
Nebraska1802.780.672$1,644,924
Nevada663.261.099$880,552
New Hampshire732.990.780$563,038
New Jersey3483.300.6816$12,009,534
New Mexico682.850.6412$2,921,692
New York5943.040.7148$13,971,158
North Carolina4192.930.6137$15,746,841
North Dakota723.170.9310$1,995,466
Ohio9223.150.6444$21,230,586
Oklahoma2832.670.3427$5,998,350
Oregon1283.120.7312$3,443,029
Pennsylvania6562.980.7989$16,880,796
Puerto Rico92.893.220$40,836
Rhode Island722.920.768$4,853,693
South Carolina1873.010.6310$2,681,198
South Dakota962.860.809$3,086,045
Tennessee3032.960.6018$7,435,497
Texas1,1772.650.43142$57,015,899
Utah973.301.2510$2,445,128
Vermont332.880.805$3,052,723
Virginia2892.960.6928$6,254,492
Washington1933.230.9418$10,442,302
West Virginia1232.980.7311$3,545,466
Wisconsin3232.990.9920$13,790,193
Wyoming362.970.949$795,320

Source: CMS Provider Information (Care Compare), retrieved 3 August 2026. Averages cover facilities that carry a rating.

How to read the staffing column Registered nurse hours per resident per day is the single number most closely tied to outcomes in the research literature. The national figure sits near 0.7. Compare a facility against its own state before drawing conclusions.