Nursing homes

CMS certifies 14,690 nursing homes with 1,567,504 beds. It gives 20.7% of those it rates its lowest overall rating, one star, and 20.5% its highest. Its figures as processed on August 1, 2026.

The nation

14,690
Nursing homes: Certified for Medicare, Medicaid or both.; 1,567,504
Certified beds: Beds certified for Medicare and Medicaid.; 3,015
Rated one star: 20.7% of the 14,563 homes CMS rates.; 1,426
With CMS’s abuse icon: Cited for abuse that harmed a resident, or could have, in CMS’s look-back.; 84
Special Focus Facilities: Homes CMS inspects more often for a history of serious problems.; 13,256
Fines: Imposed in CMS’s look-back period.

20.7% of rated nursing homes have CMS's lowest rating, one star, and 20.5% its highest

The 14,563 nursing homes CMS rates, by their overall five-star rating. 127 more have no rating, each with CMS's footnote giving the reason.

Source: CMS

About this chart

The figures

20.7% of rated nursing homes have CMS's lowest rating, one star, and 20.5% its highest. The 14,563 nursing homes CMS rates, by their overall five-star rating. 127 more have no rating, each with CMS's footnote giving the reason.
Overall rating	Homes	Share of rated homes
1 star	3,015	20.7%
2 stars	2,962	20.3%
3 stars	2,820	19.4%
4 stars	2,785	19.1%
5 stars	2,981	20.5%

Embed this chart

Paste this where you want the chart. The picture carries its title, source and credit, under the site’s license.

<figure style="margin:0;max-width:960px">
  <img src="https://americanfactbook.org/embed/chart/nursing-homes-by-rating.svg" alt="20.7% of rated nursing homes have CMS's lowest rating, one star, and 20.5% its highest" style="width:100%;height:auto" loading="lazy">
  <figcaption style="font:13px/1.4 system-ui,sans-serif">Chart: <a href="https://americanfactbook.org/health">20.7% of rated nursing homes have CMS's lowest rating, one star, and 20.5% its highest</a>, American Factbook, <a href="https://creativecommons.org/licenses/by/4.0/">CC BY 4.0</a></figcaption>
</figure>

37.4% of Illinois's rated nursing homes have one star, the most of any state, and 2.3% of Delaware's, the fewest

The share of each state’s rated nursing homes CMS gives its lowest overall rating, one star. Over the homes CMS rates in the state, not every home: an unrated home is not a one-star home.

Too small to see on the map:District of Columbia6%

Source: CMS

About this chart

The figures

37.4% of Illinois's rated nursing homes have one star, the most of any state, and 2.3% of Delaware's, the fewest. The share of each state’s rated nursing homes CMS gives its lowest overall rating, one star. Over the homes CMS rates in the state, not every home: an unrated home is not a one-star home.
State	One star	Rated homes	Five stars
Illinois	37.4%	661	13.6%
Missouri	34.2%	479	11.1%
Louisiana	34.1%	264	8.7%
Georgia	29.3%	355	14.4%
Nebraska	28.7%	178	19.1%
Texas	27.6%	1,165	11.5%
Oklahoma	26.7%	281	12.8%
Montana	23.7%	59	18.6%
Mississippi	23.6%	199	16.6%
Wyoming	22.9%	35	22.9%
Idaho	22.8%	79	24.1%
Kentucky	22.3%	265	20.0%
South Carolina	22.0%	186	21.5%
Pennsylvania	21.9%	652	23.6%
Vermont	21.9%	32	9.4%
North Carolina	21.7%	415	19.3%
South Dakota	21.5%	93	20.4%
Wisconsin	21.5%	321	23.7%
Iowa	21.3%	385	24.2%
Virginia	21.3%	286	19.6%
West Virginia	21.3%	122	17.2%
Tennessee	20.0%	300	19.7%
Massachusetts	19.8%	338	20.4%
North Dakota	19.7%	71	26.8%
New Mexico	19.4%	67	20.9%
Minnesota	19.3%	336	26.5%
Kansas	19.0%	294	25.2%
Alabama	18.8%	223	19.7%
New York	18.8%	590	23.1%
Michigan	18.6%	420	25.0%
Nevada	18.5%	65	27.7%
Connecticut	18.4%	190	22.1%
Indiana	17.9%	504	23.2%
Oregon	17.3%	127	22.8%
Maine	16.9%	77	23.4%
Rhode Island	16.9%	71	12.7%
California	16.6%	1,154	23.7%
Maryland	15.5%	219	23.7%
New Hampshire	15.3%	72	18.1%
Alaska	15.0%	20	35.0%
Ohio	13.4%	912	22.6%
Florida	13.2%	691	25.3%
Washington	13.1%	191	24.6%
Colorado	12.9%	209	21.5%
Arkansas	11.0%	218	29.8%
Utah	10.4%	96	24.0%
New Jersey	9.2%	346	22.5%
Arizona	7.9%	139	26.6%
Hawaii	7.3%	41	36.6%
District of Columbia	5.9%	17	23.5%
Delaware	2.3%	43	23.3%

By state

3 more columns on a wider screen

Nursing homes by state and territory, with the share of rated homes CMS gives one star
State	Homes	Per 100,000 residents	Rated one star	Abuse icon	Fines
Alabama	224	4.3	18.8%	12	$3.1 million$3,059,355
Alaska	20	2.7	15.0%	1	$640.8 thousand$640,818
Arizona	140	1.8	7.9%	39	$1.2 million$1,212,825
Arkansas	221	7.1	11.0%	7	$2.1 million$2,053,646
California	1,165	3.0	16.6%	113	$28.7 million$28,736,255
Colorado	210	3.5	12.9%	49	$5.0 million$4,957,917
Connecticut	191	5.2	18.4%	45	$4.5 million$4,497,715
Delaware	44	4.2	2.3%	8	$3.1 million$3,121,569
District of Columbia	17	2.5	5.9%	2	$1.5 million$1,454,987
Florida	694	3.0	13.2%	47	$17.4 million$17,379,942
Georgia	356	3.1	29.3%	21	$4.7 million$4,742,821
GU	1	not applicable	0.0%	0	$13.2 thousand$13,247
Hawaii	43	3.0	7.3%	0	$810.4 thousand$810,401
Idaho	80	3.9	22.8%	7	$1.1 million$1,089,004
Illinois	666	5.2	37.4%	183	$75.1 million$75,126,367
Indiana	507	7.3	17.9%	32	$4.2 million$4,160,334
Iowa	387	12.0	21.3%	17	$7.5 million$7,486,404
Kansas	296	9.9	19.0%	23	$6.1 million$6,098,543
Kentucky	267	5.8	22.3%	5	$4.4 million$4,445,005
Louisiana	265	5.7	34.1%	16	$12.5 million$12,483,516
Maine	78	5.5	16.9%	1	$579.7 thousand$579,654
Maryland	221	3.5	15.5%	30	$4.6 million$4,648,190
Massachusetts	341	4.8	19.8%	7	$11.8 million$11,793,157
Michigan	422	4.2	18.6%	62	$13.0 million$12,956,259
Minnesota	338	5.8	19.3%	22	$7.8 million$7,791,940
Mississippi	202	6.8	23.6%	17	$3.7 million$3,723,231
Missouri	487	7.8	34.2%	64	$17.9 million$17,871,724
Montana	61	5.3	23.7%	9	$3.5 million$3,469,724
Nebraska	180	8.9	28.7%	1	$1.6 million$1,631,904
Nevada	66	2.0	18.5%	9	$866.2 thousand$866,217
New Hampshire	73	5.2	15.3%	0	$585.2 thousand$585,178
New Jersey	348	3.6	9.2%	15	$12.2 million$12,167,453
New Mexico	68	3.2	19.4%	11	$2.8 million$2,820,337
New York	593	3.0	18.8%	44	$14.0 million$14,008,272
North Carolina	419	3.7	21.7%	34	$15.2 million$15,188,573
North Dakota	72	9.0	19.7%	10	$2.0 million$1,966,658
Ohio	922	7.7	13.4%	40	$22.8 million$22,775,884
Oklahoma	283	6.9	26.7%	28	$5.5 million$5,511,620
Oregon	128	3.0	17.3%	11	$3.7 million$3,679,302
Pennsylvania	656	5.0	21.9%	100	$16.7 million$16,686,119
Puerto Rico	9	0.3	22.2%	0	$40.8 thousand$40,836
Rhode Island	72	6.5	16.9%	9	$4.7 million$4,681,317
South Carolina	187	3.4	22.0%	12	$2.7 million$2,657,464
South Dakota	96	10.3	21.5%	13	$3.3 million$3,326,467
Tennessee	303	4.1	20.0%	14	$7.4 million$7,382,306
Texas	1,177	3.7	27.6%	137	$53.5 million$53,534,320
Utah	97	2.7	10.4%	11	$2.2 million$2,222,410
Vermont	33	5.1	21.9%	4	$3.0 million$2,973,183
Virginia	289	3.3	21.3%	28	$6.6 million$6,608,706
Washington	193	2.4	13.1%	17	$10.5 million$10,468,594
West Virginia	123	7.0	21.3%	10	$3.6 million$3,615,036
Wisconsin	323	5.4	21.5%	19	$14.0 million$14,038,502
Wyoming	36	6.1	22.9%	10	$911.6 thousand$911,579

Who owns them

1 more column on a wider screen

Nursing homes by CMS’s ownership category, with how CMS rates them
Ownership	Homes	Rated one star	Rated five stars
For profit - Limited Liability company	5,221	25.7%	13.8%
For profit - Corporation	4,679	22.1%	18.5%
Non profit - Corporation	2,311	10.9%	35.8%
For profit - Individual	620	23.5%	14.0%
For profit - Partnership	357	20.8%	17.7%
Government - County	337	11.3%	28.4%
Government - Hospital district	312	24.4%	17.5%
Non profit - Other	306	10.5%	24.3%
Non profit - Church related	251	9.2%	42.4%
Government - State	159	7.8%	44.2%
Government - City/county	71	8.6%	30.0%
Government - City	52	13.5%	30.8%
Government - Federal	14	7.1%	14.3%

The most fined

The homes with the most in fines in CMS’s look-back period, each linked to its record. A fine is a penalty CMS imposed, as CMS records it.

2 more columns on a wider screen

Nursing homes with the most in fines, largest first
Rank	Home	Where	Fines	Overall rating
1	Bridgewood Health Care Center	Kansas City, MO	$1.1 million$1,148,689	1 of 5
2	Waterview Heights Rehabilitation and Nursing Cente	Rochester, NY	$960.9 thousand$960,884	not rated
3	Nexus Pavilion at Belleville	Belleville, IL	$821.6 thousand$821,641	1 of 5
4	Majestic Gardens at Memphis Rehab & SNC	Memphis, TN	$810.4 thousand$810,404	1 of 5
5	Van Duyn Center For Rehabilitation And Nursing	Syracuse, NY	$783.3 thousand$783,273	not rated
6	AVIR at Lindale	Lindale, TX	$754.6 thousand$754,567	1 of 5
7	Mohawk Meadows	Lafayette, NJ	$713.8 thousand$713,795	1 of 5
8	Gregory Ridge Health Care Center	Kansas City, MO	$708.0 thousand$708,002	1 of 5
9	La Bella of Cahokia	Cahokia, IL	$702.0 thousand$702,001	1 of 5
10	Bishop Rehabilitation and Nursing Center	Syracuse, NY	$699.6 thousand$699,602	1 of 5
11	BRIA of Cahokia	Cahokia, IL	$686.8 thousand$686,807	1 of 5
12	Chicago Ridge SNF	Chicago Ridge, IL	$675.8 thousand$675,810	1 of 5
13	La Bella of Woodstock	Woodstock, IL	$673.3 thousand$673,254	1 of 5
14	Legacy Nursing at St. Christina	Pineville, LA	$646.9 thousand$646,937	1 of 5
15	Morgan Park Healthcare	Chicago, IL	$631.9 thousand$631,885	2 of 5
16	BRIA of Elmwood Park	Elmwood Park, IL	$617.0 thousand$616,979	1 of 5
17	Natchitoches Nursing and Rehabilitation Center, LL	Natchitoches, LA	$616.6 thousand$616,611	1 of 5
18	White Oak Post Acute Care	Baton Rouge, LA	$608.7 thousand$608,723	not rated
19	Park View Rehab Center	Chicago, IL	$598.1 thousand$598,146	2 of 5
20	Arc at Sangamon Valley	Springfield, IL	$597.6 thousand$597,556	1 of 5
21	Archer Heights Healthcare	Chicago, IL	$596.5 thousand$596,515	1 of 5
22	Landmark at 95th Rehabilitation and Nursing Center	Chicago, IL	$595.6 thousand$595,647	1 of 5
23	Austin Oasis, the	Chicago, IL	$577.3 thousand$577,293	1 of 5
24	Grand Manor Nursing & Rehabilitation Center	Bronx, NY	$563.2 thousand$563,175	not rated
25	Atlas Post Acute at Woodbury Country Club	Woodbury, NJ	$561.5 thousand$561,530	2 of 5

The largest chains

10,116 of the 14,690 homes belong to a chain CMS names. The twenty largest, with CMS’s own average overall rating across each chain’s homes.

2 more columns on a wider screen

The twenty largest nursing home chains by homes
Rank	Chain	Homes	States	Average rating
1	THE ENSIGN GROUP	342	17	3.2
2	PACS GROUP	274	16	2.9
3	LIFE CARE CENTERS OF AMERICA	194	26	3.4
4	GENESIS HEALTHCARE	184	18	2.4
5	CREATIVE SOLUTIONS IN HEALTHCARE	149	1	2.1
6	SABER HEALTHCARE GROUP	126	6	2.9
7	TRILOGY HEALTH SERVICES	123	5	4.2
8	AVIR HEALTH GROUP	116	1	2.3
9	COMMUNICARE HEALTH	110	5	3.2
10	PRUITTHEALTH	95	4	2.9
11	GOOD SAMARITAN SOCIETY	92	9	3.0
12	AMERICAN SENIOR COMMUNITIES	90	1	3.9
13	LEGACY HEALTHCARE	89	3	2.9
14	MARQUIS HEALTH SERVICES	87	9	3.0
15	COMPLETE CARE	85	8	3.1
16	CIENA HEALTHCARE/LAUREL HEALTH CARE	81	4	2.8
17	SIMCHA HYMAN & NAFTALI ZANZIPER	79	6	2.6
18	NATIONAL HEALTHCARE CORPORATION	69	8	4.0
19	INFINITY HEALTHCARE CONSULTING	69	3	2.0
20	SIGNATURE HEALTHCARE	67	5	3.1

Sources

CMS nursing homes (Provider Information) — Centers for Medicare & Medicaid Services · U.S. Government work · retrieved September 27, 2026

Compiled automatically from CMS nursing homes (Provider Information) by a checked SQL query · Editor: Kian O'Connor · How this site is built

Data retrieved September 27, 2026