Nursing homes

CMS certifies 14,690 nursing homes with 1,567,452 beds. It gives 20.5% of those it rates its lowest overall rating, one star, and 20.7% its highest. Its figures as processed on September 1, 2026.

The nation

14,690
Nursing homes: Certified for Medicare, Medicaid or both.; 1,567,452
Certified beds: Beds certified for Medicare and Medicaid.; 2,982
Rated one star: 20.5% of the 14,565 homes CMS rates.; 1,429
With CMS’s abuse icon: Cited for abuse that harmed a resident, or could have, in CMS’s look-back.; 87
Special Focus Facilities: Homes CMS inspects more often for a history of serious problems.; 12,989
Fines: Imposed in CMS’s look-back period.

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

The 14,565 nursing homes CMS rates, by their overall five-star rating. 125 more have no rating, each with CMS's footnote giving the reason.

Source: CMS

About this chart

The figures

20.5% of rated nursing homes have CMS's lowest rating, one star, and 20.7% its highest. The 14,565 nursing homes CMS rates, by their overall five-star rating. 125 more have no rating, each with CMS's footnote giving the reason.
Overall rating	Homes	Share of rated homes
1 star	2,982	20.5%
2 stars	2,930	20.1%
3 stars	2,870	19.7%
4 stars	2,772	19.0%
5 stars	3,011	20.7%

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<figure style="margin:0;max-width:960px">
  <img src="https://americanfactbook.org/embed/chart/nursing-homes-by-rating.svg" alt="20.5% of rated nursing homes have CMS's lowest rating, one star, and 20.7% 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">20.5% of rated nursing homes have CMS's lowest rating, one star, and 20.7% its highest</a>, American Factbook, <a href="https://creativecommons.org/licenses/by/4.0/">CC BY 4.0</a></figcaption>
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37.1% of Illinois's rated nursing homes have one star, the most of any state, and 4.7% 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

37.1% of Illinois's rated nursing homes have one star, the most of any state, and 4.7% 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	37.1%	661	14.1%
Missouri	34.0%	480	11.0%
Louisiana	33.7%	264	9.8%
Georgia	28.8%	354	14.1%
Nebraska	28.7%	178	19.7%
Texas	27.6%	1,165	12.1%
Oklahoma	26.3%	281	12.5%
Mississippi	25.6%	199	16.6%
Kentucky	22.2%	266	19.5%
Pennsylvania	22.2%	652	24.1%
Montana	22.0%	59	18.6%
North Carolina	21.9%	415	19.5%
Vermont	21.9%	32	12.5%
Wisconsin	21.8%	321	23.1%
Nevada	21.5%	65	29.2%
South Carolina	21.0%	186	21.0%
Virginia	21.0%	286	19.9%
West Virginia	20.5%	122	17.2%
Iowa	20.3%	385	23.6%
Idaho	20.3%	79	22.8%
South Dakota	20.2%	94	20.2%
Wyoming	20.0%	35	22.9%
North Dakota	19.7%	71	23.9%
Maine	19.5%	77	22.1%
Tennessee	19.3%	300	18.7%
Massachusetts	19.2%	338	21.0%
Kansas	19.1%	293	24.9%
Minnesota	19.0%	336	26.5%
Connecticut	18.9%	190	22.1%
Alabama	18.8%	223	20.2%
New York	18.8%	590	23.1%
Rhode Island	18.3%	71	14.1%
Indiana	17.9%	504	23.6%
New Mexico	17.9%	67	20.9%
Oregon	17.3%	127	22.0%
Michigan	17.1%	420	24.8%
New Hampshire	16.4%	73	17.8%
California	16.1%	1,153	23.4%
Maryland	15.1%	219	24.7%
Florida	12.9%	691	25.8%
Ohio	12.9%	913	22.9%
Colorado	12.5%	208	24.0%
Washington	11.5%	192	26.0%
Arkansas	11.0%	218	30.3%
Alaska	10.0%	20	30.0%
New Jersey	9.5%	346	23.7%
Utah	9.4%	96	26.0%
Hawaii	7.3%	41	41.5%
Arizona	7.2%	139	27.3%
District of Columbia	5.9%	17	23.5%
Delaware	4.7%	43	20.9%

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	$2.8 million$2,758,515
Alaska	20	2.7	10.0%	1	$531,436$531,436
Arizona	140	1.8	7.2%	40	$1.2 million$1,249,958
Arkansas	221	7.1	11.0%	7	$2.0 million$2,035,267
California	1,165	3.0	16.1%	116	$27.9 million$27,944,206
Colorado	210	3.5	12.5%	51	$4.8 million$4,788,349
Connecticut	191	5.2	18.9%	46	$4.5 million$4,532,487
Delaware	44	4.2	4.7%	10	$3.0 million$2,970,511
District of Columbia	17	2.5	5.9%	2	$1.3 million$1,261,943
Florida	694	3.0	12.9%	45	$16.9 million$16,906,487
Georgia	356	3.1	28.8%	22	$4.5 million$4,538,517
GU	1	not applicable	0.0%	0	$13,247$13,247
Hawaii	43	3.0	7.3%	0	$831,590$831,590
Idaho	80	3.9	20.3%	8	$1.1 million$1,069,954
Illinois	666	5.2	37.1%	191	$73.9 million$73,934,986
Indiana	507	7.3	17.9%	35	$4.4 million$4,432,030
Iowa	387	12.0	20.3%	17	$7.5 million$7,463,626
Kansas	296	9.9	19.1%	21	$6.0 million$6,047,179
Kentucky	267	5.8	22.2%	5	$4.1 million$4,104,594
Louisiana	265	5.7	33.7%	13	$12.4 million$12,400,596
Maine	78	5.5	19.5%	0	$576,125$576,125
Maryland	221	3.5	15.1%	24	$4.8 million$4,847,524
Massachusetts	341	4.8	19.2%	6	$11.7 million$11,684,409
Michigan	422	4.2	17.1%	60	$12.4 million$12,396,545
Minnesota	338	5.8	19.0%	25	$8.3 million$8,283,380
Mississippi	202	6.8	25.6%	19	$3.5 million$3,480,591
Missouri	487	7.8	34.0%	63	$18.2 million$18,225,767
Montana	61	5.3	22.0%	6	$3.4 million$3,392,214
Nebraska	180	8.9	28.7%	1	$2.2 million$2,155,569
Nevada	66	2.0	21.5%	9	$920,844$920,844
New Hampshire	73	5.2	16.4%	0	$578,772$578,772
New Jersey	348	3.6	9.5%	14	$12.2 million$12,154,241
New Mexico	68	3.2	17.9%	13	$3.1 million$3,117,721
New York	593	3.0	18.8%	49	$13.7 million$13,680,799
North Carolina	419	3.7	21.9%	33	$15.3 million$15,342,355
North Dakota	72	9.0	19.7%	11	$2.0 million$1,989,283
Ohio	922	7.7	12.9%	40	$24.3 million$24,323,545
Oklahoma	283	6.9	26.3%	28	$5.2 million$5,169,812
Oregon	128	3.0	17.3%	13	$3.5 million$3,522,821
Pennsylvania	656	5.0	22.2%	105	$16.9 million$16,907,525
Puerto Rico	9	0.3	22.2%	0	$40,836$40,836
Rhode Island	72	6.5	18.3%	6	$4.4 million$4,388,281
South Carolina	187	3.4	21.0%	12	$2.8 million$2,773,701
South Dakota	96	10.3	20.2%	13	$3.9 million$3,918,278
Tennessee	303	4.1	19.3%	12	$6.9 million$6,940,796
Texas	1,177	3.7	27.6%	124	$52.0 million$51,954,195
Utah	97	2.7	9.4%	11	$2.3 million$2,323,572
Vermont	33	5.1	21.9%	4	$2.9 million$2,881,039
Virginia	289	3.3	21.0%	30	$6.8 million$6,845,748
Washington	193	2.4	11.5%	16	$10.2 million$10,158,197
West Virginia	123	7.0	20.5%	9	$3.6 million$3,629,084
Wisconsin	323	5.4	21.8%	20	$15.6 million$15,552,379
Wyoming	36	6.1	20.0%	11	$1.0 million$1,012,600

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	5,265	25.2%	14.2%
For profit - Corporation	4,645	21.9%	18.6%
Non profit - Corporation	2,301	10.9%	35.8%
For profit - Individual	609	24.4%	13.4%
For profit - Partnership	356	20.3%	19.2%
Government - County	339	11.9%	28.2%
Government - Hospital district	321	22.2%	17.8%
Non profit - Other	310	10.0%	25.6%
Non profit - Church related	248	8.9%	43.1%
Government - State	158	7.8%	46.4%
Government - City/county	72	8.5%	31.0%
Government - City	50	12.0%	32.0%
Government - Federal	16	12.5%	12.5%

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$1,148,809	1 of 5
2	Waterview Heights Rehabilitation and Nursing Cente	Rochester, NY	$960,884$960,884	not rated
3	Gregory Ridge Health Care Center	Kansas City, MO	$853,862$853,862	1 of 5
4	Nexus Pavilion at Belleville	Belleville, IL	$821,641$821,641	1 of 5
5	Arcadia Care Havana	Havana, IL	$775,603$775,603	1 of 5
6	BRIA of Elmwood Park	Elmwood Park, IL	$769,451$769,451	1 of 5
7	Avir at Lindale	Lindale, TX	$754,567$754,567	1 of 5
8	Bishop Rehabilitation and Nursing Center	Syracuse, NY	$726,980$726,980	1 of 5
9	La Bella of Cahokia	Cahokia, IL	$714,107$714,107	1 of 5
10	Mohawk Meadows	Lafayette, NJ	$713,795$713,795	1 of 5
11	Goldwater Care Peoria Heights	Peoria Heights, IL	$703,747$703,747	1 of 5
12	Chicago Ridge SNF	Chicago Ridge, IL	$675,810$675,810	1 of 5
13	La Bella of Woodstock	Woodstock, IL	$650,554$650,554	1 of 5
14	Legacy Nursing at St. Christina	Pineville, LA	$646,937$646,937	1 of 5
15	White Oak Post Acute Care	Baton Rouge, LA	$622,663$622,663	not rated
16	Onyx Care of Natchitoches	Natchitoches, LA	$616,611$616,611	1 of 5
17	Trenton Gardens Rehabilitation and Nursing Center	Trenton, NJ	$603,214$603,214	not rated
18	Arc at Sangamon Valley	Springfield, IL	$599,195$599,195	1 of 5
19	Park View Rehab Center	Chicago, IL	$598,146$598,146	2 of 5
20	Archer Heights Healthcare	Chicago, IL	$596,515$596,515	1 of 5
21	Landmark at 95th Rehabilitation and Nursing Center	Chicago, IL	$595,647$595,647	1 of 5
22	Alden Lakeland Rehab & HCC	Chicago, IL	$579,156$579,156	1 of 5
23	Grand Manor Nursing & Rehabilitation Center	Bronx, NY	$563,175$563,175	not rated
24	Atlas Post Acute at Woodbury Country Club	Woodbury, NJ	$561,530$561,530	2 of 5
25	Landmark of Oak Lawn Rehabilitation and Nursing Ce	Oak Lawn, IL	$559,514$559,514	1 of 5

The largest chains

10,184 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	344	17	3.2
2	PACS GROUP	275	16	2.9
3	LIFE CARE CENTERS OF AMERICA	194	26	3.4
4	GENESIS HEALTHCARE	184	18	2.3
5	CREATIVE SOLUTIONS IN HEALTHCARE	149	1	2.1
6	TRILOGY HEALTH SERVICES	127	5	4.2
7	SABER HEALTHCARE GROUP	126	6	2.9
8	AVIR HEALTH GROUP	118	1	2.3
9	COMMUNICARE HEALTH	110	5	3.2
10	PRUITTHEALTH	96	4	3.0
11	LEGACY HEALTHCARE	95	4	2.9
12	GOOD SAMARITAN SOCIETY	92	9	3.1
13	AMERICAN SENIOR COMMUNITIES	90	1	3.9
14	MARQUIS HEALTH SERVICES	90	9	3.1
15	COMPLETE CARE	85	8	3.2
16	CIENA HEALTHCARE/LAUREL HEALTH CARE	81	4	2.8
17	SIMCHA HYMAN & NAFTALI ZANZIPER	79	6	2.7
18	NATIONAL HEALTHCARE CORPORATION	71	8	4.0
19	INFINITY HEALTHCARE CONSULTING	70	3	2.1
20	OPCO SKILLED MANAGEMENT	68	4	2.3

From the same CMS catalog: the 5,419 hospitals CMS lists, and how it rates them.

Sources

CMS nursing homes (Provider Information) — Centers for Medicare & Medicaid Services · U.S. Government work · retrieved October 8, 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 October 8, 2026