Choosing a nursing home? Read the government's own records first.

Every Medicare-certified nursing home in the U.S. — 14,690 facilities — is inspected by state surveyors, and the findings are public. We translate those records into plain language: what inspectors found, how serious it was, fines paid, real nurse staffing levels, and who owns the facility. No scores of our own, no recommendations — just the facts, with the questions you should ask on a visit.

Browse by state

StateFacilitiesAvg overall ratingWith abuse flag
Alaska203.451
Alabama224312
Arkansas2213.417
Arizona1403.3239
California11653.16113
Colorado2103.1349
Connecticut1912.9945
District of Columbia173.352
Delaware443.288
Florida6943.2747
Georgia3562.6421
Guam130
Hawaii433.560
Iowa3873.0717
Idaho803.147
Illinois6662.55183
Indiana5073.1432
Kansas2963.1123
Kentucky2673.015
Louisiana2652.5216
Massachusetts3413.047
Maryland2213.1330
Maine783.091
Michigan4223.1262
Minnesota3383.1522
Missouri4872.5164
Mississippi2022.7617
Montana612.889
North Carolina4192.9334
North Dakota723.210
Nebraska1802.751
New Hampshire733.080
New Jersey3483.3115
New Mexico682.8511
Nevada663.179
New York5933.0344
Ohio9223.1540
Oklahoma2832.6728
Oregon1283.1311
Pennsylvania6562.97100
Puerto Rico930
Rhode Island722.899
South Carolina1873.0112
South Dakota962.8813
Tennessee303314
Texas11772.65137
Utah973.2911
Virginia2892.9528
Vermont332.884
Washington1933.2117
Wisconsin3232.9819
West Virginia1232.9810
Wyoming362.8910

Common questions

Where does this data come from?

Every fact on this site comes from the CMS Provider Data Catalog — the same official records behind Medicare's Care Compare — refreshed monthly (current version: 2026-08-01). We add plain-language translations of the citation codes, but never our own scores.

What does the abuse flag mean?

CMS marks a facility with an abuse icon when inspectors cited it for abuse that caused harm to a resident within the past year, or cited potential for harm in each of the last two years. Ask the facility directly what happened and what changed.

Why does a facility with few citations still have a low star rating?

CMS grades on a curve within each state: a fixed share of facilities in every state gets each star level. So stars show how a facility compares with its in-state peers, not an absolute grade — always read them together with the actual inspection findings.

What is a "serious" citation?

Inspectors assign each citation a letter from A to L. G through I means residents were actually harmed; J through L ("immediate jeopardy") means a situation put residents in immediate danger of serious injury or death. D through F means potential for harm.

Are the staffing numbers reliable?

Staffing hours come from payroll records facilities must submit (not self-estimates), and we show them case-mix adjusted — CMS’s method for fair comparison when residents need different amounts of care — next to state and national averages.

What makes this different