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
| State | Facilities | Avg overall rating | With abuse flag |
|---|---|---|---|
| Alaska | 20 | 3.45 | 1 |
| Alabama | 224 | 3 | 12 |
| Arkansas | 221 | 3.41 | 7 |
| Arizona | 140 | 3.32 | 39 |
| California | 1165 | 3.16 | 113 |
| Colorado | 210 | 3.13 | 49 |
| Connecticut | 191 | 2.99 | 45 |
| District of Columbia | 17 | 3.35 | 2 |
| Delaware | 44 | 3.28 | 8 |
| Florida | 694 | 3.27 | 47 |
| Georgia | 356 | 2.64 | 21 |
| Guam | 1 | 3 | 0 |
| Hawaii | 43 | 3.56 | 0 |
| Iowa | 387 | 3.07 | 17 |
| Idaho | 80 | 3.14 | 7 |
| Illinois | 666 | 2.55 | 183 |
| Indiana | 507 | 3.14 | 32 |
| Kansas | 296 | 3.11 | 23 |
| Kentucky | 267 | 3.01 | 5 |
| Louisiana | 265 | 2.52 | 16 |
| Massachusetts | 341 | 3.04 | 7 |
| Maryland | 221 | 3.13 | 30 |
| Maine | 78 | 3.09 | 1 |
| Michigan | 422 | 3.12 | 62 |
| Minnesota | 338 | 3.15 | 22 |
| Missouri | 487 | 2.51 | 64 |
| Mississippi | 202 | 2.76 | 17 |
| Montana | 61 | 2.88 | 9 |
| North Carolina | 419 | 2.93 | 34 |
| North Dakota | 72 | 3.2 | 10 |
| Nebraska | 180 | 2.75 | 1 |
| New Hampshire | 73 | 3.08 | 0 |
| New Jersey | 348 | 3.31 | 15 |
| New Mexico | 68 | 2.85 | 11 |
| Nevada | 66 | 3.17 | 9 |
| New York | 593 | 3.03 | 44 |
| Ohio | 922 | 3.15 | 40 |
| Oklahoma | 283 | 2.67 | 28 |
| Oregon | 128 | 3.13 | 11 |
| Pennsylvania | 656 | 2.97 | 100 |
| Puerto Rico | 9 | 3 | 0 |
| Rhode Island | 72 | 2.89 | 9 |
| South Carolina | 187 | 3.01 | 12 |
| South Dakota | 96 | 2.88 | 13 |
| Tennessee | 303 | 3 | 14 |
| Texas | 1177 | 2.65 | 137 |
| Utah | 97 | 3.29 | 11 |
| Virginia | 289 | 2.95 | 28 |
| Vermont | 33 | 2.88 | 4 |
| Washington | 193 | 3.21 | 17 |
| Wisconsin | 323 | 2.98 | 19 |
| West Virginia | 123 | 2.98 | 10 |
| Wyoming | 36 | 2.89 | 10 |
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
- Plain language: every inspection citation is translated from regulatory code (like “F-0600”) into words anyone can read.
- The full decision chain: ratings → recent serious findings → abuse flags → 3 years of fines → real staffing hours (including weekends) → ownership and chains → side-by-side local comparison.
- Independent evidence first: on-site inspection findings are shown above self-reported quality measures, and we tell you which is which.
- No black-box scores: we never invent our own rating or recommend a facility.