Average overall star ratings for U.S. nursing homes

The map below displays a state-by state breakdown of average overall star ratings for nursing homes, with 1 star being the lowest and 5 stars being the highest. The darker the blue, the higher the rating. For example, Hawaii is the darkest shade of blue because it has the highest rating in the nation at 3.9 stars. Hover over each state to see its exact rating. Ratings are current as of Nov. 1, 2022. (Note: the average rating in the United States is 2.9 stars).

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About the data: CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily and to help identify areas about which you may want to ask questions. The Nursing Home Care Compare website features a quality rating system that gives each nursing home a rating of between 1 and 5 stars. Nursing homes with 5 stars are considered to have much above average quality and nursing homes with 1 star are considered to have quality much below average. There is one Overall 5-star rating for each nursing home, and separate ratings for health inspections, staffing and quality measures.