The figure is a map titled " Within-Market Variation in Nursing Home Value-Added." The map plots, by nursing home market, estimates of the difference between the 90th- and 10th-percentile nursing homes in the percentage point increase, within the first 30 days of treatment, in the probability of a patient being discharged back to community within a week. While value-added tends to be lower in the Deep South and Appalachia, it is higher in New England and in the Mountain states. This figure shows the ranges of differences in nursing home quality, with particularly sizeable differences in the Mountain states, as well as other states. Source: Researchers' calculations using data from the MDS, Medicare, and the OSCAR/CASPER system