Independent comparison using official CMS ratings, inspections, penalties, staffing, and quality measures
Click a state to view nursing homes. Colors indicate average rating.
The July 2026 CMS data snapshot used by NursingHomes.us contains 14,693 Medicare- or Medicaid-certified nursing homes with 1,568,051 certified beds. Their average CMS overall rating is 3 out of 5.
This count covers nursing homes included in the federal CMS Provider Data catalog. It should not be read as a count of every assisted-living community, residential-care home or other long-term-care setting in the country. CMS updates source datasets regularly, so totals can change as facilities open, close or change certification status.
Every nursing home is rated by the Centers for Medicare & Medicaid Services (CMS) on a 1–5 star scale. The overall rating combines health inspections, staffing levels, and quality measures. A 5-star rating means "much above average" quality.
State health inspectors conduct unannounced inspections of every Medicare/Medicaid nursing home. Deficiencies range from minor issues to immediate jeopardy. We show the number of deficiencies found, their severity, and how they compare to state and national averages.
When nursing homes fail to meet federal standards, CMS can impose financial penalties including fines and payment denials. We track every penalty — amount, date, and reason — so you can see which facilities have compliance issues.
Staffing levels are an important part of nursing home quality. We show hours per resident per day for RNs, LPNs, and nurse aides, plus staff turnover rates. Quality measures include falls with injury, pressure ulcers, UTIs, and rehospitalization rates.
Data snapshot: July 2026. Facility data comes from the official CMS Care Compare database, maintained by the U.S. Department of Health & Human Services. CMS updates its source data regularly; the values shown here reflect the reporting periods available in this release. We do not alter CMS ratings. Read our sources and methodology.