2026 Rankings
Nursing Home Ratings by State
Top-rated nursing homes in every state, ranked by CareGrader’s A-F grading system using real CMS government inspection data.
Texas
1,176 facilities
California
1,163 facilities
Ohio
922 facilities
Florida
695 facilities
Illinois
669 facilities
Pennsylvania
657 facilities
New York
597 facilities
Indiana
507 facilities
Missouri
487 facilities
Michigan
424 facilities
North Carolina
419 facilities
Iowa
392 facilities
Georgia
356 facilities
New Jersey
348 facilities
Massachusetts
341 facilities
Minnesota
339 facilities
Wisconsin
323 facilities
Tennessee
303 facilities
Kansas
297 facilities
Virginia
289 facilities
Oklahoma
284 facilities
Kentucky
269 facilities
Louisiana
266 facilities
Alabama
224 facilities
Arkansas
221 facilities
Maryland
220 facilities
Colorado
210 facilities
Mississippi
202 facilities
Washington
194 facilities
Connecticut
193 facilities
South Carolina
187 facilities
Nebraska
179 facilities
Arizona
140 facilities
Oregon
128 facilities
West Virginia
123 facilities
Utah
97 facilities
South Dakota
96 facilities
Idaho
80 facilities
Maine
78 facilities
New Hampshire
74 facilities
North Dakota
73 facilities
Rhode Island
73 facilities
New Mexico
68 facilities
Nevada
66 facilities
Montana
61 facilities
Delaware
44 facilities
Hawaii
42 facilities
Wyoming
36 facilities
Vermont
34 facilities
Alaska
20 facilities
District of Columbia
17 facilities
How CareGrader Ranks Nursing Homes
CareGrader grades every Medicare-certified nursing home in America from A to F using a composite score (0-100) that combines four dimensions of CMS government data: health inspections (35% weight), staffing levels from Payroll-Based Journal data (25%), quality measures (25%), and penalty history including fines (15%).
Rankings are recalculated monthly when CMS publishes updated datasets. No facility can pay to influence their grade. There are no paid placements or sponsored listings. Read our full methodology