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Insights, analysis, and guides on nursing home ratings.

Red and white painted building in Alabama
State Spotlight

Nursing Home Ratings in Alabama: Data Analysis of Quality, Safety, and Staffing

Alabama has 223 nursing homes averaging 3.92 HPRD — 0.02 hours above the national average of 3.90. 73.54% meet the CMS benchmark.

White mountain landscape in Alaska
State Spotlight

Nursing Home Ratings in Alaska: Data Analysis of Quality, Safety, and Staffing

Alaska has 18 nursing homes averaging 6.80 HPRD — 2.91 hours above the national average of 3.90. 100% meet the CMS benchmark.

Signboard on the desert area with shrubs in Arizona
State Spotlight

Nursing Home Ratings in Arizona: Data Analysis of Quality, Safety, and Staffing

Arizona has 139 nursing homes averaging 4.13 HPRD — 0.23 hours above the national average of 3.90. 73.38% meet the CMS benchmark.

Old cannon at Fort Smith National Historic Site in Arkansas
State Spotlight

Nursing Home Ratings in Arkansas: Data Analysis of Quality, Safety, and Staffing

Arkansas has 217 nursing homes averaging 4.09 HPRD — 0.19 hours above the national average of 3.90. 84.79% meet the CMS benchmark.

Union Station building in Colorado
State Spotlight

Nursing Home Ratings in Colorado: Data Analysis of Quality, Safety, and Staffing

Colorado has 208 nursing homes averaging 3.75 HPRD — 0.15 hours below the national average of 3.90. 49.04% meet the CMS benchmark.

Welcome sign at Connecticut state border
State Spotlight

Nursing Home Ratings in Connecticut: Data Analysis of Quality, Safety, and Staffing

Connecticut has 191 nursing homes averaging 3.84 HPRD — 0.06 hours below the national average of 3.90. 69.11% meet the CMS benchmark.

Scenic Wilmington riverfront holiday decor
State Spotlight

Nursing Home Ratings in Delaware: Data Analysis of Quality, Safety, and Staffing

Delaware has 43 nursing homes averaging 4.38 HPRD — 0.49 hours above the national average of 3.90. 100% meet the CMS benchmark.

United States Capitol in winter scene
State Spotlight

Nursing Home Ratings in District of Columbia: Data Analysis of Quality, Safety, and Staffing

District of Columbia has 17 nursing homes averaging 4.80 HPRD — 0.90 hours above the national average of 3.90. 88.24% meet the CMS benchmark.

Aerial view of Atlanta skyline at daytime
State Spotlight

Nursing Home Ratings in Georgia: Data Analysis of Quality, Safety, and Staffing

Georgia has 351 nursing homes averaging 3.59 HPRD — 0.31 hours below the national average of 3.90. 48.43% meet the CMS benchmark.

Tropical summer resort on sea coast
State Spotlight

Nursing Home Ratings in Guam: Data Analysis of Quality, Safety, and Staffing

Guam has 1 nursing homes averaging 7.43 HPRD — 3.53 hours above the national average of 3.90. 100% meet the CMS benchmark.

Building beside shore in Hawaii
State Spotlight

Nursing Home Ratings in Hawaii: Data Analysis of Quality, Safety, and Staffing

Hawaii has 41 nursing homes averaging 4.71 HPRD — 0.82 hours above the national average of 3.90. 90.24% meet the CMS benchmark.

Gray concrete building in Idaho
State Spotlight

Nursing Home Ratings in Idaho: Data Analysis of Quality, Safety, and Staffing

Idaho has 77 nursing homes averaging 4.10 HPRD — 0.20 hours above the national average of 3.90. 83.12% meet the CMS benchmark.

Chicago skyline overlooking Lake Michigan on a clear day
State Spotlight

Nursing Home Ratings in Illinois: Data Analysis of Quality, Safety, and Staffing

Illinois has 658 nursing homes averaging 3.50 HPRD — 0.39 hours below the national average of 3.90. 43.77% meet the CMS benchmark.

Aerial nighttime view of the Indianapolis skyline with illuminated skyscrapers
State Spotlight

Nursing Home Ratings in Indiana: Data Analysis of Quality, Safety, and Staffing

Indiana has 498 nursing homes averaging 3.72 HPRD — 0.18 hours below the national average of 3.90. 58.63% meet the CMS benchmark.

Drone shot of buildings near body of water in Des Moines, Iowa
State Spotlight

Nursing Home Ratings in Iowa: Data Analysis of Quality, Safety, and Staffing

Iowa has 382 nursing homes averaging 3.82 HPRD — 0.08 hours below the national average of 3.90. 65.97% meet the CMS benchmark.

Building surrounded by parking lot under clear day sky
State Spotlight

Nursing Home Ratings in Kansas: Data Analysis of Quality, Safety, and Staffing

Kansas has 294 nursing homes averaging 4.08 HPRD — 0.19 hours above the national average of 3.90. 79.59% meet the CMS benchmark.

Louisville, Kentucky skyline viewed from across the Ohio River
State Spotlight

Nursing Home Ratings in Kentucky: Data Analysis of Quality, Safety, and Staffing

Kentucky has 267 nursing homes averaging 4.05 HPRD — 0.15 hours above the national average of 3.90. 72.28% meet the CMS benchmark.

White lighthouse on a rocky coastal jetty at sunset
State Spotlight

Nursing Home Ratings in Maine: Data Analysis of Quality, Safety, and Staffing

Maine has 77 nursing homes averaging 4.35 HPRD — 0.45 hours above the national average of 3.90. 98.7% meet the CMS benchmark.

Aerial view of downtown Baltimore cityscape with high-rise buildings
State Spotlight

Nursing Home Ratings in Maryland: Data Analysis of Quality, Safety, and Staffing

Maryland has 219 nursing homes averaging 3.92 HPRD — 0.02 hours above the national average of 3.90. 68.95% meet the CMS benchmark.

Boston harbor skyline at sunset with golden clouds reflecting on the water
State Spotlight

Nursing Home Ratings in Massachusetts: Data Analysis of Quality, Safety, and Staffing

Massachusetts has 339 nursing homes averaging 3.87 HPRD — 0.02 hours below the national average of 3.90. 76.4% meet the CMS benchmark.

Aerial view of downtown Detroit skyline with high-rise buildings
State Spotlight

Nursing Home Ratings in Michigan: Data Analysis of Quality, Safety, and Staffing

Michigan has 409 nursing homes averaging 4.03 HPRD — 0.13 hours above the national average of 3.90. 78.48% meet the CMS benchmark.

Spoonbridge and Cherry sculpture at Minneapolis Sculpture Garden with city skyline
State Spotlight

Nursing Home Ratings in Minnesota: Data Analysis of Quality, Safety, and Staffing

Minnesota has 333 nursing homes averaging 4.24 HPRD — 0.34 hours above the national average of 3.90. 86.79% meet the CMS benchmark.

Aerial view of the Mississippi River winding through lush green marshlands at sunset
State Spotlight

Nursing Home Ratings in Mississippi: Data Analysis of Quality, Safety, and Staffing

Mississippi has 200 nursing homes averaging 4.21 HPRD — 0.31 hours above the national average of 3.90. 86.5% meet the CMS benchmark.

St. Louis skyline with the Gateway Arch seen from a distance across green fields
State Spotlight

Nursing Home Ratings in Missouri: Data Analysis of Quality, Safety, and Staffing

Missouri has 478 nursing homes averaging 3.48 HPRD — 0.41 hours below the national average of 3.90. 42.89% meet the CMS benchmark.

Majestic mountains, lake, and forest landscape in Glacier National Park, Montana
State Spotlight

Nursing Home Ratings in Montana: Data Analysis of Quality, Safety, and Staffing

Montana has 58 nursing homes averaging 3.98 HPRD — 0.08 hours above the national average of 3.90. 55.17% meet the CMS benchmark.

Crop field at sunset with dramatic orange sky across the Great Plains
State Spotlight

Nursing Home Ratings in Nebraska: Data Analysis of Quality, Safety, and Staffing

Nebraska has 177 nursing homes averaging 4.14 HPRD — 0.24 hours above the national average of 3.90. 79.1% meet the CMS benchmark.

Las Vegas strip illuminated at dusk with Bellagio fountains and Paris hotel
State Spotlight

Nursing Home Ratings in Nevada: Data Analysis of Quality, Safety, and Staffing

Nevada has 64 nursing homes averaging 4.36 HPRD — 0.46 hours above the national average of 3.90. 65.63% meet the CMS benchmark.

Swift River covered bridge in Conway, New Hampshire surrounded by autumn foliage
State Spotlight

Nursing Home Ratings in New Hampshire: Data Analysis of Quality, Safety, and Staffing

New Hampshire has 73 nursing homes averaging 3.96 HPRD — 0.06 hours above the national average of 3.90. 60.27% meet the CMS benchmark.

New York City skyline seen from Jersey City waterfront on a clear day
State Spotlight

Nursing Home Ratings in New Jersey: Data Analysis of Quality, Safety, and Staffing

New Jersey has 345 nursing homes averaging 3.87 HPRD — 0.03 hours below the national average of 3.90. 63.77% meet the CMS benchmark.

White Sands desert dunes with rippled patterns at sunset in New Mexico
State Spotlight

Nursing Home Ratings in New Mexico: Data Analysis of Quality, Safety, and Staffing

New Mexico has 67 nursing homes averaging 3.57 HPRD — 0.33 hours below the national average of 3.90. 34.33% meet the CMS benchmark.

Manhattan skyline at sunset seen from across the water in New York City
State Spotlight

Nursing Home Ratings in New York: Data Analysis of Quality, Safety, and Staffing

New York has 589 nursing homes averaging 3.65 HPRD — 0.24 hours below the national average of 3.90. 52.12% meet the CMS benchmark.

Charlotte, North Carolina skyline at sunset with illuminated skyscrapers
State Spotlight

Nursing Home Ratings in North Carolina: Data Analysis of Quality, Safety, and Staffing

North Carolina has 406 nursing homes averaging 3.77 HPRD — 0.13 hours below the national average of 3.90. 58.87% meet the CMS benchmark.

Expansive Badlands vista with layered rock formations in North Dakota
State Spotlight

Nursing Home Ratings in North Dakota: Data Analysis of Quality, Safety, and Staffing

North Dakota has 73 nursing homes averaging 4.43 HPRD — 0.53 hours above the national average of 3.90. 90.41% meet the CMS benchmark.

Cleveland, Ohio skyline illuminated at night with historic Terminal Tower
State Spotlight

Nursing Home Ratings in Ohio: Data Analysis of Quality, Safety, and Staffing

Ohio has 919 nursing homes averaging 3.73 HPRD — 0.16 hours below the national average of 3.90. 59.63% meet the CMS benchmark.

Devon Tower skyscraper in downtown Oklahoma City against an overcast sky
State Spotlight

Nursing Home Ratings in Oklahoma: Data Analysis of Quality, Safety, and Staffing

Oklahoma has 266 nursing homes averaging 3.86 HPRD — 0.03 hours below the national average of 3.90. 73.31% meet the CMS benchmark.

Portland, Oregon skyline with downtown buildings along the Willamette River
State Spotlight

Nursing Home Ratings in Oregon: Data Analysis of Quality, Safety, and Staffing

Oregon has 123 nursing homes averaging 4.97 HPRD — 1.07 hours above the national average of 3.90. 98.37% meet the CMS benchmark.

Philadelphia skyline during sunset with dramatic clouds and illuminated buildings
State Spotlight

Nursing Home Ratings in Pennsylvania: Data Analysis of Quality, Safety, and Staffing

Pennsylvania has 655 nursing homes averaging 3.90 HPRD — roughly at the national average. 65.04% meet the CMS benchmark.

Puerto Rican flag on the shore with ocean waves in the background
State Spotlight

Nursing Home Ratings in Puerto Rico: Data Analysis of Quality, Safety, and Staffing

Puerto Rico has 7 nursing homes averaging 4.05 HPRD — 0.16 hours above the national average of 3.90. 57.14% meet the CMS benchmark.

Low angle shot of a lighthouse tower against a clear sky
State Spotlight

Nursing Home Ratings in Rhode Island: Data Analysis of Quality, Safety, and Staffing

Rhode Island has 71 nursing homes averaging 3.72 HPRD — 0.18 hours below the national average of 3.90. 69.01% meet the CMS benchmark.

Arthur Ravenel Jr. Bridge in Charleston, South Carolina illuminated at sunset
State Spotlight

Nursing Home Ratings in South Carolina: Data Analysis of Quality, Safety, and Staffing

South Carolina has 183 nursing homes averaging 3.86 HPRD — 0.04 hours below the national average of 3.90. 56.28% meet the CMS benchmark.

Mount Rushmore National Memorial with presidential carvings in South Dakota
State Spotlight

Nursing Home Ratings in South Dakota: Data Analysis of Quality, Safety, and Staffing

South Dakota has 93 nursing homes averaging 3.83 HPRD — 0.07 hours below the national average of 3.90. 61.29% meet the CMS benchmark.

Nashville, Tennessee cityscape at dawn with the iconic AT&T Building and Cumberland River
State Spotlight

Nursing Home Ratings in Tennessee: Data Analysis of Quality, Safety, and Staffing

Tennessee has 301 nursing homes averaging 3.87 HPRD — 0.03 hours below the national average of 3.90. 74.42% meet the CMS benchmark.

Natural red rock arch formation at Arches National Park in Utah
State Spotlight

Nursing Home Ratings in Utah: Data Analysis of Quality, Safety, and Staffing

Utah has 97 nursing homes averaging 4.06 HPRD — 0.17 hours above the national average of 3.90. 69.07% meet the CMS benchmark.

Calm body of water with scenic landscape in Vermont
State Spotlight

Nursing Home Ratings in Vermont: Data Analysis of Quality, Safety, and Staffing

Vermont has 34 nursing homes averaging 4.36 HPRD — 0.46 hours above the national average of 3.90. 100% meet the CMS benchmark.

Asphalt roadway in rural valley against cloudy blue sky in Virginia
State Spotlight

Nursing Home Ratings in Virginia: Data Analysis of Quality, Safety, and Staffing

Virginia has 289 nursing homes averaging 3.83 HPRD — 0.07 hours below the national average of 3.90. 50.87% meet the CMS benchmark.

Seattle skyline with Space Needle and Mount Rainier in the background
State Spotlight

Nursing Home Ratings in Washington: Data Analysis of Quality, Safety, and Staffing

Washington has 187 nursing homes averaging 4.28 HPRD — 0.39 hours above the national average of 3.90. 98.4% meet the CMS benchmark.

Mountain landscape with rugged peaks and forested valleys in the Appalachian region
State Spotlight

Nursing Home Ratings in West Virginia: Data Analysis of Quality, Safety, and Staffing

West Virginia has 121 nursing homes averaging 3.70 HPRD — 0.20 hours below the national average of 3.90. 50.41% meet the CMS benchmark.

Milwaukee skyline with modern architecture and autumn foliage
State Spotlight

Nursing Home Ratings in Wisconsin: Data Analysis of Quality, Safety, and Staffing

Wisconsin has 321 nursing homes averaging 4.20 HPRD — 0.30 hours above the national average of 3.90. 82.87% meet the CMS benchmark.

Green grass lawn landscape in Wyoming
State Spotlight

Nursing Home Ratings in Wyoming: Data Analysis of Quality, Safety, and Staffing

Wyoming has 34 nursing homes averaging 3.87 HPRD — 0.03 hours below the national average of 3.90. 64.71% meet the CMS benchmark.

Night aerial view of Sacramento Tower Bridge in California
State Spotlight

Nursing Home Ratings in California: A Data Analysis of Quality, Safety, and Staffing

California has the most nursing home residents in the US — over 100,000 — with above-average total staffing but a hidden RN crisis. Only 22% of facilities meet the registered nurse recommendation.

Aerial view of Miami, Florida cityscape stretching toward the Atlantic Ocean
State Spotlight

Nursing Home Ratings in Florida: A Data Analysis of Quality, Safety, and Staffing

Florida's 685 nursing homes serve over 73,000 residents with near-average staffing. But the state has the nation's best weekend consistency — only 11.7% drop-off. Here's the full analysis.

Skyscrapers in a Louisiana city skyline
State Spotlight

Nursing Home Ratings in Louisiana: A Data Analysis of Quality, Safety, and Staffing

Louisiana has the highest rate of F-rated nursing homes in the nation — 54.7% earn the lowest grade. Only 3.5% of facilities meet the RN staffing recommendation. Here's the full data analysis.

Dome of the Texas State Capitol building in Austin
State Spotlight

Nursing Home Ratings in Texas: A Data Analysis of Quality, Safety, and Staffing

Texas ranks near the bottom nationally for nursing home staffing. With 1,160 facilities and over 87,000 residents, only 29.8% meet the CMS staffing benchmark. Here's what the data shows.

Guide

Understanding HPRD and Nursing Home Staffing Grades

A guide to how nursing home staffing is measured in hours per resident day (HPRD) and how Healthcare Trends Insight assigns letter grades.