Nursing home directory: every CMS-certified facility in the US

Official quality data for all 14690 Medicare- and Medicaid-certified nursing homes, compiled from the CMS Provider Data Catalog. Search by name, or drill into your state to compare facilities side by side.

CMS data processing date: 2026-09-01. Public domain US government data — see sources & method.

14690
CMS-certified nursing homes
3.0/5
National average overall rating
40%
Rated below average (1–2 stars)
$454,984,026
Federal fines on record (cumulative)

Search all 14690 facilities

The full national index loads only when you start typing, and stays in your browser. Searching by name, city, state, or ZIP.

What the CMS star rating means

Every facility receives an overall rating from 1 to 5 stars, built from three components that CMS weights by facility type.

Overall ratingCMS labelFacilitiesShare
5 starsMuch above average301120%
4 starsAbove average277219%
3 starsAverage287020%
2 starsBelow average293020%
1 starMuch below average298220%
Not ratedNot rated1251%
The overall rating is not a consumer review score and it is not a price. It combines health inspections, staffing hours per resident, and quality measures reported by the facility. Two facilities with the same star rating can still differ sharply in inspection history — open the facility profile before you decide.

Alongside the star ratings, CMS publishes two compliance designations. 1429 facilities (10%) carry the abuse icon, which marks a substantiated finding of abuse, neglect, or exploitation within the last three inspection cycles. 440 facilities (3%) are in or proposed for the Special Focus Facility program, which CMS reserves for homes with a persistent record of poor quality. Both are flagged in the directory, and both are worth checking before you tour.

Browse nursing homes by state

Facility counts, average ratings, and the share rated below average, for every state with certified facilities.

53 states
StateFacilitiesAvg ratingBelow averageFines
Texas11772.748%$51,954,195
California11653.234%$27,944,206
Ohio9223.236%$24,323,545
Florida6943.333%$16,906,487
Illinois6662.554%$73,934,986
Pennsylvania6563.043%$16,907,525
New York5933.041%$13,680,799
Indiana5073.137%$4,432,030
Missouri4872.552%$18,225,767
Michigan4223.137%$12,396,545
North Carolina4192.942%$15,342,355
Iowa3873.136%$7,463,626
Georgia3562.747%$4,538,517
New Jersey3483.330%$12,154,241
Massachusetts3413.039%$11,684,409
Minnesota3383.237%$8,283,380
Wisconsin3233.042%$15,552,379
Tennessee3033.037%$6,940,796
Kansas2963.136%$6,047,179
Virginia2893.042%$6,845,748
Oklahoma2832.749%$5,169,812
Kentucky2673.039%$4,104,594
Louisiana2652.651%$12,400,596
Alabama2243.039%$2,758,515
Arkansas2213.426%$2,035,267
Maryland2213.234%$4,847,524
Colorado2103.237%$4,788,349
Mississippi2022.749%$3,480,591
Washington1933.235%$10,158,197
Connecticut1913.043%$4,532,487
South Carolina1873.039%$2,773,701
Nebraska1802.849%$2,155,569
Arizona1403.331%$1,249,958
Oregon1283.137%$3,522,821
West Virginia1233.035%$3,629,084
Utah973.329%$2,323,572
South Dakota962.943%$3,918,278
Idaho803.232%$1,069,954
Maine783.135%$576,125
New Hampshire733.044%$578,772
North Dakota723.233%$1,989,283
Rhode Island722.947%$4,388,281
New Mexico682.949%$3,117,721
Nevada663.139%$920,844
Montana612.946%$3,392,214
Delaware443.236%$2,970,511
Hawaii433.723%$831,590
Wyoming362.947%$1,012,600
Vermont332.939%$2,881,039
Alaska203.420%$531,436
District of Columbia173.424%$1,261,943
Puerto Rico93.033%$40,836
Guam13.00%$13,247

How to use this directory

  1. Start with the inspection record, not the overall star. Health inspection results carry the most weight in the overall score, and the deficiency count on each facility page is the raw detail behind it.
  2. Check staffing hours per resident per day. Published staffing is the single most useful predictor of day-to-day care quality. Compare a facility against its state average, not just the national one.
  3. Read turnover alongside the star rating. High registered-nurse and administrator turnover undermines even a well-rated facility. CMS publishes those rates for each home.
  4. Then look at cost. Quality data says nothing about price. Use the cost calculator for the state figure, then compare 3–5 shortlisted facilities on rating, staffing, and fines together.

The facilities flagged with a Abuse icon have had a substantiated abuse citation in the most recent three inspection cycles, and those on the Watch list are candidates for CMS's Special Focus Facility program. Both are official CMS designations, and both are worth understanding before you visit.