Nursing homes rated by CMS — 14,188 facilities across 53 states and territories
Every Medicare- and Medicaid-certified nursing home that CMS publishes a quality record for, state by state: the overall, health-inspection and staffing star ratings (1–5), the federal fines and payment denials of the trailing three years, the reported RN staffing hours per resident per day, and the number of certified beds. Each state below opens a full table of that state's facilities, sorted best-rated first, and every facility links to its own CMS Care Compare page. 6,268 of the 14,188 facilities drew at least one penalty in the window — $426,317,555 in fines in total.
Facilities and ratings by state
| State | Facilities | Avg overall rating | 5-star overall | With fines | Fines total (3 yr) |
|---|---|---|---|---|---|
| Texas | 1,135 | 2.66 | 133 | 783 | $50,644,126 |
| California | 1,122 | 3.17 | 269 | 457 | $27,026,821 |
| Ohio | 898 | 3.16 | 204 | 274 | $21,436,280 |
| Florida | 676 | 3.29 | 174 | 258 | $16,003,295 |
| Illinois | 648 | 2.56 | 90 | 444 | $72,585,745 |
| Pennsylvania | 634 | 3.02 | 154 | 266 | $14,893,557 |
| New York | 579 | 3.04 | 135 | 170 | $11,285,112 |
| Indiana | 498 | 3.15 | 116 | 89 | $3,718,632 |
| Missouri | 461 | 2.52 | 53 | 198 | $16,678,536 |
| Michigan | 413 | 3.14 | 105 | 161 | $12,770,644 |
| North Carolina | 402 | 2.94 | 79 | 227 | $14,281,133 |
| Iowa | 377 | 3.08 | 92 | 137 | $6,853,286 |
| Georgia | 342 | 2.65 | 49 | 118 | $4,453,740 |
| New Jersey | 339 | 3.32 | 77 | 138 | $10,919,255 |
| Massachusetts | 332 | 3.04 | 68 | 160 | $11,075,392 |
| Minnesota | 326 | 3.18 | 88 | 135 | $7,303,451 |
| Wisconsin | 315 | 3.00 | 76 | 132 | $13,458,047 |
| Tennessee | 299 | 3.01 | 59 | 103 | $6,740,996 |
| Kansas | 284 | 3.13 | 74 | 145 | $5,881,214 |
| Virginia | 280 | 2.95 | 56 | 101 | $6,287,394 |
| Kentucky | 257 | 3.03 | 53 | 86 | $4,327,035 |
| Oklahoma | 257 | 2.76 | 36 | 130 | $4,588,560 |
| Louisiana | 252 | 2.49 | 21 | 126 | $11,288,833 |
| Alabama | 220 | 3.01 | 44 | 36 | $2,727,650 |
| Arkansas | 216 | 3.44 | 65 | 68 | $1,939,646 |
| Maryland | 216 | 3.13 | 51 | 86 | $4,341,640 |
| Colorado | 203 | 3.15 | 45 | 125 | $4,849,262 |
| Mississippi | 195 | 2.76 | 32 | 107 | $3,642,671 |
| Washington | 186 | 3.25 | 47 | 114 | $10,203,079 |
| Connecticut | 184 | 3.02 | 42 | 105 | $3,879,077 |
| South Carolina | 183 | 3.02 | 39 | 94 | $2,563,044 |
| Nebraska | 169 | 2.80 | 34 | 37 | $1,399,834 |
| Arizona | 135 | 3.34 | 36 | 36 | $885,759 |
| Oregon | 124 | 3.14 | 28 | 63 | $3,320,965 |
| West Virginia | 120 | 2.96 | 20 | 63 | $3,465,178 |
| South Dakota | 90 | 2.89 | 19 | 68 | $3,043,724 |
| Utah | 89 | 3.38 | 23 | 47 | $2,053,938 |
| Idaho | 78 | 3.13 | 19 | 27 | $1,047,050 |
| Maine | 77 | 3.09 | 18 | 28 | $579,654 |
| New Hampshire | 71 | 3.06 | 12 | 21 | $572,196 |
| North Dakota | 69 | 3.26 | 19 | 39 | $1,699,545 |
| Rhode Island | 68 | 2.87 | 9 | 52 | $4,311,306 |
| New Mexico | 65 | 2.91 | 14 | 39 | $2,636,877 |
| Nevada | 62 | 3.19 | 17 | 23 | $805,753 |
| Montana | 56 | 2.96 | 11 | 38 | $2,902,537 |
| Delaware | 42 | 3.24 | 9 | 31 | $2,697,441 |
| Hawaii | 40 | 3.60 | 15 | 21 | $782,516 |
| Wyoming | 34 | 2.91 | 8 | 21 | $745,002 |
| Vermont | 30 | 2.90 | 3 | 22 | $2,610,658 |
| Alaska | 16 | 3.31 | 5 | 6 | $640,818 |
| District of Columbia | 15 | 3.40 | 4 | 10 | $1,415,568 |
| Puerto Rico | 8 | 3.25 | 2 | 2 | $40,836 |
| Guam | 1 | 3.00 | 0 | 1 | $13,247 |
Source and method
Read from the Provider Information and Penalties datasets of the CMS Provider Data Catalog (the data behind CMS Care Compare) on 2026-09-17; the catalog refreshes monthly. Penalties are the trailing 3-year window CMS publishes — fines in dollars plus payment denials — joined to each facility by its CMS certification number. A facility appears only when CMS has published real values for all three star ratings, the RN staffing hours and the certified bed count; the 502 facilities CMS has not rated yet are left out rather than guessed at. Zero penalties is kept as a real answer.