Nursing Homes: How the 50 States Rank
Delaware came in first under the federal government's new rating system
Posted December 18, 2008
Today the federal government rolled out a revamped approach to make things easier for families in search of a nursing home. Like the system used to rate Medicare health and drug plans, the Nursing Home Compare site gives nursing homes from 1 to 5 stars in each of three key areas—10 quality measures, such as the percentage of residents with urinary tract infections; performance in the three most recent health inspections; and adequacy of staffing.
Each facility also gets from 1 to 5 stars overall. The following list shows how the 50 states ranked according to their percentage of nursing homes with the highest possible overall rating on Nursing Home Compare of 5 stars.
| State | Total Number of Nursing Homes |
% With 5 Stars |
|---|---|---|
| 1. Delaware | 43 | 30.2 percent |
| 2. Alaska | 15 | 26.7 percent |
| 3. New Hampshire | 78 | 24.4 percent |
| 4. Hawaii | 46 | 23.9 percent |
| 5. Maine | 112 | 23.2 percent |
| 6. Alabama | 230 | 20.0 percent |
| 7. North Dakota | 83 | 19.3 percent |
| 8. Connecticut | 241 | 18.3 percent |
| 9. Vermont | 40 | 17.5 percent |
| 10. District of Columbia | 18 | 16.7 percent |
| 11. Massachusetts | 433 | 16.6 percent |
| 12. Minnesota | 389 | 16.2 percent |
| 13. South Dakota | 110 | 15.5 percent |
| 14. Montana | 91 | 15.4 percent |
| 14. Wyoming | 39 | 15.4 percent |
| 16. Nebraska | 221 | 14.9 percent |
| 16. Wisconsin | 388 | 14.9 percent |
| 18. Kansas | 338 | 14.8 percent |
| 19. Nevada | 48 | 14.6 percent |
| 20. Oregon | 138 | 14.5 percent |
| 21. Arizona | 132 | 14.4 percent |
| 22. Rhode Island | 85 | 14.1 percent |
| 23. South Carolina | 175 | 13.7 percent |
| 24. North Carolina | 419 | 13.6 percent |
| 25. Mississippi | 200 | 13.5 percent |
| 25. New York | 650 | 13.5 percent |
| 25. Washington | 237 | 13.5 percent |
| 28. Idaho | 75 | 13.3 percent |
| 28. Iowa | 444 | 13.3 percent |
| 30. Maryland | 229 | 13.1 percent |
| 31. Florida | 678 | 12.7 percent |
| 31. Michigan | 417 | 12.7 percent |
| 31. New Jersey | 361 | 12.7 percent |
| 34. Colorado | 210 | 12.4 percent |
| 35. Arkansas | 230 | 12.2 percent |
| 36. California | 1,247 | 11.9 percent |
| 37. Virginia | 275 | 11.6 percent |
| 38. Pennsylvania | 705 | 11.2 percent |
| 39. Illinois | 784 | 10.5 percent |
| 40. New Mexico | 69 | 10.1 percent |
| 41. Indiana | 505 | 9.9 percent |
| 41. Texas | 1,108 | 9.9 percent |
| 43. Kentucky | 287 | 9.8 percent |
| 44. Ohio | 945 | 9.5 percent |
| 45. Missouri | 511 | 9.2 percent |
| 45. West Virginia | 130 | 9.2 percent |
| 47. Utah | 90 | 7.8 percent |
| 48. Oklahoma | 318 | 7.2 percent |
| 49. Tennessee | 317 | 6.9 percent |
| 50. Georgia | 358 | 5.0 percent |
| 51. Louisiana | 283 | 2.8 percent |
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