The 10 states below have the lowest percentages of nursing homes with the federal government's top rating of 5 stars. The average for all states is 12.8 percent.
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| State | Total nursing homes | Percent with 5 stars |
|---|---|---|
| 1. Louisiana | 280 | 4.3% |
| 2. West Virginia | 128 | 7.0% |
| 3. Georgia | 357 | 8.1% |
| 4. Tennessee | 313 | 8.6% |
| 5. Kentucky | 286 | 8.7% |
| 5. Oklahoma | 311 | 8.7% |
| 6. Utah | 91 | 8.8% |
| 7. Ohio | 948 | 9.1% |
| 8. Missouri | 507 | 9.5% |
| 9. Texas | 1,126 | 9.7% |
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