5-Star Nursing Homes by State (2026)

2,904 of 7,443 nursing homes nationwide (39%) hold the highest CMS 5-star overall rating.

Data from CMS Care Compare ยท Updated

Five-Star Nationwide

2,904

of 7,443 facilities

National Rate

39%

are 5-star rated

Avg Trust Score

85.2

among 5-star homes

National Averages Among 5-Star Facilities

How the 2,904 top-rated nursing homes perform across key CMS metrics

Health Inspection

4.4

avg rating

Staffing

3.8

avg rating

Quality Measures

4.3

avg rating

RN Hours

0.97

per resident/day

Zero Fines

83.6%

of 5-star homes

Top 10 Five-Star Facilities Nationwide

Ranked by trust score among all 5-star rated nursing homes

  1. 1
    Highland Park Care Center

    Alliance, Nebraska · 60 beds

    A+

    95

    trust

  2. 2
    MASSAPEQUA CENTER REHABILITATION & NURSING

    Amityville, New York · 320 beds

    A+

    95

    trust

  3. 3
    ANDOVER VILLAGE RETIREMENT COMMUNITY

    Andover, Ohio · 99 beds

    A+

    95

    trust

  4. 4
    LEBANON VALLEY HOME THE

    Annville, Pennsylvania · 55 beds

    A+

    95

    trust

  5. 5
    Arroyo Grande Care Center

    Arroyo Grande, California · 99 beds

    A+

    95

    trust

  6. 6
    SAYBROOK LANDING

    Ashtabula, Ohio · 99 beds

    A+

    95

    trust

  7. 7
    NEW YORK CENTER FOR REHABILITATION & NURSING

    Astoria, New York · 280 beds

    A+

    95

    trust

  8. 8
    BETH ISRAEL AT SHALOM PARK

    Aurora, Colorado · 135 beds

    A+

    95

    trust

  9. 9
    OAK POINTE NURSING & REHABILITATION

    Baltic, Ohio · 85 beds

    A+

    95

    trust

  10. 10
    PruittHealth- Barnwell

    Barnwell, South Carolina · 44 beds

    A+

    95

    trust

Browse All States

Click any state to see its 5-star rated nursing homes by city

Alaska

6 five-star homes · 100% of facilities

#1

North Dakota

20 five-star homes · 64.5% of facilities

#2

Alabama

35 five-star homes · 60.3% of facilities

#3

Minnesota

88 five-star homes · 58.7% of facilities

#4

Maine

16 five-star homes · 57.1% of facilities

#5

Vermont

5 five-star homes · 55.6% of facilities

#6

Iowa

89 five-star homes · 55.3% of facilities

#7

New Jersey

83 five-star homes · 55% of facilities

#8

Wisconsin

77 five-star homes · 54.6% of facilities

#9

South Dakota

14 five-star homes · 53.8% of facilities

#10

Montana

9 five-star homes · 52.9% of facilities

#11

Hawaii

14 five-star homes · 50% of facilities

#12

West Virginia

16 five-star homes · 50% of facilities

#13

Wyoming

6 five-star homes · 50% of facilities

#14

Idaho

20 five-star homes · 48.8% of facilities

#15

Connecticut

46 five-star homes · 48.4% of facilities

#16

Michigan

101 five-star homes · 47.2% of facilities

#17

Mississippi

25 five-star homes · 45.5% of facilities

#18

Nebraska

37 five-star homes · 45.1% of facilities

#19

Arkansas

47 five-star homes · 44.3% of facilities

#20

Tennessee

50 five-star homes · 43.9% of facilities

#21

New Mexico

14 five-star homes · 43.8% of facilities

#22

Utah

28 five-star homes · 43.1% of facilities

#23

Pennsylvania

150 five-star homes · 42.1% of facilities

#24

Massachusetts

61 five-star homes · 41.5% of facilities

#25

New York

134 five-star homes · 41.5% of facilities

#26

Washington

51 five-star homes · 40.8% of facilities

#27

New Hampshire

15 five-star homes · 40.5% of facilities

#28

Oregon

30 five-star homes · 40% of facilities

#29

Arizona

41 five-star homes · 39.8% of facilities

#30

Kansas

48 five-star homes · 38.7% of facilities

#31

South Carolina

33 five-star homes · 38.4% of facilities

#32

Ohio

205 five-star homes · 37.9% of facilities

#33

Rhode Island

9 five-star homes · 37.5% of facilities

#34

Delaware

13 five-star homes · 37.1% of facilities

#35

Virginia

57 five-star homes · 37% of facilities

#36

Indiana

113 five-star homes · 36.7% of facilities

#37

North Carolina

79 five-star homes · 36.7% of facilities

#38

Colorado

51 five-star homes · 35.2% of facilities

#39

Florida

154 five-star homes · 35.2% of facilities

#40

Kentucky

42 five-star homes · 34.7% of facilities

#41

Nevada

17 five-star homes · 34.7% of facilities

#42

Georgia

44 five-star homes · 34.6% of facilities

#43

Maryland

49 five-star homes · 34.3% of facilities

#44

California

274 five-star homes · 34% of facilities

#45

Illinois

92 five-star homes · 33.6% of facilities

#46

Oklahoma

39 five-star homes · 33.3% of facilities

#47

District of Columbia

5 five-star homes · 29.4% of facilities

#48

Texas

176 five-star homes · 28.2% of facilities

#49

Missouri

48 five-star homes · 28.1% of facilities

#50

Louisiana

28 five-star homes · 26.7% of facilities

#51