Five Star Ratings Scores by State

Updated as of July 01, 2022

The table below shows the maximum ratings score required to qualify for each of five stars in the Five Star Rating System for Nursing Homes developed by the Center for Medicare and Medicaid Services. For purposes of this system lower scores are better. For each state, CMS divides the nursing homes by score so that the top ten percent of the nursing homes in the state are given five stars and the bottom twenty percent are given one star. The each of the middle levels represents approximately 23% of the nursing homes in the state.

State Five Star Four Star Three Star Two Star
AK 33.667 53.600 78.000 137.067
AL 5.333 13.333 20.000 30.667
AR 31.333 52.000 76.000 106.333
AZ 14.000 32.000 45.333 71.333
CA 30.000 57.333 86.667 140.167
CO 18.667 39.333 62.000 115.333
CT 14.667 29.333 43.333 66.667
DC 21.600 52.667 95.333 154.333
DE 17.333 59.333 80.833 134.333
FL 10.000 22.000 36.000 65.667
GA 4.000 14.667 25.333 49.333
GU 11.333 29.333 52.667 99.000
HI 26.400 46.000 64.000 123.333
IA 6.000 17.333 33.333 71.000
ID 28.000 54.667 89.333 155.667
IL 21.333 50.667 84.667 143.333
IN 15.333 32.000 50.667 90.333
KS 15.667 30.667 56.000 86.333
KY 8.000 18.000 31.333 64.000
LA 6.000 18.000 29.333 53.500
MA 16.667 38.000 60.000 96.667
MD 24.667 49.333 78.667 122.667
ME 9.833 15.333 30.667 44.667
MI 30.333 71.167 121.000 189.083
MN 14.667 32.667 52.333 97.333
MO 18.000 34.000 57.333 111.500
MS 6.333 16.000 25.333 59.333
MT 16.333 38.000 50.667 96.583
NC 5.333 18.000 38.667 81.000
ND 12.000 19.333 32.000 46.667
NE 20.000 34.000 57.333 84.000
NH 4.000 10.667 14.667 26.000
NJ 6.000 13.333 20.667 36.000
NM 32.667 83.333 128.667 189.500
NV 32.667 55.333 80.000 108.667
NY 7.333 14.667 24.667 40.667
OH 16.000 36.667 61.333 108.333
OK 16.000 41.333 70.000 106.667
OR 22.667 48.667 90.000 145.000
PA 8.667 24.667 42.667 77.333
PR 42.667 44.000 105.500 208.333
RI 15.333 33.333 48.667 88.000
SC 7.333 20.000 38.000 74.000
SD 8.667 17.333 36.667 60.000
TN 6.000 14.667 26.667 65.000
TX 16.667 34.000 54.000 88.000
UT 12.667 34.667 54.667 100.000
VA 20.000 41.333 62.667 108.667
VT 8.000 18.000 28.000 63.667
WA 48.667 92.667 141.333 205.167
WI 8.667 21.333 43.833 103.333
WV 21.333 44.667 74.000 109.333
WY 22.667 35.333 44.000 63.333