CMS Scores Required for Nursing Home Five Star Ratings

Updated as of April 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 35.000 53.600 80.667 136.067
AL 5.333 13.333 20.667 30.667
AR 31.333 54.667 76.667 107.667
AZ 12.667 29.667 46.000 70.000
CA 29.333 56.667 84.667 136.000
CO 20.267 42.000 63.333 112.333
CT 15.333 29.333 44.000 66.000
DC 21.600 52.667 99.333 166.333
DE 18.000 59.333 83.333 140.333
FL 10.667 22.667 35.333 64.333
GA 4.000 14.667 24.667 51.333
GU 11.333 28.667 52.000 97.333
HI 26.400 47.167 64.000 108.000
IA 5.333 16.000 32.667 67.000
ID 28.667 56.000 94.000 155.667
IL 19.333 46.667 82.000 139.667
IN 15.333 32.000 52.667 87.333
KS 14.000 31.333 57.333 90.000
KY 8.000 18.667 30.000 66.000
LA 5.333 18.000 27.333 48.000
MA 16.667 35.333 58.667 97.333
MD 20.667 47.333 75.833 123.333
ME 9.500 14.667 30.667 47.333
MI 33.333 70.667 116.000 186.667
MN 16.000 34.667 54.833 103.167
MO 18.000 33.333 56.667 103.333
MS 6.667 15.333 24.667 53.333
MT 15.333 38.000 53.333 96.333
NC 6.000 18.667 38.000 80.000
ND 12.000 22.000 34.000 46.000
NE 17.333 32.667 53.167 85.667
NH 4.000 8.667 14.000 25.333
NJ 6.000 13.333 20.667 35.333
NM 33.333 70.667 128.000 165.500
NV 37.333 54.000 80.667 103.333
NY 6.667 14.667 24.667 39.333
OH 15.333 35.333 58.000 106.000
OK 18.000 41.333 63.500 104.667
OR 20.000 48.667 86.667 145.833
PA 9.333 25.333 42.667 76.667
PR 35.333 49.333 105.500 208.333
RI 10.000 29.333 44.000 73.167
SC 7.333 21.333 36.000 75.333
SD 9.333 19.333 34.667 56.667
TN 5.333 13.333 24.000 62.000
TX 16.667 34.667 54.667 88.000
UT 12.667 38.667 54.667 99.333
VA 20.000 42.667 62.667 108.667
VT 6.000 17.333 28.000 53.000
WA 44.667 95.333 144.000 208.000
WI 7.333 20.667 42.167 92.667
WV 21.333 45.333 69.000 104.667
WY 22.667 35.333 44.667 64.667