CMS Scores Required for Nursing Home Five Star Ratings

Updated as of March 01, 2021

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 Nursing Home Count Five Star Four Star Three Star Two Star
Alabama 225 6.667 14.667 22 30.667
Alaska 18 43.333 63.167 108.833 154.667
Arizona 144 12.667 22.667 42 76
Arkansas 220 34 55.333 77.333 120.667
California 1178 27.333 54.667 79 124.333
Colorado 222 22 38.667 62 108.667
Connecticut 209 15.333 30.667 44.667 64.667
D. C. 16 28.667 72 103.333 152
Delaware 45 16.667 52 92.667 138
Florida 683 10.667 22 34.667 63.5
Georgia 356 4.667 15.333 25.333 48.667
Guam 1 10.667 28 51.333 94
Hawaii 42 22.667 40.667 54.667 94
Idaho 81 28 56 90 165.833
Illinois 709 18.667 41.333 68.667 111.333
Indiana 531 16 32.667 51.333 86
Iowa 427 4.667 14.667 28 55.333
Kansas 323 12 34.667 59 95.333
Kentucky 283 8 19.333 32 70
Louisiana 275 4.8 16 32 52.917
Maine 93 7.333 13.333 24.667 44
Maryland 225 19.333 48 79.667 128
Massachusetts 372 16.667 32 51.667 84.667
Michigan 434 32.667 71.333 108.833 190.167
Minnesota 366 15.333 36 55.333 96.5
Mississippi 202 5.333 14.667 24 47.333
Missouri 512 16.667 32.667 53.333 93.333
Montana 70 17.667 39.333 58.667 113.083
Nebraska 195 18 36 53.333 88
Nevada 62 40 58.667 75.333 101.167
New Hampshire 73 1.333 5.333 10 20.667
New Jersey 361 6 12.667 20.667 37.333
New Mexico 69 38.667 82.667 127 177.667
New York 615 6 14.667 24.667 39.333
North Carolina 427 6.667 17.333 32 70.333
North Dakota 80 10.333 21.333 31.333 44.333
Ohio 943 12.667 32 51.333 94
Oklahoma 293 16.667 38 63.333 100.333
Oregon 129 23.333 44.667 81.333 129.333
Pennsylvania 687 10 26 46 83.167
Puerto Rico 6 6 20 47.333 52
Rhode Island 79 5.333 12 21.333 55.333
South Carolina 186 10.667 26 42.667 82
South Dakota 104 10 18.667 30.667 56.667
Tennessee 313 4 10.667 20.667 43.167
Texas 1181 18 39.333 63.333 104.667
Utah 96 14 42.667 62 95.333
Vermont 35 7.333 14.667 22.667 49.667
Virginia 284 23.333 44 68.667 108
Washington 199 42.667 86 139.333 210.5
West Virginia 122 24 51.333 81.333 119
Wisconsin 351 6.667 22.667 40.667 82.167
Wyoming 36 26.667 37.333 59.333 71.333