CMS Scores Required for Nursing Home Five Star Ratings

Updated as of February 01, 2024

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 19.000 38.667 76.667 115.500
AL 6.000 13.333 21.333 33.667
AR 32.000 50.667 69.333 96.000
AZ 12.000 25.333 38.667 56.000
CA 34.667 64.667 96.667 149.333
CO 20.667 42.000 63.333 105.333
CT 16.667 34.000 52.000 78.667
DC 31.333 70.667 138.000 224.500
DE 22.667 53.333 64.667 95.333
FL 9.600 23.333 41.333 78.667
GA 6.000 18.000 30.667 56.667
GU 12.000 32.000 56.667 109.167
HI 38.667 58.333 92.667 138.667
IA 6.000 18.667 43.500 93.167
ID 21.333 41.333 70.000 112.500
IL 25.333 60.000 101.667 187.750
IN 14.667 29.333 45.333 83.333
KS 19.333 38.000 57.333 100.417
KY 6.667 17.333 28.667 72.333
LA 10.667 27.333 46.000 79.833
MA 20.000 44.667 66.833 123.333
MD 21.333 48.667 78.667 136.500
ME 12.667 27.333 37.667 58.667
MI 26.667 57.333 92.333 165.167
MN 11.333 28.000 50.000 87.333
MO 24.000 47.333 75.333 144.500
MS 7.333 16.667 29.333 63.333
MT 16.000 37.333 63.333 121.333
NC 6.000 20.667 46.667 98.917
ND 8.667 16.000 28.667 55.833
NE 13.333 26.000 40.000 69.333
NH 8.000 14.000 20.667 38.667
NJ 8.000 20.000 30.000 57.667
NM 44.000 93.333 140.667 218.000
NV 29.333 44.667 75.333 110.667
NY 8.667 17.333 28.000 43.833
OH 16.000 38.667 60.667 110.000
OK 13.333 34.667 56.500 98.000
OR 32.000 52.667 81.000 138.167
PA 7.667 26.000 52.000 97.667
PR 34.667 53.167 88.800 91.667
RI 18.667 46.667 81.000 153.333
SC 7.333 22.000 39.500 77.333
SD 5.333 13.333 25.333 51.000
TN 8.000 17.333 34.000 78.667
TX 17.333 35.333 56.667 112.083
UT 9.333 31.200 46.000 91.333
VA 19.333 39.333 68.667 120.667
VT 3.333 16.667 50.667 139.333
WA 42.667 78.000 118.833 183.083
WI 8.667 24.000 47.333 102.667
WV 30.667 48.000 76.000 126.333
WY 13.333 26.000 44.000 77.467