CMS Scores Required for Nursing Home Five Star Ratings

Updated as of November 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 Five Star Four Star Three Star Two Star
AK 36.667 56.000 103.333 132.667
AL 5.333 13.333 20.667 30.000
AR 32.667 54.667 78.667 112.000
AZ 13.333 25.333 45.333 70.667
CA 28.667 55.333 82.667 132.333
CO 21.333 39.333 66.000 112.667
CT 15.333 30.667 44.667 68.000
DC 28.000 61.333 105.333 167.667
DE 18.667 48.667 86.000 128.000
FL 10.000 22.000 36.000 64.833
GA 4.000 14.667 25.333 49.333
GU 10.667 28.667 52.000 95.917
HI 20.000 47.167 66.667 101.500
IA 5.333 15.333 28.667 58.667
ID 26.000 60.667 86.000 160.167
IL 18.000 44.000 78.000 126.750
IN 16.000 32.667 49.333 83.333
KS 12.000 32.667 57.333 89.250
KY 8.000 19.333 32.667 69.167
LA 4.667 16.000 28.667 52.833
MA 16.667 33.333 55.333 92.417
MD 20.000 48.667 78.500 127.083
ME 8.000 14.667 30.667 52.667
MI 34.000 69.667 113.833 184.667
MN 16.000 36.333 56.000 105.667
MO 16.667 32.667 55.333 98.667
MS 7.000 14.667 24.667 48.000
MT 17.000 38.000 55.333 99.333
NC 6.667 16.667 34.000 72.167
ND 10.000 20.667 34.667 50.000
NE 14.667 33.333 52.667 87.000
NH 2.667 6.667 12.667 24.000
NJ 6.000 12.667 20.000 34.000
NM 33.333 70.000 117.333 151.500
NV 36.000 53.333 78.667 110.667
NY 6.667 14.667 24.500 37.333
OH 14.667 34.000 54.667 101.333
OK 18.000 40.667 65.333 105.667
OR 26.000 48.000 90.500 152.667
PA 9.333 25.333 44.667 76.667
PR 35.333 52.000 105.500 208.333
RI 8.667 22.667 32.667 57.667
SC 9.333 20.667 38.667 74.667
SD 10.667 20.000 34.000 56.167
TN 4.667 12.667 21.333 45.333
TX 17.333 36.000 58.000 95.333
UT 14.000 42.667 61.333 92.667
VA 21.667 43.333 63.333 106.000
VT 6.000 18.000 22.667 51.000
WA 45.333 93.333 146.000 212.833
WI 6.667 20.500 41.333 92.667
WV 20.000 42.667 66.667 111.333
WY 24.667 41.333 51.333 71.333