CMS Scores Required for Nursing Home Five Star Ratings

Updated as of July 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 227 6 14 21.333 30.667
Alaska 18 40.667 63.167 108.833 154.667
Arizona 142 12.667 24.667 42.667 74
Arkansas 220 36.667 54.667 77.333 119
California 1175 27.333 55.333 80.667 128.333
Colorado 221 22 39.333 63.333 127.333
Connecticut 208 14.667 29.333 44 59.333
D. C. 16 28.667 66.667 104 168
Delaware 45 16.667 48.667 86.667 145.167
Florida 689 10.667 22 36 67.333
Georgia 356 4 15.333 25.333 51.5
Guam 1 10.667 28.667 51.333 95.333
Hawaii 43 21.333 46.667 55.333 85.833
Idaho 79 27.333 59.333 88.5 165.833
Illinois 704 18.667 40.667 72 120.167
Indiana 531 16 32 51.333 88.333
Iowa 427 4.667 14.667 27.333 57.333
Kansas 322 12 34 58.667 93.167
Kentucky 283 8 19.333 34 70
Louisiana 273 4.667 16 30.667 57.5
Maine 93 8 14 26 47.667
Maryland 225 19.333 48.667 77.333 118.667
Massachusetts 371 16 32.667 53.333 83.667
Michigan 435 31.333 73.333 114 196.333
Minnesota 363 15.333 36 57.333 97.167
Mississippi 202 5.333 14.667 24 48.667
Missouri 510 16.667 32 52 90.667
Montana 70 16.667 39.333 58.667 106.667
Nebraska 195 16.667 34.667 52 80
Nevada 63 36.667 60.667 72.667 97.333
New Hampshire 73 1.333 6 10.667 22.667
New Jersey 357 6 12.667 20 34
New Mexico 69 34 70 114 177.667
New York 614 6 14.667 24.667 38.667
North Carolina 426 6 16.667 34.667 70
North Dakota 79 10 22 32.667 46.667
Ohio 940 13.333 32.667 54 96.417
Oklahoma 293 16 39.333 63.667 100.333
Oregon 129 24.667 48 87.333 160
Pennsylvania 685 10 25.333 45.333 81
Puerto Rico 6 6 20 47.333 61.333
Rhode Island 78 6 16 26 60.667
South Carolina 188 10.667 23.333 43.333 81.333
South Dakota 104 9.333 19.333 32 56.167
Tennessee 310 4 11.333 20 44.5
Texas 1178 17.333 38.667 62 102
Utah 96 14 44.667 62 95.333
Vermont 35 7.333 18 23.333 52.333
Virginia 284 24 43.333 66.667 108
Washington 199 42.667 89.333 136.833 216
West Virginia 122 20 42.667 69.333 114
Wisconsin 346 6.667 22.667 42.667 91.333
Wyoming 36 32 38.667 55.333 75.333