CMS Scores Required for Nursing Home Five Star Ratings

Updated as of January 01, 2023

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 32.733 58.667 76.000 118.167
AL 5.333 14.000 20.000 33.333
AR 31.333 52.667 73.333 110.667
AZ 15.333 30.667 44.000 68.667
CA 31.333 58.667 88.667 143.833
CO 18.000 40.000 62.000 108.667
CT 14.667 28.000 44.000 68.667
DC 21.600 52.667 95.333 151.000
DE 16.667 61.333 83.333 117.333
FL 10.000 22.000 37.333 66.667
GA 4.000 14.667 26.667 48.667
GU 11.333 29.333 54.000 100.833
HI 28.000 46.000 77.333 119.500
IA 6.000 17.333 36.667 80.667
ID 21.333 50.667 84.000 141.000
IL 21.333 53.333 91.333 151.333
IN 14.667 30.000 49.333 83.667
KS 14.000 32.000 55.333 84.000
KY 7.333 18.000 29.333 66.333
LA 6.000 20.000 32.667 55.333
MA 19.333 40.667 64.000 106.333
MD 23.333 53.333 76.667 118.667
ME 10.667 19.333 32.667 46.667
MI 28.667 67.333 111.333 185.500
MN 14.667 32.667 53.333 99.667
MO 19.333 38.000 64.000 121.333
MS 6.667 14.667 26.000 57.333
MT 16.000 30.667 54.667 97.833
NC 5.333 20.000 44.000 94.667
ND 11.333 19.333 28.667 48.667
NE 20.000 35.333 52.000 79.083
NH 5.333 10.667 18.000 26.000
NJ 6.333 14.000 21.333 36.000
NM 39.333 79.333 130.167 202.667
NV 30.000 58.667 78.000 108.667
NY 7.333 16.000 26.000 41.333
OH 15.333 36.667 62.000 108.333
OK 16.667 40.667 64.667 115.167
OR 22.667 50.000 85.333 124.333
PA 8.000 24.000 46.000 85.333
PR 44.000 69.333 70.333 119.167
RI 16.000 35.333 56.000 119.667
SC 7.333 20.000 35.333 68.667
SD 7.333 16.667 28.667 54.667
TN 6.667 16.000 29.333 72.000
TX 15.333 31.333 50.667 86.833
UT 12.667 33.333 53.333 92.833
VA 19.333 39.333 65.333 114.333
VT 4.000 18.000 34.000 72.667
WA 49.333 91.333 132.000 212.833
WI 8.000 21.333 44.000 107.167
WV 24.000 42.667 68.667 107.333
WY 21.333 32.000 38.667 53.667