CMS Scores Required for Nursing Home Five Star Ratings

Updated as of January 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 39.333 67.333 107.500
AL 6.000 14.000 21.333 33.333
AR 31.333 50.667 69.333 97.333
AZ 12.667 25.333 38.667 58.667
CA 34.667 64.667 96.667 150.667
CO 21.333 42.000 62.667 106.000
CT 16.667 34.000 52.667 78.667
DC 31.333 75.333 154.333 227.167
DE 28.667 52.667 74.000 95.333
FL 10.000 22.667 41.333 77.667
GA 5.333 18.000 30.000 56.667
GU 12.000 31.333 56.667 108.167
HI 38.667 58.333 94.000 143.667
IA 6.000 19.333 43.500 94.583
ID 21.333 44.000 70.000 112.500
IL 22.667 60.000 99.333 182.250
IN 14.667 29.333 46.000 83.333
KS 18.667 36.000 56.667 98.333
KY 6.667 17.333 29.333 68.667
LA 11.333 26.667 44.667 76.667
MA 20.000 44.667 67.333 123.333
MD 21.333 49.333 75.500 132.833
ME 13.333 25.333 37.667 60.000
MI 27.333 58.667 92.333 165.250
MN 12.000 27.333 50.667 86.667
MO 24.000 46.500 75.333 141.000
MS 8.000 16.000 26.667 59.333
MT 15.000 36.000 61.667 120.500
NC 6.000 20.000 44.000 98.917
ND 8.667 16.000 28.667 52.333
NE 14.000 27.333 40.000 69.500
NH 7.333 13.333 21.333 35.000
NJ 8.667 20.000 30.000 55.333
NM 41.333 84.667 136.000 226.000
NV 29.333 47.333 75.333 114.667
NY 8.000 17.333 27.333 42.667
OH 16.000 38.000 60.667 110.000
OK 17.333 34.667 59.333 99.333
OR 30.000 50.333 81.000 137.167
PA 7.333 26.000 51.333 97.333
PR 34.667 53.167 91.667 128.667
RI 18.667 43.333 75.667 157.000
SC 7.333 20.667 39.333 73.333
SD 4.667 13.333 22.667 49.000
TN 8.000 17.333 34.000 78.667
TX 16.667 35.333 57.333 106.000
UT 9.333 31.200 46.000 91.333
VA 19.333 39.333 68.667 120.667
VT 7.333 16.667 50.667 84.667
WA 42.667 80.167 120.667 186.500
WI 8.000 22.667 47.167 105.667
WV 29.333 47.333 76.000 128.583
WY 13.333 26.000 42.667 77.467