CMS Scores Required for Nursing Home Five Star Ratings

Updated as of September 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 38.000 60.000 103.333 149.333
AL 6.000 14.667 20.667 30.000
AR 34.000 55.333 78.667 114.667
AZ 12.667 24.667 43.333 74.000
CA 28.000 55.333 82.000 128.667
CO 21.333 40.667 65.333 131.333
CT 15.333 30.000 44.667 63.333
DC 28.667 61.333 105.333 168.000
DE 16.667 48.667 86.000 128.000
FL 10.000 22.667 36.000 66.667
GA 4.000 15.333 25.333 49.333
GU 10.667 28.667 52.000 95.500
HI 20.000 46.667 59.333 97.000
IA 4.667 14.667 28.667 57.333
ID 26.000 59.333 87.333 160.667
IL 18.667 42.000 76.667 122.167
IN 16.000 32.667 50.000 85.333
KS 12.000 33.333 58.500 90.667
KY 8.000 19.333 32.833 69.000
LA 4.667 16.000 30.000 53.333
MA 16.667 34.667 54.667 88.667
MD 20.000 50.333 76.667 125.500
ME 8.000 14.000 26.667 47.667
MI 32.667 71.333 113.333 191.833
MN 16.000 36.000 56.000 103.333
MO 16.667 32.667 52.667 93.333
MS 7.333 14.667 24.000 49.000
MT 16.667 38.000 55.333 104.583
NC 6.000 16.667 34.667 72.167
ND 9.333 22.000 32.667 46.667
NE 16.667 34.667 53.333 81.667
NH 2.000 6.667 12.667 21.333
NJ 6.000 12.667 20.667 34.667
NM 40.000 70.000 113.667 152.667
NV 36.000 58.000 74.000 103.333
NY 6.667 14.667 24.667 38.667
OH 13.333 32.667 54.667 100.667
OK 18.000 40.000 66.667 106.167
OR 26.000 48.000 89.333 152.667
PA 9.333 25.333 44.667 78.667
PR 35.333 52.000 111.500 230.333
RI 7.333 20.667 28.000 57.667
SC 10.000 22.000 39.333 82.667
SD 12.000 19.333 32.000 56.167
TN 4.000 12.667 20.000 45.333
TX 16.800 37.333 59.333 96.667
UT 14.000 42.667 62.667 94.000
VA 22.667 43.333 63.333 108.667
VT 5.333 18.000 22.000 49.000
WA 45.333 91.333 142.667 206.667
WI 6.667 20.667 42.167 94.667
WV 20.000 47.333 72.000 113.000
WY 24.667 37.333 50.000 60.000