Skilled Nursing Homes with a Rating Downgrade

The nursing home data reported by the Centers for Medicare & Medicaid Services ("CMS") show that 423 nursing homes in the month of October 2022 received an downgrade in their Overall Rating according to CMS' Five-Star Quality Rating System. The data also show that the number of nursing homes that were upgraded in the month of September 2023 was 395 (click here to see the list of skilled nursing facilities that were upgraded). Expressed as a percentage, a total of 0.03% skilled nursing facilities were downgraded while 0.03% skilled nursing facilities were upgraded.

As of September 2023, there were 2,740 skilled nursing facilities in the United States that had an overall rating of 5 on the CMS Five-Star Quality Rating System, 2,598 that had a 4-star rating, 2,955 that had a 3-star rating, 3,024with a 2-star rating, 3,483 skilled nursing homes that had either a 1-star rating. There were 156 skilled nursing homes that did not yet have an overall rating. (CMS typically needs to two years to apply an overall rating to skilled nursing home.) There are 14,956 skilled nursing facilities in the United States that CMS reports on.

A skilled nursing facility's overall rating typically changes less than once per year. The rating is based primarily on CMS' annual health inspection report as well as other quality metrics. The overall rating is also affected by the performance of other skilled nursing facilities in the same state. You cannot use the Overall Rating to compare skilled nursing facilities in one state to another! CMS also provides other ratings: the Health Inspection Rating, Quality Rating, and Staffing Rating and Health Inspection Scores which can be used to compare facilities.

The table below shows the 423 skilled nursing homes that were downgraded.