Senior Care Report Card Insights
Independent analysis of the federal CMS Care Compare dataset for U.S. nursing homes — health inspections, staffing, and enforcement actions, written in plain English and refreshed each month. Need to look up a specific home? Search 14,000+ certified facilities, see a sample safety report, or read how Senior Care Report Card works.
Browse high-demand state hubs: Texas, California, Florida, New York, and Pennsylvania nursing home safety scores.
The Honor Roll: 25 Nursing Homes Achieved Zero Health Deficiencies This Year
From California to Florida, these facilities passed federal inspections without a single citation between June 2025 and May 2026
Infection Prevention: The #1 Citation in U.S. Nursing Homes — June 2026
33,038 infection-control violations found at 12,415 facilities nationwide, with hand hygiene leading deficiencies
America's Largest Nursing Home Operators, Ranked by Care Quality — June 2026
Miller's Merry Manor leads single-operator dataset with 12 facilities and 77.1 average Care Safety score
For-Profit vs Non-Profit: How Ownership Type Relates to Care Quality
Church-affiliated nonprofits score 13 points higher than hospital district facilities, new federal data shows
Dementia Care: How U.S. Nursing Homes Are Performing — June 2026
3,655 dementia and behavioral-care citations recorded across U.S. nursing homes as of May 2026
Falls and Accident Hazards: The Most Common Source of Resident Harm
34,777 safety citations recorded nationwide, with most violations corrected on-site
Abuse and Neglect Citations: What CMS Inspectors Found in May 2026
32,437 citations across U.S. nursing homes; 4,584 cases caused actual harm or posed immediate danger
What CMS Inspectors Are Citing Right Now: Last 90 Days — June 2026
Free from accident hazards leads federal citations, with infection control and quality of care close behind
Top 10 Nursing Home Deficiencies and Citations — June 2026
Infection control leads citations at 11,996 facilities as CMS data reveals most common violations
What Changed This Month: 7,365 Facility Updates Recorded in June 2026
Nursing Home Compare data shows thousands of field changes across U.S. facilities as CMS updates ratings and operational details
The Government's Watch List: Special Focus Facilities — June 2026
528 nursing homes across the U.S. are under the government's closest scrutiny for a history of serious quality problems
1 in 4 Nursing Home Violations Is About the Building, Not the Care
We analyzed all 628,761 federal citations issued to U.S. nursing homes. The findings reframe what families should actually look for — and it isn't the length of the list.
Highest-Rated Nursing Homes in New York by CMS Safety Signals (2026)
New York's 596 nursing homes average 66.7 on the Care Safety Score. The homes below rank highest on CMS safety signals — inspections, staffing, complaints, and enforcement. This page also highlights 267 homes with no CMS health deficiencies recorded in
Highest-Rated Nursing Homes in Ohio by CMS Safety Signals (2026)
Ohio's 922 nursing homes average 69.0 on the Care Safety Score. The homes below rank highest on CMS safety signals — inspections, staffing, complaints, and enforcement. This page also highlights 241 homes with no CMS health deficiencies recorded in the
Highest-Rated Nursing Homes in California by CMS Safety Signals (2026)
California's 1,166 nursing homes average 65.8 on the Care Safety Score. The homes below rank highest on CMS safety signals — inspections, staffing, complaints, and enforcement. This page also highlights 124 homes with no CMS health deficiencies recorded
Highest-Rated Nursing Homes in Texas by CMS Safety Signals (2026)
Texas's 1,176 nursing homes average 55.4 on the Care Safety Score. The homes below rank highest on CMS safety signals — inspections, staffing, complaints, and enforcement. This page also highlights 127 homes with no CMS health deficiencies recorded in
Highest-Rated Nursing Homes in Florida by CMS Safety Signals (2026)
Florida's 694 nursing homes average 69.6 on the Care Safety Score. The homes below rank highest on CMS safety signals — inspections, staffing, complaints, and enforcement. This page also highlights 267 homes with no CMS health deficiencies recorded in
Nursing Home Safety by State: 2026 Rankings
Hawaii leads the nation with an average safety score of 73.2, while Texas facilities score lowest at 55.4
429 Nursing Homes Just Dropped a Grade. One Might Be the Place You Trust.
The May 2026 CMS update moved 813 nursing home grades — 429 fell, 95 into the lowest band. Why you should re-check the facility you already chose.
Nursing Home Ownership Changes: What the May 2026 CMS Data Reveals
New CMS data shows hundreds of nursing home ownership-type changes. Learn why ownership matters before choosing care for a loved one.
The Nursing Home Metrics Families Should Check Beyond the Overall Score
Overall nursing home scores are useful, but families should also check quality measures, staffing, complaints, inspections and penalties before choosing care.
West Virginia Nursing Home Scores Improved the Most in the May 2026 CMS Update
May 2026 CMS nursing home data shows West Virginia had the strongest average score improvement among states with meaningful score movement.
The Cities Where Texas and Illinois Families Should Look Harder at Nursing Home Records
May 2026 CMS data shows high-risk nursing home concentrations in Texas and Illinois cities including San Antonio, Houston, Chicago, Austin and Fort Worth.
Texas and Illinois Nursing Home Data Shows a Warning Families Should Not Ignore
New May 2026 CMS nursing home data shows Texas and Illinois have unusually high shares of facilities in concerning or poor safety bands.
23,538 Citations, One Rule: The Infection Violation Found in 96% of Cited Nursing Homes
Ask any facility you're considering for its F0880 inspection history — it appears in nearly every cited nursing home in the country.
Nursing Home Staffing Data: State-by-State Benchmarks (2026)
Hawaii leads the nation with an 88.2 average staffing score, while Texas trails at 37.9—a 50-point gap that highlights dramatic regional differences in nurse coverage.
Top 10 Nursing Home Deficiencies and Citations — May 2026
F0880 infection control violations found at 81% of facilities, leading 628,761 total citations nationwide