Highest-Rated Nursing Homes by State
The top-performing nursing homes in each state by CMS safety signals — inspections, staffing, complaints, and enforcement — with a zero-deficiency honor roll for consistently strong homes. Built from the same federal records we use to score every U.S. nursing home.
Most “best nursing homes” lists are opinion. Ours start from the data a facility cannot spin: federal inspection citations, payroll-based staffing levels, complaint volume, and CMS enforcement actions, combined into a single Care Safety Score. Pick your state below to see its highest-rated homes and zero-deficiency honor roll.
A high score is a starting point, not a guarantee. Conditions change, so always tour in person and bring our questions to ask when touring a nursing home. Still in the planning stage? Start with Before the Crisis, our free elder-care planning guide.
Look up a specific nursing home
Search 14,000+ Medicare-certified facilities by name, city, or ZIP to see its Care Safety Score, violations, staffing, and enforcement history.
Highest-rated nursing homes in your state
Frequently asked questions
- How are the highest-rated nursing homes in each state chosen?
- We rank every Medicare-certified nursing home in a state by its Care Safety Score — a 0–100 measure that combines federal health-inspection citations, payroll-based staffing levels, resident complaint volume, and CMS enforcement actions. Homes on the CMS Special Focus list are excluded from the highest-rated and honor-roll lists, so a watch-listed facility never appears as "safest."
- Does a high Care Safety Score guarantee a nursing home is safe?
- No. The score reflects the most recent federal data, but staffing and management can change and no rating can guarantee future care. Use these pages to build a shortlist, then tour each home in person and review its full record before deciding.
- Which states are covered so far?
- We currently publish highest-rated rankings for California, Florida, New York, Ohio and Texas. Each page is built from that state's own CMS records and is refreshed as new federal data is released. More states are added over time.
- What is the zero-deficiency honor roll?
- On each state page we highlight larger homes (50 or more certified beds) that had no CMS health deficiencies recorded in the most recent 12 months of available inspection data. It is a constructive way to surface consistently strong performers, not a guarantee of future results.
- How do I check a specific nursing home?
- Search any U.S. nursing home by name, city, or ZIP using the search box on this page. Each facility page shows its Care Safety Score, inspection citations, staffing, and enforcement history, plus questions tailored to that home's record.
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