Top States for High Quality Nursing Homes

The majority of high-quality nursing homes can be found in California, Ohio, and Florida, while the greatest percentages of the best nursing homes are located in Washington, D.C., Colorado, and Delaware, according to rankings from U.S. News & World Report.

More than 2,000 nursing homes earned the distinction of a U.S. News & World Report Best Nursing Home for 2016-17, representing about 13% of all such care centers across the country and reflecting a 41% decrease from last year. However, this significant drop is largely due to shifts in methodology, according to a news release.

U.S. News & World Report assessed more than 15,000 nursing homes across the country, in each state and in 100 major metropolitan areas. The ratings have historically relied on information from Nursing Home Compare, a program run by the Centers for Medicare & Medicaid Services (CMS), but this year the methodology was updated to look more closely at how nursing homes perform over time and to identify different rehabilitation services.


To qualify as a Best Nursing Home for 2016-17, the facilities had to earn an average of 4.5 stars or better during the 12 months of federal reports ending in October, and had to consistently meet certain performance standards set by U.S. News & World Report during that period, like earning 4 stars in the CMS overall rating for all 12 months.

California tops the list of states purely by the number of those deemed Best Nursing Homes, with 239 earning the distinction out of 1,198 evaluated. Ohio places second with 105 deemed Best Nursing Homes out of 945, and Florida comes next at 100 out of 945.

New Jersey, Massachusetts, New York, Wisconsin, Indiana, Minnesota and Pennsylvania round out the list of top 10 states by number of Best Nursing Homes, according to the rankings.


U.S. News and World Report also ranked the top 10 states by the highest percentage of nursing homes evaluated being deemed Best Nursing Homes.

1. Washington, D.C. – 42%

2. Colorado – 25%

3. Delaware – 24%

4. Connecticut – 23%

5. New Jersey – 23%

6. Hawaii – 23%

7. Utah – 23%

8. Arkansas – 22%

9. Vermont – 22%

10. Idaho – 21%

In terms of major metropolitan areas, 33 cities have at least five nursing homes that earned the Best Nursing Home recognition from U.S. News & World Report. Cincinnati leads with 13 total named Best Nursing Homes, followed by Indianapolis and Louisville with 10, and Philadelphia and Denver with nine apiece.

Written by Kourtney Liepelt

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