National Rankings for Nursing Homes

Note: The Nursing Home Rankings will not be updated until CMS has completed its implementation of a new and improved assessment tool (MDS 3.0). It is expected that the new data will be available May, 2012.

Please select your state's initials and press the Show Results button.

Update: You can now sort the results by clicking on any of the headings in the results table (ie. Nursing Home, City, Number of Measures, or National Ranking). Also, clicking on a nursing home will provide detailed historical data for that nursing home's rank for the past 5 quarters. This will also show as a graphical chart in the lower half of the window.

These data have limitations that people should be aware of when interpreting the data.  Click here for more information.

The nursing home rankings are computed using publicly reported data that appear on the Centers for Medicare & Medicaid Services (CMS) website (www.medicare.gov). On this web-site CMS displays facility-specific, risk adjusted, performance on 19 quality measures for over 15,000 nursing homes nationwide. In these data, CMS suppresses reporting for agencies with small numbers of cases (less than 30). Twelve measures that focus on care for long-stay residents were used in the rankings.¹ Results for eleven of these quality measures were averaged over the last four quarterly updates to the Nursing Home Compare to provide more stable and reliable indicators of facility performance. For the measure, "Percent of Long-Stay Residents Given Influenza During the Flu Season" we use the vaccination rate for the most recent flu season. The most recent update of Nursing Home compare occurred in January 2011. We ranked all facilities on their average performance for each of the twelve measures with reportable scores, with the ranks then standardized to range from 0 to 1 (higher ranks indicating better performance). We computed an average for each facility of these standardized ranks, with all measures weighted equally, as an overall measure of quality performance. For the 13,273 nursing homes with at least 6 measures reported we computed national rankings of overall performance. These rankings are presented as percentiles in the results tables.

The data displayed focuses on twelve long-stay measures related to a resident’s condition and reflect only a portion of the nursing home resident’s care experience. Patient satisfaction measures are not reported. We advise interpreting this information cautiously and supplementing it with information from the ombudsman's office, the state survey agency, and other sources.

¹This data only reflects quality of care on twelve of the 19 quality measures. For information on the full set of quality measures and regulatory compliance, please visit Nursing Home Compare at www.medicare.gov.

These measures are:

• Percent of Long-Stay Residents Who Have Moderate to Severe Pain
• Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
• Percent of Long-Stay Residents Who Lose Too Much Weight
• Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair
• Percent of Long-Stay Residents Who Were Physically Restrained
• Percent of Long-Stay Residents Who are More Depressed or Anxious
• Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse
• Percent of Long-Stay Residents Whose Need for Help With Daily Activities Has Increased
• Percent of Long-Stay Residents With a Urinary Tract Infection
• Percent of Long-Stay Residents Who Lose Control of Their Bowels or Bladder
• Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Seanson
• Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination