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Source: CareScout 2025 Survey
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PROPRIETARY DATASET
The Care Ratings Index: State-by-State Quality Crisis
| Rank | State | Care Quality Index | Avg CMS Rating | Penalty-Free % | Action |
|---|---|---|---|---|---|
| 1 | Alaska† | 74 | 3.5 | 70% | View State |
| 2 | Alabama | 63 | 3.0 | 80% | View State |
| 3 | Hawaii | 60 | 3.6 | 41% | View State |
| 4 | Maine | 60 | 3.0 | 60% | View State |
| 5 | Minnesota | 60 | 3.2 | 54% | View State |
| 6 | Arizona | 59 | 3.5 | 71% | View State |
| 7 | Arkansas | 56 | 3.3 | 67% | View State |
| 8 | North Dakota | 56 | 3.2 | 41% | View State |
| 9 | Wisconsin | 56 | 3.0 | 55% | View State |
| 10 | Iowa | 55 | 3.1 | 58% | View State |
| 11 | Idaho | 55 | 3.2 | 65% | View State |
| 12 | Nebraska | 55 | 2.9 | 67% | View State |
| 13 | Delaware | 53 | 3.3 | 34% | View State |
| 14 | Indiana | 53 | 3.1 | 79% | View State |
| 15 | Michigan | 53 | 3.2 | 50% | View State |
| 16 | Oregon | 53 | 3.0 | 45% | View State |
| 17 | Florida | 52 | 3.2 | 55% | View State |
| 18 | New Hampshire | 52 | 2.9 | 69% | View State |
| 19 | Kansas | 51 | 3.0 | 50% | View State |
| 20 | Maryland | 51 | 3.1 | 59% | View State |
| 21 | New Jersey | 51 | 3.3 | 57% | View State |
| 22 | Nevada | 51 | 3.1 | 59% | View State |
| 23 | New York | 51 | 3.0 | 69% | View State |
| 24 | California | 50 | 3.2 | 53% | View State |
| 25 | Ohio | 50 | 3.2 | 65% | View State |
| 26 | Kentucky | 49 | 2.9 | 65% | View State |
| 27 | Utah | 49 | 3.3 | 47% | View State |
| 28 | Virginia | 49 | 3.0 | 68% | View State |
| 29 | Mississippi | 48 | 2.7 | 48% | View State |
| 30 | Pennsylvania | 48 | 3.0 | 51% | View State |
| 31 | Connecticut | 47 | 3.0 | 50% | View State |
| 32 | Tennessee | 47 | 3.0 | 65% | View State |
| 33 | Washington | 46 | 3.2 | 35% | View State |
| 34 | Colorado | 45 | 3.1 | 36% | View State |
| 35 | Massachusetts | 44 | 3.0 | 46% | View State |
| 36 | Rhode Island | 44 | 3.1 | 25% | View State |
| 37 | South Carolina | 44 | 3.0 | 43% | View State |
| 38 | Wyoming | 44 | 3.0 | 33% | View State |
| 39 | Montana | 43 | 3.0 | 26% | View State |
| 40 | South Dakota | 43 | 2.9 | 31% | View State |
| 41 | Georgia | 42 | 2.7 | 59% | View State |
| 42 | Oklahoma | 40 | 2.7 | 49% | View State |
| 43 | Vermont | 40 | 2.9 | 32% | View State |
| 44 | West Virginia | 40 | 2.8 | 44% | View State |
| 45 | North Carolina | 39 | 2.9 | 39% | View State |
| 46 | Missouri | 37 | 2.5 | 50% | View State |
| 47 | New Mexico | 36 | 2.8 | 35% | View State |
| 48 | Louisiana | 34 | 2.4 | 45% | View State |
| 49 | Texas | 31 | 2.8 | 29% | View State |
| 50 | Illinois | 30 | 2.5 | 29% | View State |
*The Care Ratings Index is a proprietary composite score weighting Average Overall CMS Rating (40%), 3-Year Zero-Penalty Rate (35%), and Staffing Hours vs Federal Minimums (25%).
†Score based on limited sample size (<30 facilities). Results may not be statistically representative.
Powered by 12 Federal Agencies.
We don't rely on manipulated 5-star reviews. Our algorithms aggregate millions of data points from official government databases to give you the clinical, economic, and safety truth.
CMS Clinical Data
Direct ingestion of nursing home health citations, staffing hours (PBJ), and federal penalties.
FBI Community Safety
Integrating Uniform Crime Reporting (UCR) and National Sex Offender registries for area safety context.
CDC Healthcare Access
Mapping proximity to top-rated hospitals and federally designated healthcare shortage areas.
Census Bureau Analytics
Evaluating local socioeconomic health, demographics, and housing affordability.
USDA Food Security
Cross-referencing the Food Access Research Atlas to identify food deserts and resource gaps.
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