Care Quality & Safety10 mins
A warm, sunlit moment between a caregiver and an older adult. The Care Ratings helps families compare care options with verified data.
A family caregiver visiting an older loved one. Use transparent data to evaluate nursing homes and care providers.
In-home care support for an older adult. Browse care by city and state, and compare providers with government-sourced data.
A care professional supporting an older adult at home. Find the right care facility or service using verified metrics.
Find the right care facility for your loved ones, backed by verified data.
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Highest-Rated Care Facilities Finding facilities near you...
Browse by Care Type
Learn about each type of care, including what services they offer, typical costs, and how they're rated, so you can make informed decisions backed by verified data.
Home Health Care
Facilities12,200+
Est. Monthly$6,066
Source: CareScout 2025 Survey
Hospice & Palliative Care
Facilities6,900+
Est. MonthlyMedicare Covered
Source: CareScout 2025 Survey
Coming SoonAssisted Living
Facilities0+
Est. Monthly$4,500
Full directory launching soon
Explore Care Across America
The Care Ratings Index: State-by-State Quality Crisis
Lower QualityHigher Quality
| 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.
Find Care in Any State
We cover all 50 states. Search below or click any state to explore facilities in your area.
53 states found
Alaska20
Alabama224
Arkansas221
Arizona140
California1,162
Colorado210
Connecticut191
District of Columbia17
Delaware44
Florida694
Georgia356
Guam1
Hawaii42
Iowa391
Idaho80
Illinois669
Indiana507
Kansas297
Kentucky269
Louisiana266
Massachusetts341
Maryland220
Maine78
Michigan423
Minnesota339
Missouri487
Mississippi202
Montana61
North Carolina419
North Dakota73
Nebraska179
New Hampshire74
New Jersey348
New Mexico68
Nevada66
New York596
Ohio922
Oklahoma284
Oregon128
Pennsylvania658
Puerto Rico9
Rhode Island73
South Carolina187
South Dakota97
Tennessee304
Texas1,177
Utah97
Virginia289
Vermont34
Washington194
Wisconsin323
West Virginia123
Wyoming36
Care Quality Index
Excellent (80–100)
Good (65–79)
Fair (50–64)
Below Average (35–49)
Poor (<35)
No data
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