Elderly people in the United States

The United States Care Index

Unbiased ratings for 33,904+ care facilities across all 50 states—powered by CMS government inspection data, staffing records, and quality measures.

Providers33,904+
States50
Data FrequencyQuarterly Updates
Data SourceCMS / HHS
Read the 2026 National Quality Report →

Find the Right Care for Your Loved Ones in America

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

Care Quality Index
Excellent (80–100)
Good (65–79)
Fair (50–64)
Below Average (35–49)
Poor (<35)
No data
OUR METRICS

Senior Care in America, by the Numbers.

Every figure below is derived directly from CMS Provider Data — the same source used by federal regulators. No estimates. No projections.

Read Our Full Methodology →
↗14,710Nursing Homes Tracked

Every Medicare- and Medicaid-certified nursing facility in the U.S., with full inspection history.

↗12,251Home Health Agencies

CMS-certified agencies providing skilled nursing and therapy services in the home.

↗6,943Hospice Providers

Medicare-certified hospice and palliative care organizations across all 50 states.

↗2,9495-Star Facilities

Nursing homes that earned the highest overall CMS rating — the top 20% nationally.

↗$480MTotal Fines Issued

Cumulative civil monetary penalties levied against nursing homes by CMS for health and safety violations.

↗17,463Enforcement Actions

Total penalties, payment denials, and directed plans of correction issued to nursing facilities on record.

National Data Snapshot

The State of Senior Care in America

Aggregated metrics across 33,900+ care facilities, powered by CMS government data and SDOH research. Updated quarterly.

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State Data Directory

Select a state to explore nursing homes, home health agencies, and hospice providers with ratings, inspection records, and penalty history.

Alabama★★★☆☆Average3 out of 5 stars
224 facilities
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Alaska★★★★☆Good3.5 out of 5 stars
20 facilities
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Arizona★★★★☆Good3.5 out of 5 stars
140 facilities
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Arkansas★★★☆☆Average3.3 out of 5 stars
221 facilities
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California★★★☆☆Average3.2 out of 5 stars
1,162 facilities
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Colorado★★★☆☆Average3.1 out of 5 stars
210 facilities
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Connecticut★★★☆☆Average2.9 out of 5 stars
191 facilities
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Delaware★★★☆☆Average3.3 out of 5 stars
44 facilities
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Florida★★★☆☆Average3.2 out of 5 stars
694 facilities
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Georgia★★★☆☆Average2.7 out of 5 stars
356 facilities
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Hawaii★★★★☆Good3.6 out of 5 stars
42 facilities
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Idaho★★★☆☆Average3.2 out of 5 stars
80 facilities
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Illinois★★★☆☆Average2.5 out of 5 stars
669 facilities
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Indiana★★★☆☆Average3.1 out of 5 stars
507 facilities
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Iowa★★★☆☆Average3.1 out of 5 stars
391 facilities
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Kansas★★★☆☆Average3 out of 5 stars
297 facilities
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Kentucky★★★☆☆Average2.9 out of 5 stars
269 facilities
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Louisiana★★☆☆☆Below Average2.4 out of 5 stars
266 facilities
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Maine★★★☆☆Average3 out of 5 stars
78 facilities
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Maryland★★★☆☆Average3.1 out of 5 stars
220 facilities
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Massachusetts★★★☆☆Average3 out of 5 stars
341 facilities
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Michigan★★★☆☆Average3.2 out of 5 stars
423 facilities
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Minnesota★★★☆☆Average3.2 out of 5 stars
339 facilities
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Mississippi★★★☆☆Average2.7 out of 5 stars
202 facilities
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Missouri★★★☆☆Average2.5 out of 5 stars
487 facilities
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Montana★★★☆☆Average2.9 out of 5 stars
61 facilities
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Nebraska★★★☆☆Average2.9 out of 5 stars
179 facilities
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Nevada★★★☆☆Average3.1 out of 5 stars
66 facilities
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New Hampshire★★★☆☆Average2.9 out of 5 stars
74 facilities
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New Jersey★★★☆☆Average3.3 out of 5 stars
348 facilities
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New Mexico★★★☆☆Average2.8 out of 5 stars
68 facilities
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New York★★★☆☆Average3 out of 5 stars
596 facilities
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North Carolina★★★☆☆Average2.9 out of 5 stars
419 facilities
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North Dakota★★★☆☆Average3.2 out of 5 stars
73 facilities
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Ohio★★★☆☆Average3.2 out of 5 stars
922 facilities
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Oklahoma★★★☆☆Average2.7 out of 5 stars
284 facilities
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Oregon★★★☆☆Average3 out of 5 stars
128 facilities
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Pennsylvania★★★☆☆Average3 out of 5 stars
658 facilities
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Rhode Island★★★☆☆Average3.1 out of 5 stars
73 facilities
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South Carolina★★★☆☆Average3 out of 5 stars
187 facilities
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South Dakota★★★☆☆Average2.9 out of 5 stars
97 facilities
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Tennessee★★★☆☆Average3 out of 5 stars
304 facilities
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Texas★★★☆☆Average2.8 out of 5 stars
1,177 facilities
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Utah★★★☆☆Average3.3 out of 5 stars
97 facilities
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Vermont★★★☆☆Average2.9 out of 5 stars
34 facilities
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Virginia★★★☆☆Average3 out of 5 stars
289 facilities
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Washington★★★☆☆Average3.2 out of 5 stars
194 facilities
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West Virginia★★★☆☆Average2.8 out of 5 stars
123 facilities
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Wisconsin★★★☆☆Average3 out of 5 stars
323 facilities
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Wyoming★★★☆☆Average3 out of 5 stars
36 facilities
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U.S. Territories

District of Columbia★★★★☆Good3.5 out of 5 stars
17 facilities
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Guam★☆☆☆☆Poor1 out of 5 stars
1 facilities
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Puerto Rico★★★☆☆Average3.2 out of 5 stars
9 facilities
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Browse by Care Type

Compassionate nursing home caregiver smiling while comforting an elderly resident in a care facility common area

Nursing Homes

Facilities14,700+
Est. Monthly$8,910
Browse Nursing Homes→Nursing Home Data Guide→
Skilled nursing facility staff assisting residents in wheelchairs during a social activity in the common room

Skilled Nursing Facility

Facilities14,700+
Est. Monthly$9,030
Browse SNF Facilities→SNF Data Guide→
Home health aide helping an elderly woman get dressed in the comfort of her own home

Home Health Care

Facilities12,200+
Est. Monthly$5,148

Source: CMS Provider Data

Browse Home Health→Home Health Data Guide→
Hospice nurse holding the hand of an elderly patient providing compassionate end-of-life comfort care

Hospice & Palliative Care

Facilities6,900+
Est. Monthly$4,200

Source: CMS Provider Data

Browse Hospice Care→Hospice Data Guide→
Assisted living caregiver laughing with a senior resident while serving tea in a bright sunroom
Coming Soon

Assisted Living

Facilities0+
Est. Monthly$4,500

Full directory launching soon

Memory care therapist guiding an elderly patient through a cognitive puzzle activity for dementia support

Memory Care

Facilities0+
Est. Monthly$6,900
Browse Memory Care→
Active senior man smiling on his front porch in an independent living community

Independent Living

Facilities1+
Est. Monthly$3,200
Browse Independent Living→
Group home residents enjoying a creative painting activity together with a caregiver supervising

Group Homes

Facilities1+
Est. Monthly$3,800
Browse Group Homes→
Older adults participating in a supervised adult day program exercise class

Adult Day Program

Facilities0+
Est. MonthlyVaries
Browse Adult Day Programs→
Smiling older adult in a wheelchair enjoying respite care support with companions and a caregiver

Respite Care

Facilities1+
Est. MonthlyVaries
Browse Respite Care→
Rehabilitation clinician guiding an older adult through a light strength exercise session

Rehabilitation

Facilities1+
Est. MonthlyVaries
Browse Rehabilitation→

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