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Nursing Homes in the US

  • 16,088
    Nursing Homes
  • 1,373,103
    Total Medicaid Beds
  • 7.98%
    Patients with pressure ulcers
  • 3.19/5
    Average CMS Rating

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How To Choose the Right Nursing Home?

Choosing the right nursing home for your loved one is a daunting task. At Elder Guide, we try to streamline this process by giving you the tools necessary to begin your search. The best place to start when sizing up any nursing home is its overall grade. Ideally you want to target nursing homes that received an overall grade of B- or higher. The highest quality nursing homes typically receive overall grades of A- or higher. On the other end of the spectrum, we generally recommend avoiding facilities that received D’s or F’s no matter what.

Search 16,088 Nursing Homes Nationwide

We also rate each nursing home in four specific categories: inspections, long-term care, short- term care and nursing. For most people, the most important category is inspections. A nursing home’s grade in this category reflects the data we pulled from government inspections conducted at the facility. Poor grades in this category generally indicate that the nursing home was flagged for major deficiencies. More specifically, you want to avoid facilities that have been flagged for abuse or neglect or labeled as special focus facilities by the Center for Medicare & Medicaid Services (“CMS”). You also want to be careful with facilities that received category G through L deficiencies as these deficiencies are associated with conditions that threatened the health or safety of residents. Category L deficiencies actually jeopardized residents’ lives or in some cases resulted in a death.

Depending on the level of care you are looking for, you also want to focus on our short-term and long-term care ratings. For prospective residents that recently suffered an injury or had a major surgery and are looking for rehabilitation, our short-term care grades are critical. Rehabilitation services rely on the performance of highly skilled nurses and therapists. Conversely, many of these skilled professionals are not critical for residents in a long-term care setting.

Long-term care residents are more likely to be in a nursing home for a chronic condition, often simply brought on by old age. These individuals tend to be more dependent on nurse’s aides for activities of daily living. As a result, they benefit more from sheer quantity of nursing care. If sufficient care is not provided on a 24/7 basis, these folks could be at risk for a variety of issues including pressure ulcers, falls, urinary tract infections and general neglect. Nursing performance is also measured more directly by our nursing category which is an important category for all prospective residents.

Finally, once you have zeroed in on the services your loved one requires, we highly recommend that you try out our nursing home staffing tool, which is available at the top of each nursing home’s page. This allows you to determine the levels of both medical and therapy staffing provided by the nursing home per resident over the past three years. This is a great way to determine whether a nursing home is truly the right fit based on your loved one’s specific needs. We truly hope you find a nursing home that cares for your loved one as thoroughly as you would care for them yourself.

States by Nursing Home Population Density

State . Ascending orderPopulation per Nursing Home . No order set# of Nursing Homes . No order setAverage Nursing Home Rating . No order set
Alabama27,469174
Grade: B-plus
Alaska39,45718
Grade: A-minus
Arizona48,060133
Grade: B-plus
Arkansas13,885210
Grade: B-minus
California32,9681,130
Grade: B
Colorado23,722212
Grade: B
Connecticut127,64628
Grade: B-plus
Delaware20,40744
Grade: B-plus
Florida27,895674
Grade: B-plus
Georgia27,758349
Grade: B-minus
Hawaii32,38842
Grade: A-minus
Idaho20,62676
Grade: B-plus
Illinois18,924678
Grade: C
Indiana12,890503
Grade: B-minus
Iowa7,394412
Grade: B-plus
Kansas9,354305
Grade: B
Kentucky15,953272
Grade: B
Louisiana17,503259
Grade: B-minus
Maine15,44686
Grade: A-minus
Maryland26,124221
Grade: B
Massachusetts19,429337
Grade: B-plus
Michigan24,525403
Grade: B-minus
Minnesota16,626319
Grade: B-plus
Mississippi18,662159
Grade: B
Missouri15,636383
Grade: B-minus
Montana16,21961
Grade: B
Nebraska10,556173
Grade: B-plus
Nevada45,77259
Grade: B
New Hampshire19,64867
Grade: A-minus
New Jersey28,638307
Grade: B-plus
New Mexico34,31960
Grade: B-minus
New York35,105552
Grade: B-minus
North Carolina27,479347
Grade: B-minus
North Dakota12,22855
Grade: A-minus
Ohio17,532658
Grade: B-minus
Oklahoma18,210206
Grade: B-minus
Oregon48,49479
Grade: B
Pennsylvania29,887425
Grade: B
Rhode Island19,13755
Grade: B-plus
South Carolina38,868119
Grade: B
South Dakota12,72164
Grade: B-plus
Tennessee30,657207
Grade: B-minus
Texas23,5881,066
Grade: C
Utah36,85175
Grade: B-plus
Vermont25,02925
Grade: B-plus
Virginia39,806201
Grade: B-minus
Washington44,240152
Grade: B-minus
West Virginia24,70675
Grade: B-minus
Wisconsin23,403243
Grade: B-plus
Wyoming15,65636
Grade: B