Nursing Homes With an Abuse Icon by State (2026)
Medicare (CMS) shows its abuse icon for 1,401 of 14,686 U.S. nursing homes (9.5%), and lists 87 as Special Focus Facilities and 440 more as candidates. Among states with at least 10 homes, the share with the icon runs from 0.0% in New Hampshire to 28.6% in Illinois.
Source: Centers for Medicare & Medicaid Services (CMS), Nursing Homes, “Provider Information”. Data updated October 1, 2026.
Ten highest values
With abuse iconThe full table below is the text version of this chart. It shows the highest values only; it does not say which places are better or worse.
All states and territories
53 rows| State | Nursing homes | With abuse icon | Share with abuse icon | Special Focus Facilities | SFF candidates |
|---|---|---|---|---|---|
| Alabama | 224 | 12 | 5.4% | 1 | 5 |
| Alaska | 20 | 1 | 5.0% | 0 | 0 |
| Arizona | 140 | 38 | 27.1% | 1 | 5 |
| Arkansas | 222 | 9 | 4.1% | 1 | 5 |
| California | 1,165 | 115 | 9.9% | 5 | 30 |
| Colorado | 210 | 53 | 25.2% | 1 | 5 |
| Connecticut | 191 | 44 | 23.0% | 1 | 5 |
| Delaware | 44 | 8 | 18.2% | 1 | 5 |
| District of Columbia | 16 | 2 | 12.5% | 0 | 0 |
| Florida | 694 | 42 | 6.1% | 3 | 15 |
| Georgia | 356 | 21 | 5.9% | 2 | 10 |
| Guam | 1 | 0 | 0.0% | 0 | 0 |
| Hawaii | 43 | 0 | 0.0% | 1 | 5 |
| Idaho | 80 | 8 | 10.0% | 1 | 5 |
| Illinois | 664 | 190 | 28.6% | 4 | 20 |
| Indiana | 507 | 37 | 7.3% | 3 | 15 |
| Iowa | 387 | 19 | 4.9% | 2 | 10 |
| Kansas | 296 | 20 | 6.8% | 2 | 10 |
| Kentucky | 266 | 4 | 1.5% | 1 | 5 |
| Louisiana | 265 | 10 | 3.8% | 1 | 5 |
| Maine | 78 | 0 | 0.0% | 1 | 5 |
| Maryland | 221 | 24 | 10.9% | 1 | 5 |
| Massachusetts | 341 | 5 | 1.5% | 2 | 10 |
| Michigan | 422 | 56 | 13.3% | 2 | 10 |
| Minnesota | 337 | 25 | 7.4% | 2 | 10 |
| Mississippi | 202 | 18 | 8.9% | 1 | 5 |
| Missouri | 486 | 67 | 13.8% | 3 | 15 |
| Montana | 61 | 7 | 11.5% | 1 | 5 |
| Nebraska | 180 | 1 | 0.6% | 1 | 5 |
| Nevada | 66 | 8 | 12.1% | 1 | 5 |
| New Hampshire | 73 | 0 | 0.0% | 1 | 5 |
| New Jersey | 348 | 13 | 3.7% | 2 | 10 |
| New Mexico | 68 | 12 | 17.6% | 1 | 5 |
| New York | 592 | 52 | 8.8% | 3 | 15 |
| North Carolina | 419 | 29 | 6.9% | 2 | 10 |
| North Dakota | 72 | 12 | 16.7% | 1 | 5 |
| Ohio | 924 | 40 | 4.3% | 5 | 25 |
| Oklahoma | 283 | 26 | 9.2% | 2 | 10 |
| Oregon | 128 | 14 | 10.9% | 1 | 5 |
| Pennsylvania | 656 | 105 | 16.0% | 4 | 20 |
| Puerto Rico | 9 | 0 | 0.0% | 0 | 0 |
| Rhode Island | 72 | 6 | 8.3% | 1 | 5 |
| South Carolina | 187 | 11 | 5.9% | 1 | 5 |
| South Dakota | 96 | 12 | 12.5% | 1 | 5 |
| Tennessee | 303 | 9 | 3.0% | 2 | 10 |
| Texas | 1,177 | 111 | 9.4% | 6 | 30 |
| Utah | 97 | 12 | 12.4% | 1 | 5 |
| Vermont | 33 | 3 | 9.1% | 1 | 5 |
| Virginia | 289 | 30 | 10.4% | 1 | 5 |
| Washington | 193 | 19 | 9.8% | 1 | 5 |
| West Virginia | 123 | 9 | 7.3% | 1 | 5 |
| Wisconsin | 323 | 22 | 6.8% | 2 | 10 |
| Wyoming | 36 | 10 | 27.8% | 1 | 5 |
| United States | 14,686 | 1,401 | 9.5% | 87 | 440 |
Territories appear when the source lists at least one provider there. An empty cell means the source has no value to calculate it from, not zero.
How we calculated this
We count, by state, the nursing homes for which the CMS Provider Information file sets the abuse icon (cited for abuse, neglect or exploitation of residents) and those it marks as a Special Focus Facility (a program for homes with a history of serious quality problems, inspected more often) or a candidate for it.
Fines and counts are from the CMS Provider Information file, which covers about the last three years of inspections and complaints. States run their own inspection programs and differ in how often and how strictly they cite homes, so a state with higher totals is not necessarily one with worse care.
Data sources and dates
- Centers for Medicare & Medicaid Services (CMS), Nursing Homes: “Provider Information”, updated October 1, 2026.
Limits of the data
The icon reflects citations in recent inspections and does not say what happened to any one resident. Always read a home's inspection reports and ask the home about them.
Every figure is a count, sum or average of values in the official files above; none is estimated. Read the about page for how this site works and data freshness for when each source was last refreshed.
Download and cite
Download the table as CSV One row per row of the table, English column names, no totals row.
Cite this page
US Patient Guide. “Nursing Homes With an Abuse Icon by State (2026).” Computed from Centers for Medicare & Medicaid Services (CMS), Nursing Homes, “Provider Information” (data updated October 1, 2026). https://uspatientguide.com/statistics/nursing-home-abuse-icon-by-state/
See the providers in each state
Common questions
How many nursing homes have an abuse icon?
1,401 of 14,686 (9.5%).
How many nursing homes are Special Focus Facilities?
87, plus 440 candidates.