Number of Nursing Homes by State (2026)
Medicare (CMS) lists 14,686 nursing homes in the United States with 1,567,009 certified beds. The average overall star rating is 3.05; 2,753 homes (18.9%) have 1 star and 3,154 (21.7%) have 5 stars. Texas has the most homes (1,177).
Source: Centers for Medicare & Medicaid Services (CMS), Nursing Homes, “Provider Information”. Data updated October 1, 2026.
Ten highest values
Nursing homesThe 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 | Certified beds | Homes with an overall rating | Average overall stars | 1-star homes | Share with 1 star | 5-star homes | Share with 5 stars |
|---|---|---|---|---|---|---|---|---|
| Alabama | 224 | 26,504 | 223 | 3.03 | 42 | 18.8% | 42 | 18.8% |
| Alaska | 20 | 815 | 20 | 3.55 | 1 | 5.0% | 6 | 30.0% |
| Arizona | 140 | 15,994 | 139 | 3.40 | 9 | 6.5% | 42 | 30.2% |
| Arkansas | 222 | 24,169 | 218 | 3.48 | 23 | 10.6% | 75 | 34.4% |
| California | 1,165 | 114,991 | 1,154 | 3.21 | 179 | 15.5% | 280 | 24.3% |
| Colorado | 210 | 19,755 | 208 | 3.12 | 22 | 10.6% | 44 | 21.2% |
| Connecticut | 191 | 22,498 | 190 | 3.01 | 36 | 18.9% | 41 | 21.6% |
| Delaware | 44 | 4,739 | 43 | 3.21 | 2 | 4.7% | 9 | 20.9% |
| District of Columbia | 16 | 2,469 | 16 | 3.50 | 0 | 0.0% | 4 | 25.0% |
| Florida | 694 | 84,537 | 691 | 3.30 | 85 | 12.3% | 194 | 28.1% |
| Georgia | 356 | 39,462 | 354 | 2.72 | 93 | 26.3% | 53 | 15.0% |
| Guam | 1 | 40 | 1 | 3.00 | 0 | 0.0% | 0 | 0.0% |
| Hawaii | 43 | 4,248 | 41 | 3.83 | 2 | 4.9% | 18 | 43.9% |
| Idaho | 80 | 6,115 | 79 | 3.11 | 12 | 15.2% | 17 | 21.5% |
| Illinois | 664 | 84,864 | 659 | 2.58 | 228 | 34.6% | 102 | 15.5% |
| Indiana | 507 | 48,825 | 504 | 3.21 | 77 | 15.3% | 123 | 24.4% |
| Iowa | 387 | 25,131 | 385 | 3.14 | 73 | 19.0% | 100 | 26.0% |
| Kansas | 296 | 18,021 | 293 | 3.10 | 52 | 17.7% | 66 | 22.5% |
| Kentucky | 266 | 25,380 | 265 | 3.02 | 53 | 20.0% | 50 | 18.9% |
| Louisiana | 265 | 32,214 | 264 | 2.59 | 85 | 32.2% | 30 | 11.4% |
| Maine | 78 | 5,830 | 77 | 3.13 | 15 | 19.5% | 20 | 26.0% |
| Maryland | 221 | 27,188 | 219 | 3.23 | 29 | 13.2% | 58 | 26.5% |
| Massachusetts | 341 | 40,920 | 339 | 3.11 | 60 | 17.7% | 74 | 21.8% |
| Michigan | 422 | 44,006 | 420 | 3.17 | 73 | 17.4% | 110 | 26.2% |
| Minnesota | 337 | 24,061 | 335 | 3.19 | 61 | 18.2% | 87 | 26.0% |
| Mississippi | 202 | 17,532 | 199 | 2.75 | 48 | 24.1% | 29 | 14.6% |
| Missouri | 486 | 49,938 | 479 | 2.62 | 146 | 30.5% | 66 | 13.8% |
| Montana | 61 | 4,997 | 59 | 2.95 | 13 | 22.0% | 9 | 15.3% |
| Nebraska | 180 | 13,715 | 178 | 2.91 | 43 | 24.2% | 39 | 21.9% |
| Nevada | 66 | 7,235 | 65 | 3.29 | 11 | 16.9% | 22 | 33.8% |
| New Hampshire | 73 | 7,342 | 72 | 3.03 | 15 | 20.8% | 14 | 19.4% |
| New Jersey | 348 | 50,998 | 346 | 3.45 | 29 | 8.4% | 93 | 26.9% |
| New Mexico | 68 | 6,891 | 67 | 2.94 | 13 | 19.4% | 14 | 20.9% |
| New York | 592 | 111,253 | 589 | 3.06 | 116 | 19.7% | 136 | 23.1% |
| North Carolina | 419 | 43,850 | 415 | 3.01 | 82 | 19.8% | 85 | 20.5% |
| North Dakota | 72 | 4,909 | 71 | 3.28 | 11 | 15.5% | 22 | 31.0% |
| Ohio | 924 | 81,248 | 913 | 3.24 | 88 | 9.6% | 214 | 23.4% |
| Oklahoma | 283 | 27,555 | 281 | 2.66 | 73 | 26.0% | 31 | 11.0% |
| Oregon | 128 | 10,602 | 126 | 3.17 | 17 | 13.5% | 27 | 21.4% |
| Pennsylvania | 656 | 82,992 | 652 | 3.03 | 134 | 20.6% | 156 | 23.9% |
| Puerto Rico | 9 | 299 | 9 | 3.11 | 2 | 22.2% | 2 | 22.2% |
| Rhode Island | 72 | 8,190 | 71 | 2.93 | 15 | 21.1% | 11 | 15.5% |
| South Carolina | 187 | 19,589 | 186 | 3.09 | 33 | 17.7% | 41 | 22.0% |
| South Dakota | 96 | 5,835 | 94 | 2.99 | 18 | 19.1% | 21 | 22.3% |
| Tennessee | 303 | 34,613 | 300 | 3.07 | 56 | 18.7% | 57 | 19.0% |
| Texas | 1,177 | 133,481 | 1,166 | 2.75 | 288 | 24.7% | 165 | 14.2% |
| Utah | 97 | 8,379 | 96 | 3.47 | 8 | 8.3% | 26 | 27.1% |
| Vermont | 33 | 2,951 | 32 | 2.94 | 7 | 21.9% | 6 | 18.8% |
| Virginia | 289 | 32,648 | 287 | 3.07 | 57 | 19.9% | 60 | 20.9% |
| Washington | 193 | 18,763 | 192 | 3.29 | 24 | 12.5% | 54 | 28.1% |
| West Virginia | 123 | 10,734 | 122 | 3.08 | 23 | 18.9% | 23 | 18.9% |
| Wisconsin | 323 | 24,756 | 321 | 3.07 | 64 | 19.9% | 80 | 24.9% |
| Wyoming | 36 | 2,938 | 35 | 2.80 | 7 | 20.0% | 6 | 17.1% |
| United States | 14,686 | 1,567,009 | 14,560 | 3.05 | 2,753 | 18.9% | 3,154 | 21.7% |
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 the nursing homes in the CMS Nursing Home Provider Information file by state, add up their certified beds, and use the Overall Rating (1 to 5 stars) that CMS publishes for each home. The star averages and shares use only the homes that have a rating.
Data sources and dates
- Centers for Medicare & Medicaid Services (CMS), Nursing Homes: “Provider Information”, updated October 1, 2026.
Limits of the data
Some new or very small homes have no overall rating. Averaging whole stars is our simple summary, not a CMS statistic. Ratings come from CMS formulas based on inspections, staffing and quality measures; open a home's page for the details.
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. “Number of Nursing Homes 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-homes-by-state/
See the providers in each state
Common questions
How many nursing homes are there in the US?
14,686 in the Medicare (CMS) file updated October 1, 2026.
What share of nursing homes have 1 star?
18.9% of the 14,560 homes with an overall rating (2,753 homes).
Which states have the highest average nursing home star rating?
Among states with at least 10 rated homes, the average runs from 2.58 in Illinois to 3.83 in Hawaii.