U.S. Senior-Care Directory, By the Numbers
What the CMS Care Compare nursing-home and home-health files look like across 53 states.
How to read this. The star ratings here are official CMS Five-Star Quality figures, shown as the rating as of May2026 — a relative quality measure with documented limits, not a recommendation, guarantee, or medical/financial/legal advice. Always confirm the current rating and details on the facility’s live Medicare Care Compare profile, and involve the resident and their clinicians in any decision.
Nursing homes by ownership
| Ownership | Facilities |
|---|---|
| For profit | 10851 |
| Non profit | 2908 |
| Government | 941 |
States with the most facilities
| State | Facilities |
|---|---|
| Texas | 1176 |
| California | 1164 |
| Ohio | 921 |
| Florida | 694 |
| Illinois | 667 |
| Pennsylvania | 657 |
| New York | 596 |
| Indiana | 507 |
| Missouri | 487 |
| Michigan | 423 |
Frequently asked questions
What does this cover?
14700 CMS-certified nursing homes and 12392 home-health agencies across 53 states and territories, from CMS Care Compare (May2026).
Are these ratings recommendations?
No. Every figure is the official CMS Five-Star Quality rating, a relative measure with documented limits, shown as information — never a recommendation, guarantee, or medical/financial/legal advice.
Informational only — not medical, financial, or legal advice. Senior Care by State reports official CMS Five-Star Quality data, which is a relative measure with documented limitations — not a recommendation or a guarantee that any facility is right for you. Choosing care is a personal medical and financial decision: confirm the current details with the facility directly, talk with the resident’s physician and care team, and verify ratings and coverage on Medicare.gov or with your state’s long-term-care or health agency before relying on anything here. For medical, financial, or legal questions, consult a qualified professional.