Healthcare facility statistics
An overview of Medicare-certified facilities across the United States, built from the CMS Provider Data Catalog. Data as of June 20, 2026.
Facilities by type
Overall star-rating distribution
Across all rated facilities. Colors follow the CMS meaning: green = 4–5★, amber = 3★, red = 1–2★.
Average CMS rating by facility type
Mean overall star rating across all rated facilities of each type. (Hospices carry no CMS overall star.)
Share of high-quality facilities, by type
Percent rated 4-5 stars. Hospices carry no CMS star rating, so they are shown by their Hospice Care Index (share scoring 9+ out of 10).
Average rating by ownership type
Do non-profit, for-profit and government facilities differ on measured quality? Average overall star by ownership.
Nursing-home enforcement & capacity
Federal penalties recorded by CMS across all U.S. nursing homes. See any facility page for its own record.
Population aging & care supply
Demand for elder care tracks the 65+ population. Below: the states with the oldest populations, and how many nursing homes each has per 10,000 seniors — a rough supply signal.
U.S. population 65+ by gender
U.S. population 65+ over time
The 65+ population grew from 54,459,571 in 2020 to 61,179,918 in 2024 — steadily rising demand for care.
Oldest states — share of population aged 65+
Fastest-growing senior populations (65+ since 2020)
Best-supplied states — nursing homes per 10,000 seniors
Facilities by ownership
States with the highest average rating
Average CMS overall rating across all rated facilities in each state.
Quality & demand by state
Click any column header to sort, or a state name for its full statistics page. "NH / 10k 65+" is nursing homes per 10,000 residents aged 65+.
| State | Facilities | Avg rating | % 4-5★ | % pop 65+ | NH / 10k 65+ |
|---|---|---|---|---|---|
| Alabama | 703 | 3.1★ | 28.4% | 18.6% | 2.3 |
| Alaska | 72 | 3.2★ | 25.0% | 15.2% | 1.8 |
| American Samoa | 3 | 1.5★ | 0.0% | — | — |
| Arizona | 789 | 3.2★ | 19.3% | 19.7% | 0.9 |
| Arkansas | 517 | 3.2★ | 31.3% | 18.2% | 3.9 |
| California | 7,488 | 3.2★ | 20.5% | 16.6% | 1.8 |
| Colorado | 699 | 3.3★ | 28.8% | 16.5% | 2.2 |
| Connecticut | 376 | 3.1★ | 32.7% | 19.5% | 2.7 |
| Delaware | 124 | 3.2★ | 26.6% | 21.8% | 1.9 |
| District of Columbia | 86 | 3.3★ | 19.8% | 13.0% | 1.9 |
| Florida | 2,645 | 3.1★ | 29.0% | 21.8% | 1.4 |
| Georgia | 1,233 | 2.7★ | 17.8% | 15.8% | 2.0 |
| Guam | 13 | 2.1★ | 0.0% | — | — |
| Hawaii | 136 | 3.5★ | 35.3% | 22.1% | 1.4 |
| Idaho | 260 | 3.2★ | 25.4% | 17.7% | 2.3 |
| Illinois | 1,873 | 2.8★ | 23.8% | 17.9% | 2.9 |
| Indiana | 1,089 | 3.1★ | 30.5% | 17.5% | 4.2 |
| Iowa | 767 | 3.1★ | 31.6% | 18.9% | 6.4 |
| Kansas | 689 | 3.1★ | 28.4% | 17.9% | 5.6 |
| Kentucky | 604 | 3.0★ | 29.8% | 18.1% | 3.2 |
| Louisiana | 893 | 2.9★ | 23.5% | 17.8% | 3.3 |
| Maine | 171 | 3.2★ | 31.0% | 23.5% | 2.4 |
| Maryland | 523 | 3.2★ | 36.5% | 17.7% | 2.0 |
| Massachusetts | 873 | 3.1★ | 27.7% | 18.7% | 2.6 |
| Michigan | 1,341 | 3.1★ | 25.4% | 19.6% | 2.1 |
| Minnesota | 812 | 3.2★ | 31.2% | 18.3% | 3.2 |
| Mississippi | 534 | 2.7★ | 20.6% | 18.0% | 3.8 |
| Missouri | 1,012 | 2.7★ | 22.0% | 18.8% | 4.2 |
| Montana | 194 | 2.9★ | 20.6% | 21.1% | 2.5 |
| Nebraska | 413 | 3.0★ | 27.4% | 17.5% | 5.1 |
| Nevada | 566 | 2.8★ | 14.7% | 17.7% | 1.1 |
| New Hampshire | 171 | 3.1★ | 30.4% | 21.5% | 2.4 |
| New Jersey | 718 | 3.4★ | 43.2% | 18.0% | 2.0 |
| New Mexico | 297 | 2.8★ | 19.9% | 20.3% | 1.6 |
| New York | 1,274 | 3.1★ | 34.2% | 18.9% | 1.6 |
| North Carolina | 1,036 | 3.2★ | 32.0% | 18.0% | 2.1 |
| North Dakota | 168 | 3.2★ | 25.6% | 17.5% | 5.2 |
| Northern Mariana Islands | 7 | 1.9★ | 0.0% | — | — |
| Ohio | 2,441 | 3.1★ | 23.6% | 19.1% | 4.1 |
| Oklahoma | 849 | 2.9★ | 21.0% | 17.0% | 4.1 |
| Oregon | 375 | 3.1★ | 25.9% | 19.9% | 1.5 |
| Pennsylvania | 1,748 | 3.1★ | 27.1% | 20.4% | 2.5 |
| Puerto Rico | 200 | 2.2★ | 7.5% | — | — |
| Rhode Island | 136 | 3.2★ | 38.2% | 19.7% | 3.3 |
| South Carolina | 560 | 3.2★ | 31.3% | 19.8% | 1.7 |
| South Dakota | 223 | 3.2★ | 30.0% | 18.9% | 5.5 |
| Tennessee | 805 | 3.0★ | 28.2% | 17.7% | 2.4 |
| Texas | 5,328 | 2.9★ | 17.1% | 14.0% | 2.7 |
| U.S. Virgin Islands | 12 | 2.4★ | 8.3% | — | — |
| Utah | 370 | 3.5★ | 34.3% | 12.4% | 2.2 |
| Vermont | 76 | 2.9★ | 19.7% | 22.8% | 2.2 |
| Virginia | 944 | 3.1★ | 29.3% | 17.8% | 1.9 |
| Washington | 529 | 3.3★ | 33.5% | 17.4% | 1.4 |
| West Virginia | 283 | 2.9★ | 26.5% | 21.9% | 3.2 |
| Wisconsin | 758 | 3.1★ | 31.1% | 19.6% | 2.8 |
| Wyoming | 127 | 3.1★ | 20.5% | 19.8% | 3.1 |
Sources: CMS Provider Data Catalog (facilities & ratings) and the U.S. Census Bureau Population Estimates (population 65+). Both are public domain. Hospices carry no CMS overall star rating in this dataset.