{
  "title": "Medicare star ratings for home health, hospice and nursing homes by state",
  "publisher": "Carevo",
  "license": "CC BY 4.0",
  "sources": [
    {
      "key": "cms_hh",
      "label": "CMS Home Health Care Agencies",
      "file": "HH_Provider_Oct2026.csv",
      "url": "https://data.cms.gov/provider-data/dataset/6jpm-sxkc",
      "published": "2026-10-01",
      "downloaded": "2026-10-27",
      "rows": 12409
    },
    {
      "key": "cms_hospice",
      "label": "CMS Hospice General Information and CAHPS Hospice Survey",
      "file": "Hospice_General-Information_Aug2026_2.csv",
      "url": "https://data.cms.gov/provider-data/dataset/yc9t-dgbk",
      "published": "2026-08-01",
      "downloaded": "2026-10-27",
      "rows": 6669
    },
    {
      "key": "cms_nh",
      "label": "CMS Nursing Homes Including Rehab Services, Provider Information",
      "file": "NH_ProviderInfo_Sep2026_3.csv",
      "url": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
      "published": "2026-09-01",
      "downloaded": "2026-10-27",
      "rows": 14690
    }
  ],
  "rows": [
    {
      "state": "AL",
      "stateName": "Alabama",
      "homeHealthAgencies": 116,
      "homeHealthRated": 114,
      "homeHealthAvgQuality": 3.82,
      "homeHealthShareFourPlus": 0.623,
      "hospices": 85,
      "hospicesRated": 50,
      "hospiceAvgSurvey": 4.24,
      "nursingHomes": 224,
      "nursingHomesRated": 223,
      "nursingHomeAvgOverall": 3.01,
      "nursingHomeShareOneOrTwo": 0.39,
      "nursingHomeShareFourPlus": 0.386
    },
    {
      "state": "AK",
      "stateName": "Alaska",
      "homeHealthAgencies": 15,
      "homeHealthRated": 11,
      "homeHealthAvgQuality": 2.77,
      "homeHealthShareFourPlus": 0,
      "hospices": 6,
      "hospicesRated": 3,
      "hospiceAvgSurvey": 3.67,
      "nursingHomes": 20,
      "nursingHomesRated": 20,
      "nursingHomeAvgOverall": 3.4,
      "nursingHomeShareOneOrTwo": 0.2,
      "nursingHomeShareFourPlus": 0.4
    },
    {
      "state": "AZ",
      "stateName": "Arizona",
      "homeHealthAgencies": 178,
      "homeHealthRated": 128,
      "homeHealthAvgQuality": 3.42,
      "homeHealthShareFourPlus": 0.414,
      "hospices": 237,
      "hospicesRated": 51,
      "hospiceAvgSurvey": 3.71,
      "nursingHomes": 140,
      "nursingHomesRated": 139,
      "nursingHomeAvgOverall": 3.3,
      "nursingHomeShareOneOrTwo": 0.309,
      "nursingHomeShareFourPlus": 0.41
    },
    {
      "state": "AR",
      "stateName": "Arkansas",
      "homeHealthAgencies": 91,
      "homeHealthRated": 85,
      "homeHealthAvgQuality": 3.34,
      "homeHealthShareFourPlus": 0.294,
      "hospices": 46,
      "hospicesRated": 27,
      "hospiceAvgSurvey": 3.96,
      "nursingHomes": 221,
      "nursingHomesRated": 218,
      "nursingHomeAvgOverall": 3.43,
      "nursingHomeShareOneOrTwo": 0.266,
      "nursingHomeShareFourPlus": 0.505
    },
    {
      "state": "CA",
      "stateName": "California",
      "homeHealthAgencies": 3196,
      "homeHealthRated": 2090,
      "homeHealthAvgQuality": 3.17,
      "homeHealthShareFourPlus": 0.321,
      "hospices": 1913,
      "hospicesRated": 174,
      "hospiceAvgSurvey": 3.25,
      "nursingHomes": 1165,
      "nursingHomesRated": 1153,
      "nursingHomeAvgOverall": 3.17,
      "nursingHomeShareOneOrTwo": 0.346,
      "nursingHomeShareFourPlus": 0.442
    },
    {
      "state": "CO",
      "stateName": "Colorado",
      "homeHealthAgencies": 228,
      "homeHealthRated": 107,
      "homeHealthAvgQuality": 2.99,
      "homeHealthShareFourPlus": 0.28,
      "hospices": 88,
      "hospicesRated": 33,
      "hospiceAvgSurvey": 3.36,
      "nursingHomes": 210,
      "nursingHomesRated": 208,
      "nursingHomeAvgOverall": 3.17,
      "nursingHomeShareOneOrTwo": 0.375,
      "nursingHomeShareFourPlus": 0.428
    },
    {
      "state": "CT",
      "stateName": "Connecticut",
      "homeHealthAgencies": 72,
      "homeHealthRated": 58,
      "homeHealthAvgQuality": 3.11,
      "homeHealthShareFourPlus": 0.241,
      "hospices": 28,
      "hospicesRated": 19,
      "hospiceAvgSurvey": 3.21,
      "nursingHomes": 191,
      "nursingHomesRated": 190,
      "nursingHomeAvgOverall": 3,
      "nursingHomeShareOneOrTwo": 0.432,
      "nursingHomeShareFourPlus": 0.4
    },
    {
      "state": "DE",
      "stateName": "Delaware",
      "homeHealthAgencies": 22,
      "homeHealthRated": 12,
      "homeHealthAvgQuality": 3.58,
      "homeHealthShareFourPlus": 0.5,
      "hospices": 11,
      "hospicesRated": 8,
      "hospiceAvgSurvey": 3.25,
      "nursingHomes": 44,
      "nursingHomesRated": 43,
      "nursingHomeAvgOverall": 3.19,
      "nursingHomeShareOneOrTwo": 0.372,
      "nursingHomeShareFourPlus": 0.395
    },
    {
      "state": "DC",
      "stateName": "District of Columbia",
      "homeHealthAgencies": 34,
      "homeHealthRated": 10,
      "homeHealthAvgQuality": 3.35,
      "homeHealthShareFourPlus": 0.4,
      "hospices": 5,
      "hospicesRated": 1,
      "hospiceAvgSurvey": 1,
      "nursingHomes": 17,
      "nursingHomesRated": 17,
      "nursingHomeAvgOverall": 3.35,
      "nursingHomeShareOneOrTwo": 0.235,
      "nursingHomeShareFourPlus": 0.412
    },
    {
      "state": "FL",
      "stateName": "Florida",
      "homeHealthAgencies": 1157,
      "homeHealthRated": 762,
      "homeHealthAvgQuality": 3.47,
      "homeHealthShareFourPlus": 0.434,
      "hospices": 61,
      "hospicesRated": 45,
      "hospiceAvgSurvey": 2.93,
      "nursingHomes": 694,
      "nursingHomesRated": 691,
      "nursingHomeAvgOverall": 3.28,
      "nursingHomeShareOneOrTwo": 0.336,
      "nursingHomeShareFourPlus": 0.483
    },
    {
      "state": "GA",
      "stateName": "Georgia",
      "homeHealthAgencies": 105,
      "homeHealthRated": 98,
      "homeHealthAvgQuality": 3.6,
      "homeHealthShareFourPlus": 0.48,
      "hospices": 261,
      "hospicesRated": 90,
      "hospiceAvgSurvey": 3.91,
      "nursingHomes": 356,
      "nursingHomesRated": 354,
      "nursingHomeAvgOverall": 2.67,
      "nursingHomeShareOneOrTwo": 0.477,
      "nursingHomeShareFourPlus": 0.294
    },
    {
      "state": "HI",
      "stateName": "Hawaii",
      "homeHealthAgencies": 18,
      "homeHealthRated": 14,
      "homeHealthAvgQuality": 2.79,
      "homeHealthShareFourPlus": 0.143,
      "hospices": 11,
      "hospicesRated": 9,
      "hospiceAvgSurvey": 4,
      "nursingHomes": 43,
      "nursingHomesRated": 41,
      "nursingHomeAvgOverall": 3.71,
      "nursingHomeShareOneOrTwo": 0.244,
      "nursingHomeShareFourPlus": 0.61
    },
    {
      "state": "ID",
      "stateName": "Idaho",
      "homeHealthAgencies": 49,
      "homeHealthRated": 45,
      "homeHealthAvgQuality": 3.3,
      "homeHealthShareFourPlus": 0.267,
      "hospices": 56,
      "hospicesRated": 21,
      "hospiceAvgSurvey": 4.1,
      "nursingHomes": 80,
      "nursingHomesRated": 79,
      "nursingHomeAvgOverall": 3.15,
      "nursingHomeShareOneOrTwo": 0.329,
      "nursingHomeShareFourPlus": 0.456
    },
    {
      "state": "IL",
      "stateName": "Illinois",
      "homeHealthAgencies": 531,
      "homeHealthRated": 421,
      "homeHealthAvgQuality": 3.04,
      "homeHealthShareFourPlus": 0.285,
      "hospices": 149,
      "hospicesRated": 74,
      "hospiceAvgSurvey": 3.51,
      "nursingHomes": 666,
      "nursingHomesRated": 661,
      "nursingHomeAvgOverall": 2.53,
      "nursingHomeShareOneOrTwo": 0.54,
      "nursingHomeShareFourPlus": 0.304
    },
    {
      "state": "IN",
      "stateName": "Indiana",
      "homeHealthAgencies": 173,
      "homeHealthRated": 122,
      "homeHealthAvgQuality": 3.1,
      "homeHealthShareFourPlus": 0.303,
      "hospices": 102,
      "hospicesRated": 70,
      "hospiceAvgSurvey": 3.76,
      "nursingHomes": 507,
      "nursingHomesRated": 504,
      "nursingHomeAvgOverall": 3.14,
      "nursingHomeShareOneOrTwo": 0.375,
      "nursingHomeShareFourPlus": 0.46
    },
    {
      "state": "IA",
      "stateName": "Iowa",
      "homeHealthAgencies": 123,
      "homeHealthRated": 90,
      "homeHealthAvgQuality": 3.08,
      "homeHealthShareFourPlus": 0.233,
      "hospices": 71,
      "hospicesRated": 42,
      "hospiceAvgSurvey": 4.02,
      "nursingHomes": 387,
      "nursingHomesRated": 385,
      "nursingHomeAvgOverall": 3.09,
      "nursingHomeShareOneOrTwo": 0.361,
      "nursingHomeShareFourPlus": 0.416
    },
    {
      "state": "KS",
      "stateName": "Kansas",
      "homeHealthAgencies": 104,
      "homeHealthRated": 83,
      "homeHealthAvgQuality": 3.3,
      "homeHealthShareFourPlus": 0.361,
      "hospices": 85,
      "hospicesRated": 30,
      "hospiceAvgSurvey": 4.2,
      "nursingHomes": 296,
      "nursingHomesRated": 293,
      "nursingHomeAvgOverall": 3.11,
      "nursingHomeShareOneOrTwo": 0.365,
      "nursingHomeShareFourPlus": 0.416
    },
    {
      "state": "KY",
      "stateName": "Kentucky",
      "homeHealthAgencies": 88,
      "homeHealthRated": 85,
      "homeHealthAvgQuality": 3.52,
      "homeHealthShareFourPlus": 0.412,
      "hospices": 23,
      "hospicesRated": 21,
      "hospiceAvgSurvey": 4.38,
      "nursingHomes": 267,
      "nursingHomesRated": 266,
      "nursingHomeAvgOverall": 2.98,
      "nursingHomeShareOneOrTwo": 0.391,
      "nursingHomeShareFourPlus": 0.402
    },
    {
      "state": "LA",
      "stateName": "Louisiana",
      "homeHealthAgencies": 176,
      "homeHealthRated": 161,
      "homeHealthAvgQuality": 3.63,
      "homeHealthShareFourPlus": 0.497,
      "hospices": 118,
      "hospicesRated": 48,
      "hospiceAvgSurvey": 4.15,
      "nursingHomes": 265,
      "nursingHomesRated": 264,
      "nursingHomeAvgOverall": 2.55,
      "nursingHomeShareOneOrTwo": 0.508,
      "nursingHomeShareFourPlus": 0.299
    },
    {
      "state": "ME",
      "stateName": "Maine",
      "homeHealthAgencies": 19,
      "homeHealthRated": 19,
      "homeHealthAvgQuality": 3.5,
      "homeHealthShareFourPlus": 0.474,
      "hospices": 17,
      "hospicesRated": 15,
      "hospiceAvgSurvey": 3.93,
      "nursingHomes": 78,
      "nursingHomesRated": 77,
      "nursingHomeAvgOverall": 3.05,
      "nursingHomeShareOneOrTwo": 0.351,
      "nursingHomeShareFourPlus": 0.377
    },
    {
      "state": "MD",
      "stateName": "Maryland",
      "homeHealthAgencies": 51,
      "homeHealthRated": 47,
      "homeHealthAvgQuality": 3.73,
      "homeHealthShareFourPlus": 0.447,
      "hospices": 26,
      "hospicesRated": 23,
      "hospiceAvgSurvey": 3.22,
      "nursingHomes": 221,
      "nursingHomesRated": 219,
      "nursingHomeAvgOverall": 3.19,
      "nursingHomeShareOneOrTwo": 0.347,
      "nursingHomeShareFourPlus": 0.443
    },
    {
      "state": "MA",
      "stateName": "Massachusetts",
      "homeHealthAgencies": 287,
      "homeHealthRated": 119,
      "homeHealthAvgQuality": 2.95,
      "homeHealthShareFourPlus": 0.235,
      "hospices": 77,
      "hospicesRated": 45,
      "hospiceAvgSurvey": 3.76,
      "nursingHomes": 341,
      "nursingHomesRated": 338,
      "nursingHomeAvgOverall": 3.05,
      "nursingHomeShareOneOrTwo": 0.393,
      "nursingHomeShareFourPlus": 0.423
    },
    {
      "state": "MI",
      "stateName": "Michigan",
      "homeHealthAgencies": 370,
      "homeHealthRated": 267,
      "homeHealthAvgQuality": 3.29,
      "homeHealthShareFourPlus": 0.303,
      "hospices": 173,
      "hospicesRated": 89,
      "hospiceAvgSurvey": 3.67,
      "nursingHomes": 422,
      "nursingHomesRated": 420,
      "nursingHomeAvgOverall": 3.13,
      "nursingHomeShareOneOrTwo": 0.371,
      "nursingHomeShareFourPlus": 0.426
    },
    {
      "state": "MN",
      "stateName": "Minnesota",
      "homeHealthAgencies": 138,
      "homeHealthRated": 92,
      "homeHealthAvgQuality": 3,
      "homeHealthShareFourPlus": 0.25,
      "hospices": 81,
      "hospicesRated": 43,
      "hospiceAvgSurvey": 3.74,
      "nursingHomes": 338,
      "nursingHomesRated": 336,
      "nursingHomeAvgOverall": 3.16,
      "nursingHomeShareOneOrTwo": 0.372,
      "nursingHomeShareFourPlus": 0.455
    },
    {
      "state": "MS",
      "stateName": "Mississippi",
      "homeHealthAgencies": 42,
      "homeHealthRated": 42,
      "homeHealthAvgQuality": 3.58,
      "homeHealthShareFourPlus": 0.452,
      "hospices": 84,
      "hospicesRated": 29,
      "hospiceAvgSurvey": 3.93,
      "nursingHomes": 202,
      "nursingHomesRated": 199,
      "nursingHomeAvgOverall": 2.73,
      "nursingHomeShareOneOrTwo": 0.497,
      "nursingHomeShareFourPlus": 0.317
    },
    {
      "state": "MO",
      "stateName": "Missouri",
      "homeHealthAgencies": 118,
      "homeHealthRated": 104,
      "homeHealthAvgQuality": 3.34,
      "homeHealthShareFourPlus": 0.337,
      "hospices": 132,
      "hospicesRated": 73,
      "hospiceAvgSurvey": 3.79,
      "nursingHomes": 487,
      "nursingHomesRated": 480,
      "nursingHomeAvgOverall": 2.51,
      "nursingHomeShareOneOrTwo": 0.529,
      "nursingHomeShareFourPlus": 0.269
    },
    {
      "state": "MT",
      "stateName": "Montana",
      "homeHealthAgencies": 21,
      "homeHealthRated": 19,
      "homeHealthAvgQuality": 2.71,
      "homeHealthShareFourPlus": 0.211,
      "hospices": 32,
      "hospicesRated": 15,
      "hospiceAvgSurvey": 4,
      "nursingHomes": 61,
      "nursingHomesRated": 59,
      "nursingHomeAvgOverall": 2.88,
      "nursingHomeShareOneOrTwo": 0.475,
      "nursingHomeShareFourPlus": 0.39
    },
    {
      "state": "NE",
      "stateName": "Nebraska",
      "homeHealthAgencies": 61,
      "homeHealthRated": 47,
      "homeHealthAvgQuality": 3.44,
      "homeHealthShareFourPlus": 0.362,
      "hospices": 43,
      "hospicesRated": 23,
      "hospiceAvgSurvey": 3.65,
      "nursingHomes": 180,
      "nursingHomesRated": 178,
      "nursingHomeAvgOverall": 2.76,
      "nursingHomeShareOneOrTwo": 0.5,
      "nursingHomeShareFourPlus": 0.348
    },
    {
      "state": "NV",
      "stateName": "Nevada",
      "homeHealthAgencies": 227,
      "homeHealthRated": 157,
      "homeHealthAvgQuality": 2.82,
      "homeHealthShareFourPlus": 0.248,
      "hospices": 183,
      "hospicesRated": 18,
      "hospiceAvgSurvey": 3.11,
      "nursingHomes": 66,
      "nursingHomesRated": 65,
      "nursingHomeAvgOverall": 3.14,
      "nursingHomeShareOneOrTwo": 0.4,
      "nursingHomeShareFourPlus": 0.462
    },
    {
      "state": "NH",
      "stateName": "New Hampshire",
      "homeHealthAgencies": 27,
      "homeHealthRated": 22,
      "homeHealthAvgQuality": 3.39,
      "homeHealthShareFourPlus": 0.318,
      "hospices": 23,
      "hospicesRated": 15,
      "hospiceAvgSurvey": 4.07,
      "nursingHomes": 73,
      "nursingHomesRated": 73,
      "nursingHomeAvgOverall": 3.04,
      "nursingHomeShareOneOrTwo": 0.438,
      "nursingHomeShareFourPlus": 0.466
    },
    {
      "state": "NJ",
      "stateName": "New Jersey",
      "homeHealthAgencies": 38,
      "homeHealthRated": 38,
      "homeHealthAvgQuality": 3.72,
      "homeHealthShareFourPlus": 0.553,
      "hospices": 61,
      "hospicesRated": 46,
      "hospiceAvgSurvey": 3.11,
      "nursingHomes": 348,
      "nursingHomesRated": 346,
      "nursingHomeAvgOverall": 3.34,
      "nursingHomeShareOneOrTwo": 0.301,
      "nursingHomeShareFourPlus": 0.497
    },
    {
      "state": "NM",
      "stateName": "New Mexico",
      "homeHealthAgencies": 70,
      "homeHealthRated": 61,
      "homeHealthAvgQuality": 3.34,
      "homeHealthShareFourPlus": 0.344,
      "hospices": 52,
      "hospicesRated": 23,
      "hospiceAvgSurvey": 3.35,
      "nursingHomes": 68,
      "nursingHomesRated": 67,
      "nursingHomeAvgOverall": 2.85,
      "nursingHomeShareOneOrTwo": 0.493,
      "nursingHomeShareFourPlus": 0.313
    },
    {
      "state": "NY",
      "stateName": "New York",
      "homeHealthAgencies": 98,
      "homeHealthRated": 90,
      "homeHealthAvgQuality": 3.51,
      "homeHealthShareFourPlus": 0.389,
      "hospices": 39,
      "hospicesRated": 34,
      "hospiceAvgSurvey": 3.97,
      "nursingHomes": 593,
      "nursingHomesRated": 590,
      "nursingHomeAvgOverall": 3.03,
      "nursingHomeShareOneOrTwo": 0.408,
      "nursingHomeShareFourPlus": 0.4
    },
    {
      "state": "NC",
      "stateName": "North Carolina",
      "homeHealthAgencies": 165,
      "homeHealthRated": 152,
      "homeHealthAvgQuality": 3.62,
      "homeHealthShareFourPlus": 0.434,
      "hospices": 76,
      "hospicesRated": 55,
      "hospiceAvgSurvey": 4.22,
      "nursingHomes": 419,
      "nursingHomesRated": 415,
      "nursingHomeAvgOverall": 2.93,
      "nursingHomeShareOneOrTwo": 0.419,
      "nursingHomeShareFourPlus": 0.376
    },
    {
      "state": "ND",
      "stateName": "North Dakota",
      "homeHealthAgencies": 20,
      "homeHealthRated": 13,
      "homeHealthAvgQuality": 3.15,
      "homeHealthShareFourPlus": 0.077,
      "hospices": 13,
      "hospicesRated": 6,
      "hospiceAvgSurvey": 4,
      "nursingHomes": 72,
      "nursingHomesRated": 71,
      "nursingHomeAvgOverall": 3.15,
      "nursingHomeShareOneOrTwo": 0.338,
      "nursingHomeShareFourPlus": 0.451
    },
    {
      "state": "OH",
      "stateName": "Ohio",
      "homeHealthAgencies": 826,
      "homeHealthRated": 244,
      "homeHealthAvgQuality": 3.09,
      "homeHealthShareFourPlus": 0.27,
      "hospices": 169,
      "hospicesRated": 96,
      "hospiceAvgSurvey": 3.52,
      "nursingHomes": 922,
      "nursingHomesRated": 913,
      "nursingHomeAvgOverall": 3.17,
      "nursingHomeShareOneOrTwo": 0.366,
      "nursingHomeShareFourPlus": 0.437
    },
    {
      "state": "OK",
      "stateName": "Oklahoma",
      "homeHealthAgencies": 211,
      "homeHealthRated": 170,
      "homeHealthAvgQuality": 3.35,
      "homeHealthShareFourPlus": 0.441,
      "hospices": 135,
      "hospicesRated": 48,
      "hospiceAvgSurvey": 3.9,
      "nursingHomes": 283,
      "nursingHomesRated": 281,
      "nursingHomeAvgOverall": 2.69,
      "nursingHomeShareOneOrTwo": 0.498,
      "nursingHomeShareFourPlus": 0.324
    },
    {
      "state": "OR",
      "stateName": "Oregon",
      "homeHealthAgencies": 49,
      "homeHealthRated": 44,
      "homeHealthAvgQuality": 3.24,
      "homeHealthShareFourPlus": 0.364,
      "hospices": 66,
      "hospicesRated": 42,
      "hospiceAvgSurvey": 3.62,
      "nursingHomes": 128,
      "nursingHomesRated": 127,
      "nursingHomeAvgOverall": 3.12,
      "nursingHomeShareOneOrTwo": 0.37,
      "nursingHomeShareFourPlus": 0.441
    },
    {
      "state": "PA",
      "stateName": "Pennsylvania",
      "homeHealthAgencies": 415,
      "homeHealthRated": 183,
      "homeHealthAvgQuality": 3.34,
      "homeHealthShareFourPlus": 0.273,
      "hospices": 179,
      "hospicesRated": 112,
      "hospiceAvgSurvey": 3.81,
      "nursingHomes": 656,
      "nursingHomesRated": 652,
      "nursingHomeAvgOverall": 2.98,
      "nursingHomeShareOneOrTwo": 0.429,
      "nursingHomeShareFourPlus": 0.39
    },
    {
      "state": "RI",
      "stateName": "Rhode Island",
      "homeHealthAgencies": 22,
      "homeHealthRated": 18,
      "homeHealthAvgQuality": 3.19,
      "homeHealthShareFourPlus": 0.278,
      "hospices": 11,
      "hospicesRated": 6,
      "hospiceAvgSurvey": 3.83,
      "nursingHomes": 72,
      "nursingHomesRated": 71,
      "nursingHomeAvgOverall": 2.9,
      "nursingHomeShareOneOrTwo": 0.479,
      "nursingHomeShareFourPlus": 0.423
    },
    {
      "state": "SC",
      "stateName": "South Carolina",
      "homeHealthAgencies": 67,
      "homeHealthRated": 64,
      "homeHealthAvgQuality": 3.83,
      "homeHealthShareFourPlus": 0.609,
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