Percent of Certified Nursing Facilities Receiving a Deficiency for Actual Harm or Immediate Jeopardy
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2025
Location % of Nursing Facilities with Serious Deficiencies
United States .27 Alabama .12 Alaska .10 Arizona .15 Arkansas .15 California .25 Colorado .40 Connecticut .26 Delaware .45 District of Columbia .35 Florida .17 Georgia .13 Hawaii .24 Idaho .31 Illinois .61 Indiana .15 Iowa .26 Kansas .34 Kentucky .19 Louisiana .29 Maine .14 Maryland .30 Massachusetts .20 Michigan .32 Minnesota .31 Mississippi .33 Missouri .26 Montana .37 Nebraska .17 Nevada .19 New Hampshire .03 New Jersey .22 New Mexico .38 New York .13 North Carolina .31 North Dakota .38 Ohio .27 Oklahoma .21 Oregon .30 Pennsylvania .22 Rhode Island .45 South Carolina .25 South Dakota .53 Tennessee .16 Texas .37 Utah .40 Vermont .18 Virginia .23 Washington .37 West Virginia .29 Wisconsin .38 Wyoming .31
2024
Location % of Nursing Facilities with Serious Deficiencies
United States .28 Alabama .09 Alaska .05 Arizona .11 Arkansas .12 California .27 Colorado .45 Connecticut .18 Delaware .34 District of Columbia .41 Florida .16 Georgia .15 Hawaii .21 Idaho .28 Illinois .61 Indiana .19 Iowa .32 Kansas .39 Kentucky .22 Louisiana .29 Maine .14 Maryland .25 Massachusetts .33 Michigan .44 Minnesota .22 Mississippi .21 Missouri .26 Montana .48 Nebraska .15 Nevada .16 New Hampshire .08 New Jersey .22 New Mexico .32 New York .10 North Carolina .35 North Dakota .29 Ohio .30 Oklahoma .13 Oregon .35 Pennsylvania .20 Rhode Island .38 South Carolina .26 South Dakota .28 Tennessee .23 Texas .37 Utah .39 Vermont .32 Virginia .22 Washington .48 West Virginia .14 Wisconsin .30 Wyoming .34
2023
Location % of Nursing Facilities with Serious Deficiencies
United States .26 Alabama .09 Alaska .20 Arizona .11 Arkansas .12 California .26 Colorado .47 Connecticut .23 Delaware .23 District of Columbia .47 Florida .18 Georgia .14 Hawaii .42 Idaho .25 Illinois .59 Indiana .23 Iowa .34 Kansas .32 Kentucky .17 Louisiana .19 Maine .15 Maryland .20 Massachusetts .34 Michigan .48 Minnesota .26 Mississippi .13 Missouri .24 Montana .53 Nebraska .17 Nevada .18 New Hampshire .07 New Jersey .17 New Mexico .41 New York .12 North Carolina .31 North Dakota .21 Ohio .25 Oklahoma .18 Oregon .40 Pennsylvania .21 Rhode Island .43 South Carolina .27 South Dakota .14 Tennessee .26 Texas .23 Utah .34 Vermont .14 Virginia .24 Washington .41 West Virginia .07 Wisconsin .26 Wyoming .28
2022
Location % of Nursing Facilities with Serious Deficiencies
United States .22 Alabama .07 Alaska .15 Arizona .15 Arkansas .12 California .22 Colorado .45 Connecticut .21 Delaware .18 District of Columbia .24 Florida .12 Georgia .09 Hawaii .40 Idaho .25 Illinois .50 Indiana .28 Iowa .21 Kansas .26 Kentucky .17 Louisiana .12 Maine .04 Maryland .17 Massachusetts .28 Michigan .47 Minnesota .25 Mississippi .16 Missouri .18 Montana .32 Nebraska .12 Nevada .06 New Hampshire .05 New Jersey .05 New Mexico .34 New York .08 North Carolina .25 North Dakota .14 Ohio .24 Oklahoma .13 Oregon .36 Pennsylvania .15 Rhode Island .24 South Carolina .18 South Dakota .28 Tennessee .16 Texas .18 Utah .29 Vermont .17 Virginia .19 Washington .41 West Virginia .12 Wisconsin .31 Wyoming .19
2021
Location % of Nursing Facilities with Serious Deficiencies
United States .21 Alabama .08 Alaska .20 Arizona .22 Arkansas .18 California .20 Colorado .43 Connecticut .18 Delaware .28 District of Columbia .18 Florida .17 Georgia .11 Hawaii .23 Idaho .40 Illinois .41 Indiana .26 Iowa .23 Kansas .26 Kentucky .18 Louisiana .11 Maine .15 Maryland .21 Massachusetts .23 Michigan .56 Minnesota .36 Mississippi .11 Missouri .15 Montana .43 Nebraska .12 Nevada .06 New Hampshire .01 New Jersey .06 New Mexico .20 New York .04 North Carolina .22 North Dakota .18 Ohio .23 Oklahoma .15 Oregon .44 Pennsylvania .09 Rhode Island .15 South Carolina .16 South Dakota .25 Tennessee .14 Texas .20 Utah .23 Vermont .09 Virginia .22 Washington .49 West Virginia .15 Wisconsin .28 Wyoming .17
2020
Location % of Nursing Facilities with Serious Deficiencies
United States .20 Alabama .05 Alaska .20 Arizona .23 Arkansas .17 California .19 Colorado .25 Connecticut .22 Delaware .26 District of Columbia .32 Florida .15 Georgia .07 Hawaii .27 Idaho .24 Illinois .31 Indiana .27 Iowa .20 Kansas .27 Kentucky .20 Louisiana .13 Maine .04 Maryland .18 Massachusetts .25 Michigan .52 Minnesota .32 Mississippi .10 Missouri .16 Montana .39 Nebraska .15 Nevada .06 New Hampshire .01 New Jersey .04 New Mexico .27 New York .06 North Carolina .14 North Dakota .09 Ohio .20 Oklahoma .18 Oregon .38 Pennsylvania .17 Rhode Island .13 South Carolina .19 South Dakota .21 Tennessee .10 Texas .19 Utah .21 Vermont .20 Virginia .22 Washington .46 West Virginia .16 Wisconsin .27 Wyoming .27
2019
Location % of Nursing Facilities with Serious Deficiencies
United States .18 Alabama .05 Alaska .33 Arizona .19 Arkansas .21 California .19 Colorado .14 Connecticut .30 Delaware .41 District of Columbia .17 Florida .08 Georgia .07 Hawaii .32 Idaho .36 Illinois .30 Indiana .19 Iowa .21 Kansas .25 Kentucky .19 Louisiana .12 Maine .05 Maryland .12 Massachusetts .30 Michigan .41 Minnesota .26 Mississippi .11 Missouri .14 Montana .38 Nebraska .14 Nevada .05 New Hampshire .04 New Jersey .04 New Mexico .26 New York .06 North Carolina .23 North Dakota .08 Ohio .18 Oklahoma .16 Oregon .33 Pennsylvania .14 Rhode Island .12 South Carolina .06 South Dakota .14 Tennessee .06 Texas .15 Utah .20 Vermont .11 Virginia .19 Washington .58 West Virginia .17 Wisconsin .22 Wyoming .24
2018
Location % of Nursing Facilities with Serious Deficiencies
United States .18 Alabama .05 Alaska .11 Arizona .12 Arkansas .26 California .18 Colorado .16 Connecticut .31 Delaware .15 District of Columbia .06 Florida .05 Georgia .04 Hawaii .33 Idaho .33 Illinois .25 Indiana .23 Iowa .22 Kansas .40 Kentucky .11 Louisiana .08 Maine .03 Maryland .15 Massachusetts .23 Michigan .43 Minnesota .16 Mississippi .07 Missouri .12 Montana .35 Nebraska .14 Nevada .03 New Hampshire .04 New Jersey .04 New Mexico .42 New York .06 North Carolina .19 North Dakota .13 Ohio .18 Oklahoma .22 Oregon .31 Pennsylvania .16 Rhode Island .08 South Carolina .15 South Dakota .22 Tennessee .12 Texas .17 Utah .25 Vermont .31 Virginia .18 Washington .61 West Virginia .09 Wisconsin .25 Wyoming .21
2017
Location % of Nursing Facilities with Serious Deficiencies
United States .18 Alabama .07 Alaska .39 Arizona .13 Arkansas .23 California .19 Colorado .18 Connecticut .33 Delaware .18 District of Columbia .33 Florida .05 Georgia .09 Hawaii .27 Idaho .28 Illinois .21 Indiana .23 Iowa .33 Kansas .44 Kentucky .11 Louisiana .08 Maine .07 Maryland .18 Massachusetts .27 Michigan .39 Minnesota .14 Mississippi .04 Missouri .11 Montana .42 Nebraska .16 Nevada .03 New Hampshire .00 New Jersey .06 New Mexico .49 New York .05 North Carolina .14 North Dakota .07 Ohio .16 Oklahoma .19 Oregon .34 Pennsylvania .19 Rhode Island .02 South Carolina .11 South Dakota .27 Tennessee .11 Texas .18 Utah .20 Vermont .11 Virginia .17 Washington .50 West Virginia .18 Wisconsin .27 Wyoming .24
2016
Location % of Nursing Facilities with Serious Deficiencies
United States .17 Alabama .06 Alaska .17 Arizona .27 Arkansas .15 California .16 Colorado .18 Connecticut .39 Delaware .27 District of Columbia .26 Florida .05 Georgia .05 Hawaii .13 Idaho .33 Illinois .17 Indiana .25 Iowa .27 Kansas .42 Kentucky .16 Louisiana .07 Maine .04 Maryland .19 Massachusetts .19 Michigan .29 Minnesota .11 Mississippi .11 Missouri .14 Montana .35 Nebraska .13 Nevada .16 New Hampshire .04 New Jersey .12 New Mexico .35 New York .09 North Carolina .13 North Dakota .07 Ohio .15 Oklahoma .18 Oregon .25 Pennsylvania .17 Rhode Island .04 South Carolina .13 South Dakota .19 Tennessee .10 Texas .18 Utah .18 Vermont .11 Virginia .17 Washington .39 West Virginia .19 Wisconsin .25 Wyoming .21
2015
Location % of Nursing Facilities with Serious Deficiencies
United States .17 Alabama .07 Alaska .33 Arizona .26 Arkansas .16 California .14 Colorado .24 Connecticut .35 Delaware .17 District of Columbia .26 Florida .07 Georgia .05 Hawaii .11 Idaho .48 Illinois .22 Indiana .20 Iowa .25 Kansas .33 Kentucky .19 Louisiana .10 Maine .08 Maryland .14 Massachusetts .24 Michigan .32 Minnesota .08 Mississippi .10 Missouri .13 Montana .19 Nebraska .12 Nevada .17 New Hampshire .04 New Jersey .12 New Mexico .29 New York .08 North Carolina .14 North Dakota .24 Ohio .15 Oklahoma .27 Oregon .14 Pennsylvania .12 Rhode Island .02 South Carolina .21 South Dakota .27 Tennessee .12 Texas .16 Utah .11 Vermont .22 Virginia .21 Washington .33 West Virginia .21 Wisconsin .23 Wyoming .36
Notes
Data are as of July of the noted year.
Data are for certified nursing facilities surveyed in the U.S.
Sources
KFF analysis of Nursing Home Compare
Definitions
Deficiency : Given to nursing facilities for problems which can result in a negative impact on the health and safety of residents. The Centers for Medicare and Medicaid Services define "actual harm" as a "deficiency that results in a negative outcome that has negatively affected the resident's ability to achieve the individual's highest functional status. "Immediate jeopardy" is defined as a deficiency that "has caused (or is likely to cause) serious injury, harm, impairment, or death to a resident receiving care in the nursing home."