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Reading the Stars: Nursing Home Quality Star Ratings, Nationally and by State

Appendix Table 1: Distribution of Medicare- and Medicaid-Certified Nursing Homes, by Tax Status and Size, Nationally and by State, 2015
Tax Status Size (bed count)
Number of Nursing Homes Number of Nursing Home Residents For-Profit Non-Profit Government Fewer than 60 beds 60-120 beds More than 120 beds
National 15,505 1,366,044 70% 24% 6% 19% 52% 29%
Alabama 226 22,748 81% 13% 6% 8% 50% 42%
Alaska 18 624 6% 56% 39% 78% 22% n/a
Arizona 145 11,478 79% 19% 1% 13% 50% 37%
Arkansas 227 17,588 85% 12% 4% 2% 72% 26%
California 1,212 102,370 84% 13% 3% 28% 48% 23%
Colorado 212 16,309 76% 16% 8% 21% 58% 21%
Connecticut 229 24,178 79% 20% 1% 9% 50% 41%
Delaware 46 4,284 67% 24% 9% 15% 52% 33%
District of Columbia 19 2,521 47% 53% 0% 21% 32% 47%
Florida 688 73,467 73% 25% 2% 8% 67% 25%
Georgia 355 33,923 66% 28% 6% 8% 61% 32%
Hawaii 46 3,661 48% 28% 24% 37% 41% 22%
Idaho 78 3,896 73% 13% 14% 35% 55% 10%
Illinois 755 72,277 72% 25% 3% 15% 45% 40%
Indiana 516 38,954 44% 24% 32% 18% 58% 25%
Iowa 438 24,775 54% 43% 4% 42% 51% 7%
Kansas 335 18,198 52% 35% 13% 53% 41% 7%
Kentucky 281 23,253 74% 24% 2% 18% 60% 22%
Louisiana 280 25,861 81% 15% 5% 6% 43% 51%
Maine 103 6,171 71% 28% 1% 45% 50% 6%
Maryland 227 24,445 70% 27% 2% 14% 38% 48%
Massachusetts 413 41,014 72% 27% 1% 13% 39% 48%
Michigan 429 39,353 72% 20% 8% 16% 51% 33%
Minnesota 376 26,622 30% 62% 9% 43% 45% 13%
Mississippi 203 16,140 77% 10% 13% 11% 73% 16%
Missouri 509 38,280 76% 18% 6% 11% 67% 22%
Montana 82 4,560 46% 35% 18% 37% 49% 15%
Nebraska 214 11,938 49% 29% 22% 44% 44% 11%
Nevada 52 4,830 75% 13% 12% 25% 37% 38%
New Hampshire 76 6,780 61% 25% 14% 22% 55% 22%
New Jersey 361 45,207 72% 24% 4% 9% 36% 55%
New Mexico 70 5,420 70% 23% 7% 20% 66% 14%
New York 625 104,411 56% 38% 6% 8% 30% 62%
North Carolina 416 36,933 80% 18% 3% 11% 62% 27%
North Dakota 80 5,603 3% 95% 3% 53% 33% 15%
Ohio 941 76,261 79% 19% 2% 21% 57% 22%
Oklahoma 305 18,772 86% 12% 2% 17% 66% 17%
Oregon 135 7,257 81% 16% 3% 26% 59% 16%
Pennsylvania 696 79,430 55% 41% 4% 17% 40% 43%
Rhode Island 84 8,014 77% 23% 0% 20% 44% 36%
South Carolina 188 16,754 77% 18% 6% 21% 46% 32%
South Dakota 109 6,331 35% 61% 5% 61% 34% 5%
Tennessee 317 28,835 79% 16% 5% 12% 48% 40%
Texas 1,193 93,208 86% 10% 4% 10% 58% 32%
Utah 99 5,569 82% 12% 6% 34% 48% 17%
Vermont 37 2,685 65% 32% 3% 32% 41% 27%
Virginia 286 28,440 69% 27% 3% 13% 56% 31%
Washington 221 17,128 72% 22% 6% 23% 52% 25%
West Virginia 126 9,539 75% 19% 6% 18% 69% 13%
Wisconsin 388 27,409 53% 34% 14% 31% 50% 20%
Wyoming 38 2,340 42% 16% 42% 37% 50% 13%
NOTES: Analysis includes only nursing homes certified by Medicare and/or Medicaid and excludes nursing homes with unavailable Overall star ratings (<1%). Percents may not total to 100 due to rounding.
SOURCE: Kaiser Family Foundation analysis of Nursing Home Compare data, February 2015
Appendix Table 2: Distribution of Nursing Homes, by Overall Star Rating, Nationally and by State, February 2015
Overall Star Rating
State Number of Nursing Homes 1 star 2 stars 3 stars 4 stars 5 stars
National 15,505 16% 20% 22% 23% 19%
Alabama 226 10% 21% 20% 27% 22%
Alaska 18 6% 17% 39% 11% 28%
Arizona 145 11% 21% 14% 26% 27%
Arkansas 227 15% 19% 19% 26% 20%
California 1,212 7% 20% 17% 23% 32%
Colorado 212 10% 18% 16% 26% 30%
Connecticut 229 12% 15% 22% 22% 29%
Delaware 46 11% 9% 17% 30% 33%
District of Columbia 19 5% 11% 21% 11% 53%
Florida 688 13% 20% 19% 26% 23%
Georgia 355 21% 25% 22% 16% 15%
Hawaii 46 2% 20% 15% 24% 39%
Idaho 78 5% 23% 12% 29% 31%
Illinois 755 19% 20% 19% 21% 21%
Indiana 516 15% 18% 20% 25% 21%
Iowa 438 14% 15% 21% 26% 25%
Kansas 335 13% 19% 24% 22% 22%
Kentucky 281 25% 15% 20% 24% 16%
Louisiana 280 27% 22% 20% 21% 10%
Maine 103 6% 18% 18% 36% 21%
Maryland 227 12% 20% 20% 22% 26%
Massachusetts 413 11% 18% 15% 29% 26%
Michigan 429 12% 18% 15% 26% 28%
Minnesota 376 9% 20% 20% 25% 26%
Mississippi 203 20% 19% 18% 23% 21%
Missouri 509 16% 20% 22% 21% 22%
Montana 82 10% 18% 26% 24% 22%
Nebraska 214 14% 17% 16% 23% 29%
Nevada 52 19% 19% 15% 21% 25%
New Hampshire 76 9% 18% 18% 22% 32%
New Jersey 361 10% 22% 17% 24% 27%
New Mexico 70 23% 13% 23% 21% 20%
New York 625 19% 22% 17% 22% 21%
North Carolina 416 19% 22% 19% 22% 18%
North Dakota 80 11% 16% 24% 23% 26%
Ohio 941 22% 19% 18% 23% 17%
Oklahoma 305 27% 19% 23% 18% 12%
Oregon 135 7% 20% 19% 33% 21%
Pennsylvania 696 19% 21% 18% 23% 19%
Rhode Island 84 13% 14% 20% 21% 31%
South Carolina 188 15% 18% 19% 26% 22%
South Dakota 109 14% 18% 22% 26% 20%
Tennessee 317 25% 18% 18% 21% 18%
Texas 1,193 28% 23% 19% 18% 12%
Utah 99 16% 11% 22% 27% 23%
Vermont 37 16% 14% 11% 27% 32%
Virginia 286 17% 19% 24% 21% 19%
Washington 221 10% 19% 19% 26% 26%
West Virginia 126 23% 23% 19% 25% 10%
Wisconsin 388 9% 18% 18% 27% 28%
Wyoming 38 11% 18% 16% 37% 18%
NOTES: Analysis includes only nursing homes certified by Medicare and/or Medicaid and excludes nursing homes with unavailable Overall star ratings (<1%). Percents may not total to 100 due to rounding.
SOURCE: Kaiser Family Foundation analysis of Nursing Home Compare data, February 2015
Appendix Table 3: Distribution of Nursing Homes, by State Health Inspection Star Rating, Nationally and by State, February 2015
State Health Inspection Star Rating
State Number of Nursing Homes 1 star 2 stars 3 stars 4 stars 5 stars
National 15,505 20% 23% 23% 23% 11%
Alabama 226 20% 24% 23% 23% 10%
Alaska 18 22% 28% 28% 11% 11%
Arizona 145 21% 23% 21% 23% 12%
Arkansas 227 19% 23% 23% 22% 12%
California 1,212 20% 24% 23% 23% 10%
Colorado 212 20% 23% 22% 26% 9%
Connecticut 229 19% 22% 23% 27% 9%
Delaware 46 17% 22% 24% 26% 11%
District of Columbia 19 16% 26% 21% 26% 11%
Florida 688 20% 23% 23% 23% 11%
Georgia 355 17% 22% 23% 26% 11%
Hawaii 46 20% 22% 20% 30% 9%
Idaho 78 19% 22% 23% 26% 10%
Illinois 755 20% 23% 25% 22% 10%
Indiana 516 19% 24% 22% 23% 11%
Iowa 438 19% 23% 24% 24% 10%
Kansas 335 20% 24% 25% 21% 10%
Kentucky 281 21% 21% 23% 24% 11%
Louisiana 280 18% 23% 25% 24% 10%
Maine 103 18% 20% 28% 22% 11%
Maryland 227 21% 23% 24% 23% 10%
Massachusetts 413 20% 23% 23% 22% 12%
Michigan 429 19% 24% 23% 24% 10%
Minnesota 376 20% 22% 22% 24% 11%
Mississippi 203 19% 22% 19% 25% 15%
Missouri 509 20% 22% 24% 24% 11%
Montana 82 18% 27% 22% 22% 11%
Nebraska 214 19% 25% 22% 24% 10%
Nevada 52 19% 23% 23% 23% 12%
New Hampshire 76 16% 24% 21% 26% 13%
New Jersey 361 21% 23% 23% 21% 12%
New Mexico 70 23% 21% 23% 23% 10%
New York 625 21% 22% 20% 24% 12%
North Carolina 416 21% 23% 21% 24% 12%
North Dakota 80 25% 23% 21% 23% 9%
Ohio 941 19% 23% 22% 24% 11%
Oklahoma 305 20% 22% 26% 21% 11%
Oregon 135 19% 23% 26% 19% 13%
Pennsylvania 696 21% 23% 23% 22% 11%
Rhode Island 84 18% 25% 23% 20% 14%
South Carolina 188 19% 24% 23% 23% 11%
South Dakota 109 22% 23% 27% 21% 7%
Tennessee 317 21% 22% 21% 22% 13%
Texas 1,193 21% 24% 23% 22% 11%
Utah 99 17% 22% 23% 28% 9%
Vermont 37 19% 24% 22% 24% 11%
Virginia 286 20% 22% 26% 23% 10%
Washington 221 20% 23% 23% 24% 10%
West Virginia 126 21% 24% 23% 24% 9%
Wisconsin 388 20% 24% 23% 23% 11%
Wyoming 38 18% 18% 24% 29% 11%
NOTES: Analysis includes only nursing homes certified by Medicare and/or Medicaid and excludes nursing homes with unavailable Overall star ratings (<1%). Percents may not total to 100 due to rounding.
SOURCE: Kaiser Family Foundation analysis of Nursing Home Compare data, February 2015
Appendix Table 4: Distribution of Nursing Homes, by Quality Measures Star Rating, Nationally and by State, February 2015
Quality Measures Star Rating
State Number of Nursing Homes 1 star 2 stars 3 stars 4 stars 5 stars
National 15,505 13% 20% 18% 21% 28%
Alabama 226 9% 17% 19% 23% 32%
Alaska 18 11% 22% 11% 17% 22%
Arizona 145 9% 16% 18% 23% 34%
Arkansas 227 15% 19% 18% 21% 28%
California 1,212 4% 11% 14% 20% 50%
Colorado 212 8% 18% 23% 20% 32%
Connecticut 229 8% 14% 15% 25% 38%
Delaware 46 4% 4% 30% 20% 39%
District of Columbia 19 na 11% 21% 16% 53%
Florida 688 12% 19% 19% 22% 27%
Georgia 355 16% 18% 20% 23% 23%
Hawaii 46 na na 4% 24% 65%
Idaho 78 8% 21% 21% 21% 31%
Illinois 755 14% 21% 16% 20% 29%
Indiana 516 13% 22% 17% 21% 26%
Iowa 438 11% 17% 19% 24% 29%
Kansas 335 19% 26% 20% 14% 22%
Kentucky 281 29% 22% 19% 18% 12%
Louisiana 280 25% 30% 20% 13% 13%
Maine 103 7% 19% 24% 30% 18%
Maryland 227 7% 16% 14% 25% 39%
Massachusetts 413 8% 18% 20% 23% 31%
Michigan 429 10% 18% 15% 22% 36%
Minnesota 376 6% 18% 19% 28% 29%
Mississippi 203 26% 23% 20% 16% 15%
Missouri 509 14% 20% 23% 20% 23%
Montana 82 21% 28% 22% 16% 13%
Nebraska 214 15% 20% 18% 20% 27%
Nevada 52 25% 15% 17% 13% 25%
New Hampshire 76 12% 17% 21% 18% 30%
New Jersey 361 6% 13% 15% 24% 42%
New Mexico 70 16% 13% 26% 17% 27%
New York 625 11% 21% 16% 23% 29%
North Carolina 416 12% 24% 22% 21% 21%
North Dakota 80 13% 23% 23% 20% 23%
Ohio 941 16% 23% 20% 19% 23%
Oklahoma 305 32% 25% 18% 13% 11%
Oregon 135 15% 22% 19% 30% 14%
Pennsylvania 696 10% 19% 21% 24% 26%
Rhode Island 84 10% 14% 18% 27% 31%
South Carolina 188 11% 22% 18% 19% 29%
South Dakota 109 14% 27% 20% 15% 25%
Tennessee 317 20% 21% 20% 20% 19%
Texas 1,193 19% 24% 19% 19% 18%
Utah 99 16% 21% 18% 19% 25%
Vermont 37 14% 24% 16% 19% 27%
Virginia 286 10% 20% 20% 25% 25%
Washington 221 9% 20% 22% 18% 31%
West Virginia 126 23% 33% 13% 17% 15%
Wisconsin 388 5% 17% 19% 22% 37%
Wyoming 38 16% 26% 24% 18% 13%
NOTES: Analysis includes only nursing homes certified by Medicare and/or Medicaid and excludes nursing homes with unavailable Overall star ratings (<1%). Percents may not total to 100 due to rounding or missing Quality measures ratings (<1%).
SOURCE: Kaiser Family Foundation analysis of Nursing Home Compare data, February 2015
Appendix Table 5: Distribution of Nursing Homes, by Staffing Measures Star Rating, Nationally and by State, February 2015
Staffing Measures Star Rating
State Number of Nursing Homes 1 star 2 stars 3 stars 4 stars 5 stars
National 15,505 10% 14% 31% 32% 12%
Alabama 226 1% 8% 37% 46% 8%
Alaska 18 n/a n/a n/a n/a 89%
Arizona 145 1% 13% 26% 43% 14%
Arkansas 227 2% 7% 48% 41% 2%
California 1,212 2% 8% 32% 40% 15%
Colorado 212 1% 4% 25% 44% 24%
Connecticut 229 2% 3% 34% 41% 20%
Delaware 46 2% 2% 15% 46% 35%
District of Columbia 19 n/a n/a 5% 42% 47%
Florida 688 2% 9% 35% 43% 9%
Georgia 355 32% 23% 31% 10% 2%
Hawaii 46 2% 4% 13% 35% 28%
Idaho 78 n/a 3% 21% 47% 26%
Illinois 755 12% 22% 27% 21% 12%
Indiana 516 6% 16% 29% 35% 12%
Iowa 438 3% 14% 29% 38% 13%
Kansas 335 3% 9% 22% 40% 24%
Kentucky 281 9% 14% 36% 28% 11%
Louisiana 280 31% 24% 31% 9% 3%
Maine 103 1% 3% 15% 42% 40%
Maryland 227 4% 8% 37% 35% 14%
Massachusetts 413 1% 5% 27% 49% 17%
Michigan 429 3% 8% 33% 38% 17%
Minnesota 376 2% 6% 28% 49% 13%
Mississippi 203 6% 13% 32% 36% 10%
Missouri 509 6% 13% 36% 36% 7%
Montana 82 n/a 5% 22% 48% 26%
Nebraska 214 2% 7% 26% 41% 22%
Nevada 52 2% 13% 31% 27% 19%
New Hampshire 76 1% 8% 22% 39% 25%
New Jersey 361 5% 14% 35% 34% 12%
New Mexico 70 4% 19% 30% 20% 11%
New York 625 20% 18% 31% 24% 6%
North Carolina 416 15% 21% 28% 25% 7%
North Dakota 80 n/a 1% 13% 56% 30%
Ohio 941 16% 20% 35% 23% 6%
Oklahoma 305 15% 19% 37% 22% 5%
Oregon 135 n/a 4% 16% 56% 24%
Pennsylvania 696 13% 24% 30% 22% 9%
Rhode Island 84 2% 10% 31% 43% 14%
South Carolina 188 6% 8% 37% 32% 14%
South Dakota 109 1% 13% 33% 33% 18%
Tennessee 317 17% 14% 42% 21% 5%
Texas 1,193 35% 22% 25% 12% 3%
Utah 99 1% 13% 31% 30% 20%
Vermont 37 n/a 3% 19% 59% 19%
Virginia 286 13% 18% 33% 20% 14%
Washington 221 0% 5% 27% 48% 19%
West Virginia 126 18% 19% 33% 18% 8%
Wisconsin 388 2% 10% 25% 45% 17%
Wyoming 38 n/a 13% 21% 34% 29%
NOTES: Analysis includes only nursing homes certified by Medicare and/or Medicaid and excludes nursing homes with unavailable Overall star ratings (<1%). The following states have the indicated number of nursing homes with missing Staffing ratings, totaling about 2%: AL (1), AK (2), AZ (4), AR (1), CA (35), CO (3), DC (1), FL (9), GA (7), HI (8), ID (3), IL (38), IN (12), IA (8), KS (5), KY (3), LA (7), MD (4), MA (5), MI (6), MN (7), MS (5), MO (9), NE (5), NV (4), NH (3), NJ (1), NM (11), NC (16), OH (7), OK (5), OR (1), PA (9), SC (5), SD (2), TN (3), TX (39), UT (4), VA (5), WA (4), WV (4), and WI (6). N/A indicates that no nusing homes received stars at the indicated star rating. Percents may not total to 100 due to rounding or nursing homes with missing Staffing ratings.
SOURCE: Kaiser Family Foundation analysis of Nursing Home Compare data, February 2015
Appendix Table 6: Number of People Age 65 and Older and Percent of People Age 65 and Older with Incomes <200% of Poverty, Nationally and by State
State Number of Nursing Homes, 2015¹ Number of Nursing Home Residents, 2015¹ Number of people age 65 and older, 2014² Percent of people > 65 with incomes <200% of Poverty, 2012-2014³
National 15,505 1,366,044 44,507,600 33%
Alabama 226 22,748 712,900 38%
Alaska 18 624 72,400 28%
Arizona 145 11,478 986,700 34%
Arkansas 227 17,588 501,100 43%
California 1,212 102,370 4,747,900 33%
Colorado 212 16,309 653,800 29%
Connecticut 229 24,178 500,800 25%
Delaware 46 4,284 157,000 29%
District of Columbia 19 2,521 80,100 37%
Florida 688 73,467 3,268,400 36%
Georgia 355 33,923 1,288,200 34%
Hawaii 46 3,661 213,300 27%
Idaho 78 3,896 205,600 32%
Illinois 755 72,277 1,611,400 31%
Indiana 516 38,954 931,400 34%
Iowa 438 24,775 429,400 32%
Kansas 335 18,198 387,100 28%
Kentucky 281 23,253 598,700 42%
Louisiana 280 25,861 638,800 42%
Maine 103 6,171 218,200 31%
Maryland 227 24,445 862,200 26%
Massachusetts 413 41,014 890,500 30%
Michigan 429 39,353 1,446,400 30%
Minnesota 376 26,622 707,400 29%
Mississippi 203 16,140 388,700 43%
Missouri 509 38,280 1,003,800 32%
Montana 82 4,560 153,500 31%
Nebraska 214 11,938 271,600 29%
Nevada 52 4,830 386,900 35%
New Hampshire 76 6,780 200,900 28%
New Jersey 361 45,207 1,210,100 28%
New Mexico 70 5,420 359,000 34%
New York 625 104,411 2,888,800 37%
North Carolina 416 36,933 1,417,500 42%
North Dakota 80 5,603 83,800 30%
Ohio 941 76,261 1,882,300 33%
Oklahoma 305 18,772 528,000 33%
Oregon 135 7,257 644,700 30%
Pennsylvania 696 79,430 2,077,100 34%
Rhode Island 84 8,014 169,200 34%
South Carolina 188 16,754 794,400 39%
South Dakota 109 6,331 127,100 30%
Tennessee 317 28,835 946,700 39%
Texas 1,193 93,208 3,000,900 36%
Utah 99 5,569 321,200 31%
Vermont 37 2,685 113,500 30%
Virginia 286 28,440 1,133,400 26%
Washington 221 17,128 1,011,800 27%
West Virginia 126 9,539 318,300 38%
Wisconsin 388 27,409 889,400 29%
Wyoming 38 2,340 75,500 29%
NOTES: Analysis includes only nusring homes certified by Medicare and/or Medicaid and excludes nursing homes with unavailable Overall star ratings (<1%). Percents may not total to 100 due to rounding.
SOURCE: Kaiser Family Foundation analysis of: ¹Nursing Home Compare data, February 2015; ²Current Population Survey, 2014 Annual Social and Economic Supplement; and ³Current Population Survey, 2012 – 2014 Annual Social and Economic Supplement.
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