Of the 14,858 nursing homes in the United States, 3,660 are problem facilities (Special Focus Facilities , SFF candidates (nursing homes determined by CMS to have a history of serious quality issues or are included in a special program to stimulate improvements in their quality of care), One-Star rating); 10,760 are for-profit facilities; 3,169 are non-profit nursing homes; and, 929 are operated by the government.
The Long Term Care Community Coalition (LTCCC) regularly publishes data on key indicators relevant to nursing home care and in its June 21, 2024 report, stated the following key findings:
One in four U.S. nursing homes (24.6%) is a Problem Facility: meaning they have a one-star rating, are a SFF, or SFF candidate.
Average overall ratings vary significantly by state, from 2.19 (Louisiana) to 3.78 (Hawaii).
For-profit nursing homes are much more likely to be poor performers. For-profit companies own 72% of all U.S. nursing homes and 86.5% of those identified as Problem Facilities.
Nursing homes that are part of a chain have lower staffing and ratings. Chain owned facilities also have higher turnover and more fines on average.
Nearly 9% of facilities have an abuse icon, indicating a history of abuse or neglect. Note: the absence of an abuse icon does not necessarily mean the absence of abuse at any given facility.
Five-star facilities are relatively rare, with only 18.1% achieving the highest rating. Hawaii, Alaska, and Delaware have the highest percentage of five-star nursing homes while Guam, Louisiana, and Mississippi have the lowest. Note: A five-star rating does not necessarily mean good care.
What Is The LTCCC?
From its website:
The Long Term Care Community Coalition (LTCCC) is a nonprofit organization dedicated to improving quality of care, quality of life, and dignity for elderly and disabled people in nursing homes, assisted living, and other residential settings.
LTCCC focuses on systemic advocacy, researching national and state policies, laws, and regulations in order to identify relevant issues and develop meaningful recommendations to improve quality, efficiency, and accountability. In addition to providing a foundation for advocacy, LTCCC uses this research and the resulting recommendations to educate policymakers, consumers, and the general public. Consumer, family, and LTC ombudsman empowerment are fundamental to our mission.
LTCCC’s work is grounded in its organization as a New York State based coalition of consumer, community, civic, and professional organizations, bringing together these different stakeholders to identify and address the systemic issues that affect quality of care and dignity in long-term care.
If you or a loved one may have been injured (or worse) as a result of malpractice in a nursing home in the United States due to nursing home staff shortage, nursing home understaffing, nursing home pressure ulcer (nursing home bedsore) negligence, a nursing home infection, nursing home fall, nursing home aspiration, nursing home neglect, nursing home negligence, nursing home abuse, or the nursing home failing to properly care for a vulnerable adult, you should promptly find a nursing home malpractice lawyer who may investigate your nursing home malpractice claim for you and represent you or your loved one in a nursing home malpractice case, if appropriate.
Click here to visit our website or call us toll-free in the United States at 800-295-3959 to find nursing home malpractice attorneys in your state who may assist you with your nursing home claim.
Turn to us when you don’t know where to turn.

