Texas Is Worst U.S. State For Quality Of Nursing Home Care, Hawaii Is The Best

The CDC reports that there are about 15,600 nursing homes in the United States, with 1.7 million licensed beds that are occupied by 1.4 million patients. On average, 79% of the U.S. nursing home beds are occupied every day, and the average U.S. nursing home has 89 residents on a daily basis. On average, U.S. nursing home residents receive about 4 hours of nursing care per day, with Licensed Practical Nurses (LPNs) providing more care (average: 53 minutes) than Registered Nurses (RNs) (average: 40 minutes).


The Centers for Medicare & Medicaid Services (CMS) created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily and to help identify areas about which people researching nursing home care may want to ask questions. The Nursing Home Compare Web site features a quality rating system that gives each nursing home a rating of between 1 and 5 stars. Nursing homes with 5 stars are considered to have much above average quality and nursing homes with 1 star are considered to have quality much below average. There is one Overall 5-star rating for each nursing home, and a separate rating for each of the following three sources of information:

Health Inspections – The health inspection rating contains the 2 most recent health inspections that occurred before implementation of the new Long-Term Care inspection process on November 28, 2017, and inspections due to complaints in the last 2 years occurring prior to November 28, 2017. This information is gathered by trained, objective inspectors who go onsite to the nursing home and follow a specific process to determine the extent to which a nursing home has met Medicaid and Medicare’s minimum quality requirements. The most recent survey findings are weighted more than the prior year.

Staffing – The staffing rating has information about the number of hours of care provided on average to each resident each day by nursing staff. This rating considers differences in the levels of residents’ care need in each nursing home. For example, a nursing home with residents who had more severe needs would be expected to have more nursing staff than a nursing home where the resident needs were not as high.

Quality Measures (QMs) – The quality measure rating has information on 16 different physical and clinical measures for nursing home residents. The QMs offer information about how well nursing homes are caring for their residents’ physical and clinical needs.


The top ten U.S. states for quality of nursing home care, based on CMS’ five-star rating system, are:

Hawaii — 3.93
District of Columbia — 3.89
Florida — 3.75
New Jersey — 3.75
Colorado — 3.74
Delaware — 3.73
Connecticut — 3.73
Minnesota — 3.72
North Dakota — 3.71
Idaho — 3.71

The ten worst U.S. states for quality of nursing home care, based on CMS’ five-star rating system, are:

Texas — 2.68
Oklahoma — 2.76
Louisiana — 2.8
Kentucky — 2.98
Georgia — 3.01
New Mexico — 3.07
North Carolina — 3.07
Missouri — 3.12
West Virginia — 3.15
Illinois — 3.18


If you or a loved one suffered injuries (or worse) while a resident of a nursing home in the United States due to nursing home neglect, nursing home negligence, nursing home abuse, nursing home under-staffing, or the nursing home failing to properly care for a vulnerable adult, you should promptly find a nursing home claim lawyer in your state who may investigate your nursing home claim for you and file a nursing home claim on your behalf or behalf of your loved one, if appropriate.

Click here to visit our website to be connected with medical malpractice attorneys (nursing home claim attorneys) in your U.S. state who may assist you with your nursing home claim, or call us toll-free in the United States at 800-295-3959.

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This entry was posted on Wednesday, February 13th, 2019 at 5:28 am. Both comments and pings are currently closed.

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