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CMS Scores Required for Nursing Home Five Star Ratings

The table below shows the maximum ratings score required to qualify for each of five stars in the Five Star Rating System for Nursing Homes developed by the Center for Medicare and Medicaid Services. For purposes of this system lower scores are better. For each state, CMS divides the nursing homes by score so that the top ten percent of the nursing homes in the state are given five stars and the bottom twenty percent are given one star. The each of the middle levels represents approximately 23% of the nursing homes in the state.

State Five Star Four Star Three Star Two Star
AK 19.333 37.333 75.833 103.333
AL 6.000 14.667 23.333 38.000
AR 30.000 50.000 64.000 85.667
AZ 12.667 22.667 35.333 57.333
CA 36.667 66.667 100.000 160.167
CO 21.333 42.000 64.667 103.500
CT 17.667 34.000 49.333 76.667
DC 30.667 80.333 136.000 212.333
DE 27.333 47.333 69.500 106.000
FL 9.333 25.333 42.000 82.667
GA 6.000 20.000 37.333 72.667
GU 13.333 34.000 60.667 116.000
HI 34.667 53.333 81.333 114.667
IA 7.333 20.667 51.333 109.167
ID 19.667 40.000 59.333 89.333
IL 27.333 62.000 112.167 203.333
IN 11.333 26.000 42.667 77.333
KS 24.000 42.667 65.333 116.667
KY 6.667 17.333 31.333 78.833
LA 16.000 35.333 55.333 112.000
MA 18.000 42.000 65.333 120.750
MD 28.667 53.333 84.000 136.667
ME 16.000 34.667 50.667 75.333
MI 27.333 52.000 87.333 147.833
MN 11.333 28.667 50.667 86.000
MO 23.333 51.333 82.667 152.000
MS 8.667 20.000 32.667 58.333
MT 22.000 40.667 56.667 123.000
NC 6.667 24.000 51.500 113.333
ND 11.333 22.000 34.000 63.333
NE 15.333 26.667 40.667 64.667
NH 6.000 13.333 23.333 38.500
NJ 11.333 24.000 38.667 70.000
NM 53.333 101.333 142.667 230.500
NV 24.000 42.000 64.667 102.000
NY 10.000 19.333 30.000 48.000
OH 15.333 40.000 64.667 109.417
OK 14.667 36.000 56.000 90.000
OR 30.000 58.667 86.000 138.833
PA 7.333 29.333 57.333 112.667
PR 32.000 66.667 124.000 174.333
RI 18.000 55.333 96.000 159.333
SC 8.667 22.667 42.000 67.500
SD 7.333 17.333 34.000 70.417
TN 8.000 18.667 34.833 94.000
TX 20.000 41.000 70.667 142.500
UT 8.000 30.667 46.667 101.333
VA 19.333 38.000 67.333 119.333
VT 2.667 32.000 52.667 136.000
WA 42.667 77.333 112.667 180.667
WI 10.000 26.667 48.500 125.500
WV 38.000 64.000 95.333 153.833
WY 10.000 28.000 46.000 84.667

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