State Rankings

The Top 10—The highest ranked nursing home states that scored an overall superior grade include: Rhode Island (1), New Hampshire (2), Maine (3), Vermont (4), Delaware (5), Florida (6), Hawaii (7), Arizona (8), Utah (9), and North Dakota (10).

The Bottom of the Barrel—The lowest ranked nursing home states that scored an overall failing grade include: Texas (51), Louisiana (50), Oklahoma (49), Michigan (48), Missouri (47), Iowa (46), New York (45), Illinois (44), Georgia (43), Indiana (42), and New Mexico (41).

Biggest Improvement — These states saw the most positive improvement: Nevada (+17), District of Columbia (+16), California (+16), Arkansas (+14) and Arizona (+13).

Biggest Decline – These states saw the largest drop in overall ranking: South Dakota (-19), Alaska (-15), Oregon (-12), Georgia (-11) and West Virginia (-9).

Overall State Grades

State2014 Grade2014 Rank2013 Rank2013 Grade
AlabamaC23 31D
AlaskaB16 1A
ArizonaA8 21C
ArkansasC25 39D
CaliforniaB12 28C
ColoradoC22 16B
ConnecticutD37 36D
DelawareA5 14B
District of ColumbiaB13 29C
FloridaA6 11B
GeorgiaF43 32D
HawaiiA7 4A
IdahoB15 8A
IllinoisF44 42F
IndianaF42 49F
IowaF46 41F
KansasD31 24C
KentuckyC30 40D
LouisianaF50 50F
MaineA3 6A
MarylandD33 34D
MassachusettsB11 19B
MichiganF48 44F
MinnesotaB19 18B
MississippiD40 35D
MissouriF47 47F
MontanaB20 20B
NebraskaC21 13B
NevadaC26 43F
New HampshireA2 3A
New JerseyB18 15B
New MexicoF41 46F
New YorkF45 45F
North CarolinaD35 37D
North DakotaA10 10A
OhioD34 30C
OklahomaF49 48F
OregonB17 5A
PennsylvaniaD32 26C
Rhode IslandA1 2A
South CarolinaB14 17B
South DakotaC28 9A
TennesseeD38 38D
TexasF51 51F
UtahA9 7A
VermontA4 12B
VirginiaD39 33D
WashingtonC27 22C
West VirginiaD36 27C
WisconsinC24 25C
WyomingC29 23C