How to read Medicare star ratings for nursing homes

What the 1 to 5 stars mean, the three parts behind the overall rating, why size matters, and how to use the stars together with a visit.

What the stars are

Medicare gives every certified nursing home an overall rating from 1 to 5 stars. 5 is much above average and 1 is much below average. Medicare updates the ratings, and each page here shows the date of the data.

Three parts behind the overall rating

The overall rating combines three sub-ratings: health inspections, staffing and quality measures. Each page shows all of them next to the overall rating.

Staffing figures

The staffing table shows nurse staff hours per resident per day, registered nurse hours, weekend hours and how many nursing staff left within a year, next to the California median.

Why size and ownership matter

Large and small homes differ in many ways, and so do for-profit, non-profit and government homes. Compare homes of similar size and read the ownership line on each page.

Use the stars as a starting point

Stars summarize data from the past. They do not replace a visit, a conversation with staff and with other families, or the official record linked on each page.

Find a home

Guides

Nursing home or assisted living: what is the difference

Nursing homes give 24-hour nursing care and are rated by Medicare. Assisted living helps with daily life and is licensed by the state. How they differ and how to check each.

How to choose a care home in California: a short checklist

Six steps for families: decide the kind of care, make a short list, read the official record, call, visit more than once, and check the agreement before signing.