The CMS High Performing Facility icon list: how many nursing homes qualified, state by state
1699 of 14690 Medicare-certified nursing homes, 11.6%, carry the CMS High Performing Facility icon on Care Compare as of CMS's October 2026 list. The states with the highest share, the largest counts, and links to the full state lists.
1699 of the 14690 Medicare-certified nursing homes in the country carry the CMS High Performing Facility icon on Care Compare as of CMS’s October 2026 list. That’s 11.6%, close to the 12% CMS estimated before the first list posted.
States by share of facilities
- Nevada: 15 of 66 (22.7%)
- Minnesota: 67 of 338 (19.8%)
- Iowa: 75 of 387 (19.4%)
- Maine: 15 of 78 (19.2%)
- Washington: 37 of 193 (19.2%)
- Hawaii: 8 of 43 (18.6%)
- Arkansas: 41 of 221 (18.6%)
- North Dakota: 13 of 72 (18.1%)
- Idaho: 14 of 80 (17.5%)
- Oregon: 22 of 128 (17.2%)
States by number of facilities
- California: 159 of 1165 (13.6%)
- Florida: 110 of 694 (15.9%)
- Pennsylvania: 110 of 656 (16.8%)
- Ohio: 87 of 922 (9.4%)
- Iowa: 75 of 387 (19.4%)
- Indiana: 70 of 507 (13.8%)
- Minnesota: 67 of 338 (19.8%)
- Michigan: 65 of 422 (15.4%)
- North Carolina: 60 of 419 (14.3%)
- Massachusetts: 57 of 341 (16.7%)
States with fewer than 20 certified facilities are left out of the rankings.
Full state lists
- New Jersey: 46 of 348 (13.2%)
- New York: 51 of 593 (8.6%)
- Florida: 110 of 694 (15.9%)
- Pennsylvania: 110 of 656 (16.8%)
- California: 159 of 1165 (13.6%)
- Ohio: 87 of 922 (9.4%)
- Illinois: 43 of 666 (6.5%)
- Texas: 56 of 1177 (4.8%)
What the icon means
A trophy on a facility’s Care Compare profile marks a building that qualified for CMS’s Risk-Based Survey by clearing 11 checks last quarter. It stays until the facility stops qualifying. The explainer covers the first 7 days after a building earns it, the 7-surface rollout covers the marketing, and the removal plan covers what to do when it leaves.
About this list
Source: the High Performing Icon column of the CMS Provider Information dataset (NH_ProviderInfo_Sep2026_3.csv) on the Provider Data Catalog, retrieved 2026-10-19. Facility counts from the CMS Provider Information dataset as of 2026-10-19. MOZART&CO. runs recognition campaigns for networks whose buildings made the list. Inquire.
Frequently asked questions
- How many nursing homes have the CMS High Performing Facility icon?
- 1699 of 14690 Medicare-certified nursing homes, 11.6%, as of CMS's October 2026 list. CMS estimated about 12% before the first list posted.
- Which state has the most nursing homes with the icon?
- California, with 159 qualifying facilities out of 1165. By share of facilities, Nevada leads at 22.7%.
- How often does the CMS qualified list change?
- Quarterly. CMS compiles it at the end of each quarter, posts it to the Provider Data Catalog and Care Compare, and removes the icon from any facility that stops qualifying. This page and the state lists update when the list rebuilds.