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WHATA Nursing Home Report Card, which analyzes, compares, rates and ranks the quality of America's nursing homes state by state. The report is managed by Families for Better Care, an advocacy group dedicated to increasing public awareness of the conditions in American nursing homes and other long-term care facilities.
WHYTo empower families and seniors to find quality nursing home care, to recognize quality nursing care when appropriate, and to encourage accountability in nursing homes that do not provide quality care.
WHEREFamilies for Better Care.
Across the USA.

Program Description

"…Families for Better Care publishes this first-ever, state-by-state nursing home report card. The intent of this report is to applaud those states that provide quality resident care while encouraging additional accountability for those that score poorly."

"…as our country enters into an unprecedented long-term care era, we ask that public officials further scrutinize and strengthen their state's nursing home safeguards. Raising the bar will only result in better care for our beloved parents and grandparents."


The Families for Better Care Nursing Home Report Card is put together by information from the Center for Medicare and Medicaid Services’ Nursing Home Compare, the Office of State Long-Term Care Ombudsman complaint data, and the Kaiser Health Foundation.

The Families for Better Care Nursing Home Report Card found that:

The states with the lowest ranked nursing home and an overall failing grade include
: Texas, Louisiana, Indiana, Oklahoma, Missouri, New Mexico, New York, Michigan, Nevada, Illinois and Iowa.

The Top 10 highest ranked nursing homes with an overall superior grade include: Alaska, Rhode Island, New Hampshire, Hawaii, Oregon, Maine, Utah, Idaho, South Dakota, and North Dakota.

Other overall findings in the state-by-state ‘Families for Better Care Nursing Home Report Card’ include:

  • More professional nursing staff are needed - Only seven states provided more than one hour of professional nursing care per resident per day.
  • An abundant lack of staffing - 96 percent of states offered residents fewer than three hours of direct resident care per day.
  • Widespread abuse and neglect - One in five nursing homes abused, neglected or mistreated residents in almost half of all states.

Families for Better Care:

  • Acts as a watchdog of nursing homes and other long-term care facilities
  • Educates the public about senior residents’ rights.
  • Promotes best practices and resident-centered care to nursing facility staff.
  • Advocates for changes in laws and regulations that will improve quality of life and nursing care.
  • Collaborates with other advocacy groups, residents, councils, ombudsmen, and health care providers to support quality nursing home care.
  • Empowers families to advocate through the creation of independent family councils.

Families for Better Care is a non-profit citizen advocacy group dedicated to creating public awareness of the conditions in America’s nursing homes and other long-term care settings and developing effective solutions for improving quality of life and care.

Improving Nursing Care for Elderly
Elder Abuse Prevention


Find out more about Families for Better Care - Nursing Home Report Card

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