| Rank | State | FacilitiesNursing Homes |
Residents | SFFs & Candidates |
Total HPRDTotal HPRD |
RN HPRDRN HPRD |
Nurse Aide HPRDNA |
% Contract% Ctr | For ProfitFor-profit |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Alaska | 15 | 656 | — | 5.73 | 1.72 | 3.30 | 12.8% | 30.0% |
| 2 | Oregon | 125 | 7,376 | — | 4.91 | 0.64 | 3.36 | 6.2% | 86.7% |
| 3 | Hawaii | 42 | 3,450 | — | 4.63 | 1.60 | 2.67 | 6.9% | 58.1% |
| 4 | North Dakota | 70 | 4,495 | — | 4.57 | 0.92 | 3.11 | 11.7% | 5.6% |
| 5 | District Of Columbia | 16 | 2,030 | — | 4.43 | 1.27 | 2.51 | 6.7% | 41.2% |
| 6 | California | 1,142 | 101,161 | — | 4.36 | 0.59 | 2.61 | 2.3% | 87.0% |
| 7 | Maine | 78 | 5,089 | — | 4.35 | 1.06 | 2.84 | 9.2% | 71.8% |
| 8 | Vermont | 33 | 2,444 | — | 4.25 | 0.79 | 2.54 | 23.2% | 66.7% |
| 9 | Washington | 187 | 14,327 | — | 4.21 | 0.90 | 2.53 | 3.7% | 79.3% |
| 10 | Minnesota | 335 | 20,284 | — | 4.19 | 1.05 | 2.52 | 5.2% | 30.5% |
| 11 | Wisconsin | 322 | 17,659 | — | 4.19 | 0.95 | 2.57 | 8.8% | 61.0% |
| 12 | Mississippi | 198 | 14,709 | — | 4.09 | 0.60 | 2.40 | 6.2% | 77.7% |
| 13 | Delaware | 42 | 3,847 | — | 4.05 | 0.79 | 2.27 | 5.7% | 72.7% |
| 14 | Arkansas | 218 | 16,892 | — | 4.05 | 0.40 | 2.71 | 2.0% | 90.5% |
| 15 | Nebraska | 175 | 9,690 | — | 4.01 | 0.66 | 2.66 | 7.1% | 39.4% |
| 16 | Kansas | 292 | 14,936 | — | 4.01 | 0.67 | 2.64 | 4.8% | 58.8% |
| 17 | Michigan | 418 | 36,011 | — | 3.95 | 0.70 | 2.31 | 3.3% | 76.5% |
| 18 | Montana | 60 | 3,399 | — | 3.91 | 0.89 | 2.49 | 11.6% | 57.4% |
| 19 | Utah | 97 | 5,911 | — | 3.91 | 1.11 | 2.30 | 2.8% | 71.1% |
| 20 | Idaho | 79 | 4,537 | — | 3.90 | 0.80 | 2.34 | 4.9% | 81.2% |
| 21 | Alabama | 223 | 21,926 | — | 3.88 | 0.63 | 2.46 | 0.9% | 84.4% |
| 22 | Nevada | 64 | 6,166 | — | 3.88 | 0.85 | 2.15 | 2.7% | 86.4% |
| 23 | Arizona | 139 | 12,256 | — | 3.87 | 0.63 | 2.21 | 3.3% | 85.7% |
| 24 | Kentucky | 263 | 21,692 | — | 3.85 | 0.71 | 2.34 | 3.2% | 82.8% |
| 25 | New Hampshire | 72 | 5,929 | — | 3.85 | 0.74 | 2.33 | 13.1% | 61.6% |
| 26 | Iowa | 387 | 20,234 | — | 3.80 | 0.71 | 2.53 | 4.7% | 53.7% |
| 27 | Oklahoma | 270 | 16,573 | — | 3.79 | 0.32 | 2.54 | 2.2% | 89.4% |
| 28 | Massachusetts | 339 | 33,475 | — | 3.79 | 0.61 | 2.22 | 5.0% | 73.6% |
| 29 | Florida | 686 | 74,940 | — | 3.76 | 0.70 | 2.29 | 1.1% | 80.1% |
| 30 | South Dakota | 92 | 4,812 | — | 3.76 | 0.79 | 2.49 | 9.1% | 32.3% |
| 31 | Tennessee | 302 | 25,379 | — | 3.75 | 0.56 | 2.11 | 4.0% | 81.8% |
| 32 | Maryland | 219 | 23,257 | — | 3.73 | 0.74 | 2.06 | 8.0% | 82.4% |
| 33 | Pennsylvania | 644 | 67,659 | — | 3.69 | 0.65 | 2.13 | 11.3% | 63.1% |
| 34 | New Jersey | 347 | 42,500 | — | 3.68 | 0.59 | 2.19 | 11.6% | 82.5% |
| 35 | Rhode Island | 71 | 6,889 | — | 3.67 | 0.69 | 2.45 | 5.4% | 84.7% |
| 36 | Connecticut | 190 | 19,698 | — | 3.66 | 0.61 | 2.20 | 6.0% | 80.1% |
| 37 | North Carolina | 408 | 35,901 | — | 3.65 | 0.53 | 2.26 | 8.0% | 83.5% |
| 38 | Louisiana | 256 | 23,567 | — | 3.64 | 0.26 | 2.25 | 3.6% | 81.5% |
| 39 | Ohio | 917 | 67,570 | — | 3.64 | 0.60 | 2.08 | 4.6% | 85.1% |
| 40 | Indiana | 506 | 36,762 | — | 3.63 | 0.62 | 2.23 | 3.4% | 56.4% |
| 41 | South Carolina | 186 | 17,182 | — | 3.62 | 0.53 | 2.10 | 7.2% | 78.6% |
| 42 | Wyoming | 35 | 1,983 | — | 3.61 | 0.86 | 2.27 | 7.5% | 47.2% |
| 43 | Colorado | 208 | 15,668 | — | 3.59 | 0.76 | 2.14 | 5.9% | 83.3% |
| 44 | Virginia | 287 | 28,576 | — | 3.58 | 0.56 | 2.02 | 5.7% | 76.8% |
| 45 | West Virginia | 122 | 9,644 | — | 3.56 | 0.67 | 2.00 | 3.9% | 81.3% |
| 46 | New York | 590 | 98,717 | — | 3.55 | 0.68 | 2.16 | 9.8% | 69.8% |
| 47 | New Mexico | 68 | 5,771 | — | 3.52 | 0.60 | 2.20 | 14.2% | 85.3% |
| 48 | Georgia | 349 | 31,544 | — | 3.50 | 0.46 | 2.11 | 3.3% | 69.7% |
| 49 | Missouri | 476 | 34,951 | — | 3.34 | 0.40 | 2.27 | 3.9% | 79.7% |
| 50 | Texas | 1,163 | 88,185 | — | 3.33 | 0.40 | 2.00 | 2.2% | 70.1% |
| 51 | Illinois | 656 | 62,809 | — | 3.26 | 0.65 | 1.97 | 5.4% | 80.9% |
PBJ staffing period: Q1 2026 SFF list effective date: September 2026
CMS's Special Focus Facility (SFF) program flags nursing homes with a history of serious, persistent quality problems. The current posting lists 87 facilities designated SFF and 440 SFF Candidates nationwide. SFF status is updated on CMS's own posting schedule and is not tied to the PBJ staffing quarter shown above — a facility's SFF status and its staffing figures can each be current while referencing different reporting periods.
View a state's SFF and Candidate facilities from its state page (state table above), or see how PBJ320 uses CMS quality flags.