Find honest nursing home grades

45.8% of U.S. nursing homes that report RN staffing staff below the level the 2024 federal rule would have required. Independent grades based on CMS data — no facility payments, no conflicts.

The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why

Data from CMS Nursing Home Compare. See release dates.

Why this site exists A Place for Mom earns up to $3,500 per family they refer to a facility — paid by the facility. Their incentive is placement, not quality. We do not take payments from nursing facilities, and outside referral relationships never change our grades. Read more →