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https://www.eldercarecosts.com/press/data/deficiencies-by-state/

DATA AS OF 2026-06-01

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Data journalism · Deficiencies · ElderCareCosts Research

Nursing Home Deficiency Counts by State

Name: Nursing home deficiency counts by state
Creator: ElderCareCosts Research
License: https://www.eldercarecosts.com/editorial-standards/

Among states with at least 10 scored nursing homes in period 2026-06-01, District of Columbia has the highest average deficiency count at 47.4 per facility.

EDITORIAL STANDARDS

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What the numbers mean

deficiency_count comes from the CMS nursing home quality snapshot for period 2026-06-01.

Averages are not adjusted for facility size, acuity, or survey cycle timing.

Chart

Highest average deficiency counts by state

Average deficiency_count per nursing home (2026-06-01).

Unit: Avg deficiencies

Highest average deficiency counts by state
Label	Avg deficiencies
District of Columbia	47.4
Maryland	38.9
Washington	38.6
California	38.1
New Mexico	37.4
West Virginia	31.7
Illinois	30.5
Connecticut	29.9
Virginia	28.7
Delaware	28.5
Missouri	27.1
Oregon	25.7
Michigan	25.2
Montana	24.8
Pennsylvania	24.6

Data table

Deficiency counts by state (2026-06-01)
State	Facilities	Average	Median	Total
District of Columbia	17	47.4	39.0	806
Maryland	220	38.9	35.0	8,552
Washington	192	38.6	34.5	7,414
California	1,159	38.1	32.0	44,159
New Mexico	68	37.4	35.5	2,540
West Virginia	123	31.7	29.0	3,896
Illinois	667	30.5	26.0	20,362
Connecticut	191	29.9	27.0	5,714
Virginia	286	28.7	22.0	8,219
Delaware	44	28.5	27.0	1,256
Missouri	483	27.1	23.0	13,094
Oregon	128	25.7	24.0	3,295
Michigan	423	25.2	22.0	10,646
Montana	61	24.8	21.0	1,513
Pennsylvania	656	24.6	19.0	16,121
Ohio	916	24.2	20.0	22,126
Maine	78	24.1	24.0	1,882
Hawaii	42	23.8	21.0	1,000
Nevada	66	23.4	21.5	1,542
Wisconsin	323	22.5	16.0	7,257
Texas	1,171	22.4	20.0	26,251
Rhode Island	72	22.3	19.5	1,605
Vermont	33	21.5	18.0	710
Kansas	295	20.9	18.0	6,161
Idaho	80	20.2	18.5	1,618
Louisiana	266	19.8	17.0	5,275
Massachusetts	340	19.3	16.0	6,562
Colorado	209	18.9	17.0	3,945
Alaska	20	18.9	14.0	377
Utah	97	18.3	14.0	1,773
Minnesota	338	18.0	15.0	6,090
New Jersey	348	17.8	16.5	6,178
Indiana	507	17.5	14.0	8,849
Oklahoma	283	16.5	15.0	4,672
Iowa	389	16.0	11.0	6,237
Wyoming	36	15.7	12.0	566
Arizona	140	15.4	13.0	2,158
New York	596	15.3	13.0	9,123
Florida	694	14.9	14.0	10,343
Nebraska	179	14.6	12.0	2,616
Mississippi	201	14.4	12.0	2,892
North Carolina	418	14.1	11.5	5,888
South Dakota	95	13.9	12.0	1,316
Georgia	355	13.0	11.0	4,606
North Dakota	72	12.9	9.5	931
Arkansas	219	12.3	11.0	2,701
Tennessee	300	11.1	10.0	3,331
New Hampshire	73	9.5	9.0	695
South Carolina	187	9.1	8.0	1,702
Kentucky	267	8.2	7.0	2,199
Alabama	224	7.1	6.0	1,580

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Source: CMS Nursing Home Health Deficiencies, 2026-06-01. Live figures on the data journalism hub.

Methodology

Use deficiency_count on the current CMS quality snapshot.

Require at least 10 facilities with a non-null count.

Source: CMS Nursing Home Health Deficiencies · Updated 2026-06-01

Limits

Counts are not adjusted for bed size or resident acuity.

Survey timing differs across facilities.

Sources

CMS Nursing Home Health Deficiencies: Item-level citations and severe (G-L) deficiency counts
CMS Nursing Home Provider Information: Nursing home directory rows, ownership type, and quality snapshot fields
Queryable cut: ElderCareCosts Neon tables providers, organizations, provider_quality, provider_inspections (is_demo = false).

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