Care you can trust, close to home.

How the scores work

Every rating on this site comes from CMS Care Compare — the quality program Medicare runs for the providers it certifies. We do not rate anyone ourselves, and no provider can pay to change a number.

What CMS publishes

• Quality of patient care stars. For home health agencies, CMS combines outcome and process measures — things like improvement in walking, timely start of care, and hospital readmissions — into a one-to-five star rating.
• Patient and family survey stars. The HHCAHPS survey asks former home health patients about communication, care and whether they would recommend the agency. The CAHPS Hospice Survey asks the same kind of questions of family caregivers.
• Nursing home five-star ratings. CMS publishes an overall star rating built from three parts: health inspections, staffing (from payroll records), and quality measures for residents.
• Health inspections. State surveyors visit nursing homes on a cycle and after complaints. Deficiencies, their severity, and any fines or payment denials are part of the public record and are shown on the profile.
• Staffing. Nurse and aide hours per resident per day, reported from payroll data rather than a one-week self-report.

How we combine them

Our trust score puts those published ratings on a single 0–100 scale so providers can be compared side by side, and weighs how recent the underlying survey and inspection data is — a rating built on a current survey cycle counts for more than one resting on older data.

• Home health: quality of patient care star 60%, HHCAHPS patient survey star 40%.
• Hospice: the CAHPS family-caregiver survey star on its own, because CMS does not publish a separate hospice quality star. These scores carry a “Survey only” chip.
• Nursing homes: a blend of the CMS five-star ratings — overall, health inspections, staffing and quality measures — with deductions for fines and penalties.

What a missing score means

CMS suppresses ratings for providers with too few patients, episodes or completed surveys. A missing rating is a data gap, not a bad result. When a score rests on a single input we still show it, but we flag it, so a high number built on one star cannot be mistaken for a full picture.

Source: CMS Care Compare, refreshed weekly from the CMS Provider Data Catalog.

Where the data comes from

Everything on this site is public federal data. We copy it, we do not edit it, and we show you which release you are looking at.

The sources

• CMS Care Compare — Home Health. Quality of patient care measures and stars, plus the HHCAHPS patient survey results and stars.
• CMS Care Compare — Hospice. CAHPS Hospice Survey results and stars, and Hospice Quality Reporting Program measures.
• CMS Care Compare — Nursing homes. Five-star ratings, health inspection results and deficiencies, payroll-based staffing, penalties and ownership.
• CMS Provider of Services file. Certification dates, ownership type, certified beds and contact details.
• GeoNames postal data (CC BY 4.0). ZIP centre points, used only to measure distance to nursing homes.

How often it refreshes

We pull a fresh copy weekly from the CMS Provider Data Catalog. CMS itself updates most home health and hospice files quarterly and nursing home files monthly, so a weekly pull means you see each release soon after it is published — not that the underlying numbers change every week.

What is in the directory today

How matching works

Home health agencies and hospices are matched on the service area each provider reports to CMS, because coverage — not distance — decides who can actually come to the house. Nursing homes are searched by real distance from the centre of the ZIP, because someone has to move in.

Source: CMS Care Compare and the CMS Provider Data Catalog. If a CMS figure looks wrong, it has to be corrected at CMS; the fix flows through on the next refresh.

For providers

Listings are generated from the federal record. Ratings and ranking cannot be bought, and no listing can be removed or reordered by paying us.

• Listing your organization. If you are Medicare-certified and appear in CMS Care Compare, you are already listed. Nothing to sign up for.
• Corrections. Address, phone, ownership and rating details come straight from CMS. Correct them with CMS through your Care Compare provider portal and the change appears here on the next weekly refresh.
• Claiming your profile. Free. Claim your agency to add a description in your own words, photos, a direct contact and the ZIP codes you serve. It changes nothing about your ratings or your position in results.
• Ranking. Order is set by the published ratings and the sort a visitor chooses. Our ranking code does not read the advertising tables, so paying cannot move you up and not paying cannot move you down.
• Advertising. Optional, and a flat monthly fee — see advertising. The care listed here is Medicare-covered, so the Anti-Kickback Statute rules out paying per patient, per lead, per call or per admission, and we do not offer it at any price. Sponsored placements are labeled and shown separately from the ranked results.

Source: CMS Care Compare.

About this directory

Families usually choose home health, hospice or a nursing home in a hurry, often from a hospital room. Most of what turns up in a search is advertising. This directory is the opposite: the federal record, laid out so it can be read.

• Every Medicare-certified home health agency, hospice and nursing home in the country.
• Ratings, surveys, inspections and staffing exactly as CMS publishes them.
• No lead-selling, no referral fees, no cost to families. Any sponsored placement is labeled and kept out of the ranked results.

Assisted living and memory care are not on this list. Medicare does not certify those, so our federal data does not cover them either. Most families also pay for that care themselves, since Medicare rarely covers it. aCaringBed is a separate directory built for exactly that search. aCaringBed is run by Spain Companies, the same company that runs aHealingVisit. That link is to our own sister site, not an outside recommendation, and no money changes hands when you follow it.

Disclaimer

This site provides information from public CMS data and is not medical advice. Always consult a healthcare professional. Availability, staffing and coverage change faster than any published dataset, so confirm the details with the provider and with your hospital discharge planner before deciding.

Medicare's helpline is free and open 24 hours: 1-800-MEDICARE (1-800-633-4227).

Privacy

The short version: there is nothing to sign up for, and we do not keep anything about you.

• No accounts. There is no login, and no profile to create.
• No personal data stored. We do not ask for a name, email or phone number.
• ZIP searches are not retained. A ZIP is used to run the query you asked for and is not kept afterwards.
• No lead-selling. Provider phone numbers go straight to the provider. Calls never route through us, and we never sell or share your information.

Disclaimer

This site provides information from public CMS data and is not medical advice. Always consult a healthcare professional.

Facility data comes from CMS Care Compare, refreshed weekly.