America’s Best Nursing Homes 2025 highlights the nation’s top nursing homes out of 14,858 analyzed. The evaluation is based on the following four pillars: performance data, peer recommendations, accreditations, and resident satisfaction. Nursing homes in the 25 states with the highest number of facilities, according to the Centers for Medicare & Medicaid Services (CMS, 2024) were considered in the study.

 

The overall rating is the weighted average of the performance data score 52%, the reputation score 33%, the accreditation score 10% and the resident satisfaction score 5%. The best 1050 nursing homes are awarded with a rank in their own state, resulting in 20 individual lists for nursing homes with 50-99 beds, and 25 individual lists for nursing homes with 100-149 beds, and for nursing homes with at least 150 beds.

 

A mention in the ranking is a positive recognition based on peer recommendations and publicly available data sources at the time. The ranking is the result of an elaborate process which, due to the interval of data collection and analysis, is a reflection of the last 12 months only.