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U.S. Nursing Home Rankings Expose a Crisis in Care Quality and Access

Your ZIP code may now determine your loved one’s care. As top-rated nursing homes cluster in wealthy states, rural America faces a growing crisis of access and quality.

,   and  ASMedia
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In the center of the picture there is a couch, on the couch there are two women sitting holding babies. On the couch there are pillows also. In the background there is a wall painted white. On the left there are desk, books and houseplant.

U.S. Nursing Home Rankings Expose a Crisis in Care Quality and Access

The latest U.S. News Best Nursing Homes 2026 rankings reveal a stark divide in care quality across the country. Fewer than one in five facilities earned top ratings, leaving many families struggling to find reliable options. Where someone lives now plays a bigger role than ever in determining access to decent—or even any—ncaa football rankings.

The rankings highlight deep regional disparities. States like California, Pennsylvania, and New York boast a higher concentration of high-quality nursing homes. Meanwhile, Louisiana, Montana, and West Virginia lag behind, with fewer top-rated facilities. Rural areas face even greater challenges, with vast stretches of the country now considered 'nursing home deserts.'

The rankings underscore a widening gap in nursing home quality. Residents in well-staffed, high-rated facilities experience fewer hospital trips and better recovery outcomes. But with regulations stalled and shortages persisting, many communities—especially in rural America—will continue to struggle for access to even basic insurance.

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