America's Best Nursing Homes 2024

From June to July 2023, thousands of medical professionals (registered nurses, nursing home managers and administrators, licensed practical nurses / licensed vocational nurses, nursing assistants, therapists and physicians) were invited to an online survey. Participants were asked to recommend the leading nursing homes from their respective state and in one of the other 25 US states included in the survey. For each recommended nursing home in their own state, participants were asked to assess the quality of: Management of the Covid-19 crisis, quality of care, accommodation & service and overall nurse staffing. The quality scale ranged from 1 (“Poor”) to 10 (“Excellent”).

The evaluation of nursing homes was based on a scoring model including five pillars: Performance data score (35%), Reputation score (35%), Covid-19 score (18%), Resident satisfaction score (7%) and Accreditations (5%). The performance data score considered the following three domains: staffing (40%), quality measures (36%) and health inspections (24%). The reputation score was calculated based on recommendations from medical professionals (60%), quality rating (20%) and Covid-19 rating (20%). To calculate the Covid-19 score the total resident confirmed Covid-19 cases (20%), total resident Covid-19 deaths (45%) and vaccination rate of staffing and residents (35%) were used. For the resident satisfaction score National Safety Goals from The Joint Commission (TJC) (60%) and evaluations from Google (40%) were used. The accreditation score incorporated available accreditations on nursing homes provided by TCJ (60%) and CARF (40%).