{
  "metadata": {
    "study_slug": "home-health-quality-by-state-2026",
    "source": "CMS Care Compare — Home Health Care Agencies",
    "source_dataset_slug": "6jpm-sxkc",
    "source_homepage": "https://data.cms.gov/provider-data/dataset/6jpm-sxkc",
    "source_bulk_url": "https://data.cms.gov/provider-data/sites/default/files/resources/f9a309e9463cdf0a7d7828f8d8d0e653_1775505949/HH_Provider_Apr2026.csv",
    "source_modified": "2026-03-05",
    "snapshot_fetched": "2026-05-03",
    "license": "U.S. government public-domain works (https://www.usa.gov/government-works)",
    "attribution_text": "Source: CMS Care Compare · Last checked 2026-05-03. CMS ratings are published by CMS and reflect the measure definitions in the source dataset.",
    "agency_count_total": 12392,
    "rated_agency_count_total": 7961,
    "states_covered": 55
  },
  "state_data": [
    {
      "state": "AK",
      "agency_count": 14,
      "rated_agency_count": 12,
      "mean_quality_of_patient_care_star": 2.79,
      "share_4_or_5_stars_pct": 16.7,
      "share_1_or_2_stars_pct": 25,
      "share_proprietary_pct": 50,
      "share_non_profit_pct": 28.6,
      "share_government_pct": 21.4
    },
    {
      "state": "AL",
      "agency_count": 116,
      "rated_agency_count": 114,
      "mean_quality_of_patient_care_star": 3.86,
      "share_4_or_5_stars_pct": 63.2,
      "share_1_or_2_stars_pct": 4.4,
      "share_proprietary_pct": 89.7,
      "share_non_profit_pct": 5.2,
      "share_government_pct": 4.3
    },
    {
      "state": "AR",
      "agency_count": 92,
      "rated_agency_count": 87,
      "mean_quality_of_patient_care_star": 3.37,
      "share_4_or_5_stars_pct": 35.6,
      "share_1_or_2_stars_pct": 8,
      "share_proprietary_pct": 80.4,
      "share_non_profit_pct": 17.4,
      "share_government_pct": 2.2
    },
    {
      "state": "AZ",
      "agency_count": 177,
      "rated_agency_count": 126,
      "mean_quality_of_patient_care_star": 3.35,
      "share_4_or_5_stars_pct": 38.9,
      "share_1_or_2_stars_pct": 13.5,
      "share_proprietary_pct": 76.3,
      "share_non_profit_pct": 6.2,
      "share_government_pct": 1.1
    },
    {
      "state": "CA",
      "agency_count": 3147,
      "rated_agency_count": 1947,
      "mean_quality_of_patient_care_star": 3.16,
      "share_4_or_5_stars_pct": 31.5,
      "share_1_or_2_stars_pct": 22.3,
      "share_proprietary_pct": 56.1,
      "share_non_profit_pct": 3.2,
      "share_government_pct": 0.2
    },
    {
      "state": "CO",
      "agency_count": 222,
      "rated_agency_count": 111,
      "mean_quality_of_patient_care_star": 2.95,
      "share_4_or_5_stars_pct": 30.6,
      "share_1_or_2_stars_pct": 32.4,
      "share_proprietary_pct": 86,
      "share_non_profit_pct": 3.2,
      "share_government_pct": 3.2
    },
    {
      "state": "CT",
      "agency_count": 72,
      "rated_agency_count": 60,
      "mean_quality_of_patient_care_star": 2.99,
      "share_4_or_5_stars_pct": 21.7,
      "share_1_or_2_stars_pct": 23.3,
      "share_proprietary_pct": 73.6,
      "share_non_profit_pct": 23.6,
      "share_government_pct": 1.4
    },
    {
      "state": "DC",
      "agency_count": 35,
      "rated_agency_count": 11,
      "mean_quality_of_patient_care_star": 3.41,
      "share_4_or_5_stars_pct": 36.4,
      "share_1_or_2_stars_pct": 18.2,
      "share_proprietary_pct": 77.1,
      "share_non_profit_pct": 11.4,
      "share_government_pct": 0
    },
    {
      "state": "DE",
      "agency_count": 22,
      "rated_agency_count": 11,
      "mean_quality_of_patient_care_star": 3.86,
      "share_4_or_5_stars_pct": 63.6,
      "share_1_or_2_stars_pct": 0,
      "share_proprietary_pct": 68.2,
      "share_non_profit_pct": 22.7,
      "share_government_pct": 0
    },
    {
      "state": "FL",
      "agency_count": 1134,
      "rated_agency_count": 734,
      "mean_quality_of_patient_care_star": 3.51,
      "share_4_or_5_stars_pct": 44.4,
      "share_1_or_2_stars_pct": 12,
      "share_proprietary_pct": 71.9,
      "share_non_profit_pct": 5.5,
      "share_government_pct": 0.2
    },
    {
      "state": "GA",
      "agency_count": 104,
      "rated_agency_count": 98,
      "mean_quality_of_patient_care_star": 3.52,
      "share_4_or_5_stars_pct": 44.9,
      "share_1_or_2_stars_pct": 5.1,
      "share_proprietary_pct": 81.7,
      "share_non_profit_pct": 13.5,
      "share_government_pct": 1.9
    },
    {
      "state": "GU",
      "agency_count": 3,
      "rated_agency_count": 3,
      "mean_quality_of_patient_care_star": 2.5,
      "share_4_or_5_stars_pct": 0,
      "share_1_or_2_stars_pct": 33.3,
      "share_proprietary_pct": 66.7,
      "share_non_profit_pct": 33.3,
      "share_government_pct": 0
    },
    {
      "state": "HI",
      "agency_count": 18,
      "rated_agency_count": 13,
      "mean_quality_of_patient_care_star": 2.92,
      "share_4_or_5_stars_pct": 15.4,
      "share_1_or_2_stars_pct": 15.4,
      "share_proprietary_pct": 27.8,
      "share_non_profit_pct": 44.4,
      "share_government_pct": 0
    },
    {
      "state": "IA",
      "agency_count": 128,
      "rated_agency_count": 93,
      "mean_quality_of_patient_care_star": 3.05,
      "share_4_or_5_stars_pct": 23.7,
      "share_1_or_2_stars_pct": 25.8,
      "share_proprietary_pct": 43,
      "share_non_profit_pct": 28.9,
      "share_government_pct": 25.8
    },
    {
      "state": "ID",
      "agency_count": 50,
      "rated_agency_count": 46,
      "mean_quality_of_patient_care_star": 3.32,
      "share_4_or_5_stars_pct": 28.3,
      "share_1_or_2_stars_pct": 10.9,
      "share_proprietary_pct": 76,
      "share_non_profit_pct": 14,
      "share_government_pct": 2
    },
    {
      "state": "IL",
      "agency_count": 526,
      "rated_agency_count": 420,
      "mean_quality_of_patient_care_star": 3.07,
      "share_4_or_5_stars_pct": 30.2,
      "share_1_or_2_stars_pct": 27.4,
      "share_proprietary_pct": 85.7,
      "share_non_profit_pct": 4.9,
      "share_government_pct": 3.2
    },
    {
      "state": "IN",
      "agency_count": 171,
      "rated_agency_count": 125,
      "mean_quality_of_patient_care_star": 3.09,
      "share_4_or_5_stars_pct": 28.8,
      "share_1_or_2_stars_pct": 27.2,
      "share_proprietary_pct": 85.4,
      "share_non_profit_pct": 8.2,
      "share_government_pct": 2.3
    },
    {
      "state": "KS",
      "agency_count": 109,
      "rated_agency_count": 85,
      "mean_quality_of_patient_care_star": 3.28,
      "share_4_or_5_stars_pct": 29.4,
      "share_1_or_2_stars_pct": 16.5,
      "share_proprietary_pct": 63.3,
      "share_non_profit_pct": 17.4,
      "share_government_pct": 11.9
    },
    {
      "state": "KY",
      "agency_count": 88,
      "rated_agency_count": 84,
      "mean_quality_of_patient_care_star": 3.5,
      "share_4_or_5_stars_pct": 40.5,
      "share_1_or_2_stars_pct": 7.1,
      "share_proprietary_pct": 62.5,
      "share_non_profit_pct": 29.5,
      "share_government_pct": 6.8
    },
    {
      "state": "LA",
      "agency_count": 176,
      "rated_agency_count": 159,
      "mean_quality_of_patient_care_star": 3.7,
      "share_4_or_5_stars_pct": 56.6,
      "share_1_or_2_stars_pct": 8.2,
      "share_proprietary_pct": 94.3,
      "share_non_profit_pct": 1.1,
      "share_government_pct": 4
    },
    {
      "state": "MA",
      "agency_count": 287,
      "rated_agency_count": 122,
      "mean_quality_of_patient_care_star": 2.96,
      "share_4_or_5_stars_pct": 23,
      "share_1_or_2_stars_pct": 24.6,
      "share_proprietary_pct": 83.6,
      "share_non_profit_pct": 11.1,
      "share_government_pct": 0.7
    },
    {
      "state": "MD",
      "agency_count": 51,
      "rated_agency_count": 47,
      "mean_quality_of_patient_care_star": 3.87,
      "share_4_or_5_stars_pct": 57.4,
      "share_1_or_2_stars_pct": 0,
      "share_proprietary_pct": 70.6,
      "share_non_profit_pct": 25.5,
      "share_government_pct": 3.9
    },
    {
      "state": "ME",
      "agency_count": 19,
      "rated_agency_count": 19,
      "mean_quality_of_patient_care_star": 3.47,
      "share_4_or_5_stars_pct": 42.1,
      "share_1_or_2_stars_pct": 5.3,
      "share_proprietary_pct": 36.8,
      "share_non_profit_pct": 52.6,
      "share_government_pct": 0
    },
    {
      "state": "MI",
      "agency_count": 376,
      "rated_agency_count": 266,
      "mean_quality_of_patient_care_star": 3.33,
      "share_4_or_5_stars_pct": 32.7,
      "share_1_or_2_stars_pct": 11.3,
      "share_proprietary_pct": 85.1,
      "share_non_profit_pct": 9.3,
      "share_government_pct": 0.5
    },
    {
      "state": "MN",
      "agency_count": 141,
      "rated_agency_count": 91,
      "mean_quality_of_patient_care_star": 3.09,
      "share_4_or_5_stars_pct": 26.4,
      "share_1_or_2_stars_pct": 19.8,
      "share_proprietary_pct": 49.6,
      "share_non_profit_pct": 35.5,
      "share_government_pct": 8.5
    },
    {
      "state": "MO",
      "agency_count": 122,
      "rated_agency_count": 109,
      "mean_quality_of_patient_care_star": 3.4,
      "share_4_or_5_stars_pct": 43.1,
      "share_1_or_2_stars_pct": 11.9,
      "share_proprietary_pct": 59.8,
      "share_non_profit_pct": 26.2,
      "share_government_pct": 8.2
    },
    {
      "state": "MP",
      "agency_count": 3,
      "rated_agency_count": 2,
      "mean_quality_of_patient_care_star": 1.75,
      "share_4_or_5_stars_pct": 0,
      "share_1_or_2_stars_pct": 100,
      "share_proprietary_pct": 100,
      "share_non_profit_pct": 0,
      "share_government_pct": 0
    },
    {
      "state": "MS",
      "agency_count": 42,
      "rated_agency_count": 42,
      "mean_quality_of_patient_care_star": 3.71,
      "share_4_or_5_stars_pct": 57.1,
      "share_1_or_2_stars_pct": 4.8,
      "share_proprietary_pct": 81,
      "share_non_profit_pct": 2.4,
      "share_government_pct": 16.7
    },
    {
      "state": "MT",
      "agency_count": 21,
      "rated_agency_count": 19,
      "mean_quality_of_patient_care_star": 2.71,
      "share_4_or_5_stars_pct": 21.1,
      "share_1_or_2_stars_pct": 36.8,
      "share_proprietary_pct": 61.9,
      "share_non_profit_pct": 23.8,
      "share_government_pct": 4.8
    },
    {
      "state": "NC",
      "agency_count": 165,
      "rated_agency_count": 150,
      "mean_quality_of_patient_care_star": 3.63,
      "share_4_or_5_stars_pct": 42,
      "share_1_or_2_stars_pct": 2,
      "share_proprietary_pct": 55.2,
      "share_non_profit_pct": 31.5,
      "share_government_pct": 11.5
    },
    {
      "state": "ND",
      "agency_count": 20,
      "rated_agency_count": 13,
      "mean_quality_of_patient_care_star": 3.12,
      "share_4_or_5_stars_pct": 7.7,
      "share_1_or_2_stars_pct": 0,
      "share_proprietary_pct": 20,
      "share_non_profit_pct": 60,
      "share_government_pct": 10
    },
    {
      "state": "NE",
      "agency_count": 62,
      "rated_agency_count": 47,
      "mean_quality_of_patient_care_star": 3.31,
      "share_4_or_5_stars_pct": 36.2,
      "share_1_or_2_stars_pct": 14.9,
      "share_proprietary_pct": 64.5,
      "share_non_profit_pct": 16.1,
      "share_government_pct": 12.9
    },
    {
      "state": "NH",
      "agency_count": 27,
      "rated_agency_count": 22,
      "mean_quality_of_patient_care_star": 3.27,
      "share_4_or_5_stars_pct": 22.7,
      "share_1_or_2_stars_pct": 9.1,
      "share_proprietary_pct": 66.7,
      "share_non_profit_pct": 29.6,
      "share_government_pct": 0
    },
    {
      "state": "NJ",
      "agency_count": 38,
      "rated_agency_count": 38,
      "mean_quality_of_patient_care_star": 3.75,
      "share_4_or_5_stars_pct": 55.3,
      "share_1_or_2_stars_pct": 0,
      "share_proprietary_pct": 52.6,
      "share_non_profit_pct": 47.4,
      "share_government_pct": 0
    },
    {
      "state": "NM",
      "agency_count": 70,
      "rated_agency_count": 62,
      "mean_quality_of_patient_care_star": 3.23,
      "share_4_or_5_stars_pct": 35.5,
      "share_1_or_2_stars_pct": 19.4,
      "share_proprietary_pct": 77.1,
      "share_non_profit_pct": 14.3,
      "share_government_pct": 1.4
    },
    {
      "state": "NV",
      "agency_count": 218,
      "rated_agency_count": 149,
      "mean_quality_of_patient_care_star": 2.83,
      "share_4_or_5_stars_pct": 27.5,
      "share_1_or_2_stars_pct": 38.3,
      "share_proprietary_pct": 63.8,
      "share_non_profit_pct": 1.4,
      "share_government_pct": 0.9
    },
    {
      "state": "NY",
      "agency_count": 101,
      "rated_agency_count": 89,
      "mean_quality_of_patient_care_star": 3.64,
      "share_4_or_5_stars_pct": 43.8,
      "share_1_or_2_stars_pct": 6.7,
      "share_proprietary_pct": 41.6,
      "share_non_profit_pct": 45.5,
      "share_government_pct": 11.9
    },
    {
      "state": "OH",
      "agency_count": 841,
      "rated_agency_count": 248,
      "mean_quality_of_patient_care_star": 3.11,
      "share_4_or_5_stars_pct": 24.2,
      "share_1_or_2_stars_pct": 20.6,
      "share_proprietary_pct": 83.1,
      "share_non_profit_pct": 9.5,
      "share_government_pct": 1.1
    },
    {
      "state": "OK",
      "agency_count": 215,
      "rated_agency_count": 173,
      "mean_quality_of_patient_care_star": 3.09,
      "share_4_or_5_stars_pct": 27.2,
      "share_1_or_2_stars_pct": 22.5,
      "share_proprietary_pct": 89.8,
      "share_non_profit_pct": 7.9,
      "share_government_pct": 0.9
    },
    {
      "state": "OR",
      "agency_count": 51,
      "rated_agency_count": 46,
      "mean_quality_of_patient_care_star": 3.2,
      "share_4_or_5_stars_pct": 34.8,
      "share_1_or_2_stars_pct": 17.4,
      "share_proprietary_pct": 56.9,
      "share_non_profit_pct": 33.3,
      "share_government_pct": 0
    },
    {
      "state": "PA",
      "agency_count": 416,
      "rated_agency_count": 188,
      "mean_quality_of_patient_care_star": 3.37,
      "share_4_or_5_stars_pct": 33,
      "share_1_or_2_stars_pct": 9,
      "share_proprietary_pct": 71.2,
      "share_non_profit_pct": 16.6,
      "share_government_pct": 0.5
    },
    {
      "state": "PR",
      "agency_count": 39,
      "rated_agency_count": 34,
      "mean_quality_of_patient_care_star": 3.43,
      "share_4_or_5_stars_pct": 32.4,
      "share_1_or_2_stars_pct": 14.7,
      "share_proprietary_pct": 79.5,
      "share_non_profit_pct": 17.9,
      "share_government_pct": 0
    },
    {
      "state": "RI",
      "agency_count": 23,
      "rated_agency_count": 18,
      "mean_quality_of_patient_care_star": 3.25,
      "share_4_or_5_stars_pct": 33.3,
      "share_1_or_2_stars_pct": 11.1,
      "share_proprietary_pct": 73.9,
      "share_non_profit_pct": 21.7,
      "share_government_pct": 4.3
    },
    {
      "state": "SC",
      "agency_count": 68,
      "rated_agency_count": 64,
      "mean_quality_of_patient_care_star": 3.9,
      "share_4_or_5_stars_pct": 62.5,
      "share_1_or_2_stars_pct": 0,
      "share_proprietary_pct": 79.4,
      "share_non_profit_pct": 13.2,
      "share_government_pct": 2.9
    },
    {
      "state": "SD",
      "agency_count": 23,
      "rated_agency_count": 20,
      "mean_quality_of_patient_care_star": 3.78,
      "share_4_or_5_stars_pct": 60,
      "share_1_or_2_stars_pct": 5,
      "share_proprietary_pct": 47.8,
      "share_non_profit_pct": 43.5,
      "share_government_pct": 4.3
    },
    {
      "state": "TN",
      "agency_count": 129,
      "rated_agency_count": 112,
      "mean_quality_of_patient_care_star": 3.79,
      "share_4_or_5_stars_pct": 56.3,
      "share_1_or_2_stars_pct": 5.4,
      "share_proprietary_pct": 84.5,
      "share_non_profit_pct": 10.9,
      "share_government_pct": 2.3
    },
    {
      "state": "TX",
      "agency_count": 1850,
      "rated_agency_count": 978,
      "mean_quality_of_patient_care_star": 2.94,
      "share_4_or_5_stars_pct": 30.5,
      "share_1_or_2_stars_pct": 33.7,
      "share_proprietary_pct": 93.6,
      "share_non_profit_pct": 1.1,
      "share_government_pct": 1.3
    },
    {
      "state": "UT",
      "agency_count": 83,
      "rated_agency_count": 66,
      "mean_quality_of_patient_care_star": 3.67,
      "share_4_or_5_stars_pct": 50,
      "share_1_or_2_stars_pct": 6.1,
      "share_proprietary_pct": 89.2,
      "share_non_profit_pct": 4.8,
      "share_government_pct": 2.4
    },
    {
      "state": "VA",
      "agency_count": 240,
      "rated_agency_count": 182,
      "mean_quality_of_patient_care_star": 3.27,
      "share_4_or_5_stars_pct": 30.2,
      "share_1_or_2_stars_pct": 12.1,
      "share_proprietary_pct": 70.8,
      "share_non_profit_pct": 14.2,
      "share_government_pct": 0.4
    },
    {
      "state": "VI",
      "agency_count": 3,
      "rated_agency_count": 2,
      "mean_quality_of_patient_care_star": 3,
      "share_4_or_5_stars_pct": 50,
      "share_1_or_2_stars_pct": 50,
      "share_proprietary_pct": 66.7,
      "share_non_profit_pct": 0,
      "share_government_pct": 0
    },
    {
      "state": "VT",
      "agency_count": 9,
      "rated_agency_count": 9,
      "mean_quality_of_patient_care_star": 3.11,
      "share_4_or_5_stars_pct": 0,
      "share_1_or_2_stars_pct": 0,
      "share_proprietary_pct": 0,
      "share_non_profit_pct": 100,
      "share_government_pct": 0
    },
    {
      "state": "WA",
      "agency_count": 71,
      "rated_agency_count": 63,
      "mean_quality_of_patient_care_star": 3.64,
      "share_4_or_5_stars_pct": 47.6,
      "share_1_or_2_stars_pct": 6.3,
      "share_proprietary_pct": 64.8,
      "share_non_profit_pct": 23.9,
      "share_government_pct": 4.2
    },
    {
      "state": "WI",
      "agency_count": 88,
      "rated_agency_count": 65,
      "mean_quality_of_patient_care_star": 3.38,
      "share_4_or_5_stars_pct": 38.5,
      "share_1_or_2_stars_pct": 18.5,
      "share_proprietary_pct": 63.6,
      "share_non_profit_pct": 25,
      "share_government_pct": 3.4
    },
    {
      "state": "WV",
      "agency_count": 46,
      "rated_agency_count": 45,
      "mean_quality_of_patient_care_star": 3.52,
      "share_4_or_5_stars_pct": 44.4,
      "share_1_or_2_stars_pct": 8.9,
      "share_proprietary_pct": 82.6,
      "share_non_profit_pct": 15.2,
      "share_government_pct": 0
    },
    {
      "state": "WY",
      "agency_count": 30,
      "rated_agency_count": 22,
      "mean_quality_of_patient_care_star": 3.02,
      "share_4_or_5_stars_pct": 18.2,
      "share_1_or_2_stars_pct": 22.7,
      "share_proprietary_pct": 56.7,
      "share_non_profit_pct": 10,
      "share_government_pct": 23.3
    }
  ]
}