{
  "metadata": {
    "study_slug": "nursing-home-quality-by-state-2026",
    "source": "CMS Care Compare — Nursing Home Provider Information",
    "source_dataset_slug": "4pq5-n9py",
    "source_homepage": "https://data.cms.gov/provider-data/dataset/4pq5-n9py",
    "source_bulk_url": "https://data.cms.gov/provider-data/sites/default/files/resources/48b0263f73f1f8741101da989557a8a9_1776435355/NH_ProviderInfo_Apr2026.csv",
    "source_modified": "2026-04-01",
    "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.",
    "facility_count_total": 14699,
    "rated_facility_count_total": 14572,
    "states_covered": 53
  },
  "state_data": [
    {
      "state": "AK",
      "facility_count": 20,
      "rated_facility_count": 20,
      "mean_overall_rating": 3.15,
      "share_4_or_5_stars_pct": 40,
      "share_1_or_2_stars_pct": 40,
      "mean_health_inspection_rating": 2.75,
      "mean_staffing_rating": 3.88,
      "mean_quality_measures_rating": 3.95,
      "share_for_profit_pct": 30,
      "share_non_profit_pct": 40,
      "share_government_pct": 30,
      "special_focus_facilities": 0
    },
    {
      "state": "AL",
      "facility_count": 224,
      "rated_facility_count": 223,
      "mean_overall_rating": 3.05,
      "share_4_or_5_stars_pct": 39,
      "share_1_or_2_stars_pct": 37.2,
      "mean_health_inspection_rating": 2.83,
      "mean_staffing_rating": 3.59,
      "mean_quality_measures_rating": 3.27,
      "share_for_profit_pct": 84.4,
      "share_non_profit_pct": 12.1,
      "share_government_pct": 3.6,
      "special_focus_facilities": 6
    },
    {
      "state": "AR",
      "facility_count": 221,
      "rated_facility_count": 218,
      "mean_overall_rating": 3.44,
      "share_4_or_5_stars_pct": 53.2,
      "share_1_or_2_stars_pct": 26.1,
      "mean_health_inspection_rating": 3.16,
      "mean_staffing_rating": 3.21,
      "mean_quality_measures_rating": 3.78,
      "share_for_profit_pct": 89.6,
      "share_non_profit_pct": 5.9,
      "share_government_pct": 4.5,
      "special_focus_facilities": 6
    },
    {
      "state": "AZ",
      "facility_count": 140,
      "rated_facility_count": 139,
      "mean_overall_rating": 3.42,
      "share_4_or_5_stars_pct": 51.8,
      "share_1_or_2_stars_pct": 28.1,
      "mean_health_inspection_rating": 2.85,
      "mean_staffing_rating": 2.99,
      "mean_quality_measures_rating": 4.56,
      "share_for_profit_pct": 87.1,
      "share_non_profit_pct": 10,
      "share_government_pct": 2.9,
      "special_focus_facilities": 6
    },
    {
      "state": "CA",
      "facility_count": 1162,
      "rated_facility_count": 1154,
      "mean_overall_rating": 3.18,
      "share_4_or_5_stars_pct": 44.4,
      "share_1_or_2_stars_pct": 34.8,
      "mean_health_inspection_rating": 2.81,
      "mean_staffing_rating": 3.11,
      "mean_quality_measures_rating": 4.18,
      "share_for_profit_pct": 87,
      "share_non_profit_pct": 10.4,
      "share_government_pct": 2.6,
      "special_focus_facilities": 36
    },
    {
      "state": "CO",
      "facility_count": 210,
      "rated_facility_count": 208,
      "mean_overall_rating": 3.18,
      "share_4_or_5_stars_pct": 43.8,
      "share_1_or_2_stars_pct": 35.6,
      "mean_health_inspection_rating": 2.73,
      "mean_staffing_rating": 3.17,
      "mean_quality_measures_rating": 4.22,
      "share_for_profit_pct": 83.3,
      "share_non_profit_pct": 10,
      "share_government_pct": 6.7,
      "special_focus_facilities": 6
    },
    {
      "state": "CT",
      "facility_count": 191,
      "rated_facility_count": 190,
      "mean_overall_rating": 3.09,
      "share_4_or_5_stars_pct": 41.1,
      "share_1_or_2_stars_pct": 40,
      "mean_health_inspection_rating": 2.76,
      "mean_staffing_rating": 3.34,
      "mean_quality_measures_rating": 3.71,
      "share_for_profit_pct": 80.1,
      "share_non_profit_pct": 18.8,
      "share_government_pct": 1,
      "special_focus_facilities": 6
    },
    {
      "state": "DC",
      "facility_count": 17,
      "rated_facility_count": 17,
      "mean_overall_rating": 3.65,
      "share_4_or_5_stars_pct": 58.8,
      "share_1_or_2_stars_pct": 17.6,
      "mean_health_inspection_rating": 2.88,
      "mean_staffing_rating": 4.18,
      "mean_quality_measures_rating": 4.56,
      "share_for_profit_pct": 41.2,
      "share_non_profit_pct": 58.8,
      "share_government_pct": 0,
      "special_focus_facilities": 0
    },
    {
      "state": "DE",
      "facility_count": 44,
      "rated_facility_count": 43,
      "mean_overall_rating": 3.33,
      "share_4_or_5_stars_pct": 46.5,
      "share_1_or_2_stars_pct": 30.2,
      "mean_health_inspection_rating": 2.81,
      "mean_staffing_rating": 3.86,
      "mean_quality_measures_rating": 4.19,
      "share_for_profit_pct": 72.7,
      "share_non_profit_pct": 22.7,
      "share_government_pct": 4.5,
      "special_focus_facilities": 6
    },
    {
      "state": "FL",
      "facility_count": 694,
      "rated_facility_count": 690,
      "mean_overall_rating": 3.27,
      "share_4_or_5_stars_pct": 47.7,
      "share_1_or_2_stars_pct": 34.1,
      "mean_health_inspection_rating": 2.84,
      "mean_staffing_rating": 3.32,
      "mean_quality_measures_rating": 4.22,
      "share_for_profit_pct": 79,
      "share_non_profit_pct": 18.9,
      "share_government_pct": 2.2,
      "special_focus_facilities": 18
    },
    {
      "state": "GA",
      "facility_count": 356,
      "rated_facility_count": 353,
      "mean_overall_rating": 2.68,
      "share_4_or_5_stars_pct": 31.2,
      "share_1_or_2_stars_pct": 49,
      "mean_health_inspection_rating": 2.85,
      "mean_staffing_rating": 2.28,
      "mean_quality_measures_rating": 2.96,
      "share_for_profit_pct": 69.1,
      "share_non_profit_pct": 26.4,
      "share_government_pct": 4.5,
      "special_focus_facilities": 12
    },
    {
      "state": "GU",
      "facility_count": 1,
      "rated_facility_count": 1,
      "mean_overall_rating": 2,
      "share_4_or_5_stars_pct": 0,
      "share_1_or_2_stars_pct": 100,
      "mean_health_inspection_rating": 1,
      "mean_staffing_rating": 5,
      "mean_quality_measures_rating": null,
      "share_for_profit_pct": 0,
      "share_non_profit_pct": 0,
      "share_government_pct": 100,
      "special_focus_facilities": 0
    },
    {
      "state": "HI",
      "facility_count": 42,
      "rated_facility_count": 41,
      "mean_overall_rating": 3.68,
      "share_4_or_5_stars_pct": 53.7,
      "share_1_or_2_stars_pct": 17.1,
      "mean_health_inspection_rating": 2.95,
      "mean_staffing_rating": 4.3,
      "mean_quality_measures_rating": 4.46,
      "share_for_profit_pct": 59.5,
      "share_non_profit_pct": 23.8,
      "share_government_pct": 16.7,
      "special_focus_facilities": 6
    },
    {
      "state": "IA",
      "facility_count": 390,
      "rated_facility_count": 387,
      "mean_overall_rating": 3.14,
      "share_4_or_5_stars_pct": 46,
      "share_1_or_2_stars_pct": 37,
      "mean_health_inspection_rating": 2.86,
      "mean_staffing_rating": 3.6,
      "mean_quality_measures_rating": 3.44,
      "share_for_profit_pct": 54.4,
      "share_non_profit_pct": 42.8,
      "share_government_pct": 2.8,
      "special_focus_facilities": 12
    },
    {
      "state": "ID",
      "facility_count": 80,
      "rated_facility_count": 79,
      "mean_overall_rating": 3.16,
      "share_4_or_5_stars_pct": 45.6,
      "share_1_or_2_stars_pct": 34.2,
      "mean_health_inspection_rating": 2.71,
      "mean_staffing_rating": 2.99,
      "mean_quality_measures_rating": 4.22,
      "share_for_profit_pct": 82.5,
      "share_non_profit_pct": 5,
      "share_government_pct": 12.5,
      "special_focus_facilities": 6
    },
    {
      "state": "IL",
      "facility_count": 667,
      "rated_facility_count": 663,
      "mean_overall_rating": 2.56,
      "share_4_or_5_stars_pct": 29.7,
      "share_1_or_2_stars_pct": 54.1,
      "mean_health_inspection_rating": 2.75,
      "mean_staffing_rating": 2.12,
      "mean_quality_measures_rating": 3.01,
      "share_for_profit_pct": 81.6,
      "share_non_profit_pct": 15.9,
      "share_government_pct": 2.5,
      "special_focus_facilities": 24
    },
    {
      "state": "IN",
      "facility_count": 507,
      "rated_facility_count": 505,
      "mean_overall_rating": 3.15,
      "share_4_or_5_stars_pct": 44.8,
      "share_1_or_2_stars_pct": 35.6,
      "mean_health_inspection_rating": 2.84,
      "mean_staffing_rating": 2.44,
      "mean_quality_measures_rating": 4.21,
      "share_for_profit_pct": 55.4,
      "share_non_profit_pct": 21.1,
      "share_government_pct": 23.5,
      "special_focus_facilities": 17
    },
    {
      "state": "KS",
      "facility_count": 297,
      "rated_facility_count": 294,
      "mean_overall_rating": 3.01,
      "share_4_or_5_stars_pct": 41.8,
      "share_1_or_2_stars_pct": 41.2,
      "mean_health_inspection_rating": 2.81,
      "mean_staffing_rating": 3.39,
      "mean_quality_measures_rating": 3.29,
      "share_for_profit_pct": 59.3,
      "share_non_profit_pct": 34.3,
      "share_government_pct": 6.4,
      "special_focus_facilities": 12
    },
    {
      "state": "KY",
      "facility_count": 268,
      "rated_facility_count": 265,
      "mean_overall_rating": 2.98,
      "share_4_or_5_stars_pct": 40.8,
      "share_1_or_2_stars_pct": 40.8,
      "mean_health_inspection_rating": 2.95,
      "mean_staffing_rating": 2.75,
      "mean_quality_measures_rating": 3.16,
      "share_for_profit_pct": 81.7,
      "share_non_profit_pct": 16,
      "share_government_pct": 2.2,
      "special_focus_facilities": 6
    },
    {
      "state": "LA",
      "facility_count": 266,
      "rated_facility_count": 264,
      "mean_overall_rating": 2.51,
      "share_4_or_5_stars_pct": 26.5,
      "share_1_or_2_stars_pct": 53.8,
      "mean_health_inspection_rating": 2.88,
      "mean_staffing_rating": 2.35,
      "mean_quality_measures_rating": 2.19,
      "share_for_profit_pct": 80.8,
      "share_non_profit_pct": 15,
      "share_government_pct": 4.1,
      "special_focus_facilities": 6
    },
    {
      "state": "MA",
      "facility_count": 341,
      "rated_facility_count": 338,
      "mean_overall_rating": 3.07,
      "share_4_or_5_stars_pct": 43.8,
      "share_1_or_2_stars_pct": 39.6,
      "mean_health_inspection_rating": 2.96,
      "mean_staffing_rating": 3.05,
      "mean_quality_measures_rating": 3.31,
      "share_for_profit_pct": 72.1,
      "share_non_profit_pct": 26.7,
      "share_government_pct": 1.2,
      "special_focus_facilities": 12
    },
    {
      "state": "MD",
      "facility_count": 221,
      "rated_facility_count": 219,
      "mean_overall_rating": 3.14,
      "share_4_or_5_stars_pct": 43.8,
      "share_1_or_2_stars_pct": 35.2,
      "mean_health_inspection_rating": 2.82,
      "mean_staffing_rating": 3.18,
      "mean_quality_measures_rating": 3.9,
      "share_for_profit_pct": 81.4,
      "share_non_profit_pct": 16.7,
      "share_government_pct": 1.8,
      "special_focus_facilities": 6
    },
    {
      "state": "ME",
      "facility_count": 78,
      "rated_facility_count": 77,
      "mean_overall_rating": 2.92,
      "share_4_or_5_stars_pct": 35.1,
      "share_1_or_2_stars_pct": 45.5,
      "mean_health_inspection_rating": 2.79,
      "mean_staffing_rating": 3.71,
      "mean_quality_measures_rating": 3.01,
      "share_for_profit_pct": 71.8,
      "share_non_profit_pct": 26.9,
      "share_government_pct": 1.3,
      "special_focus_facilities": 6
    },
    {
      "state": "MI",
      "facility_count": 423,
      "rated_facility_count": 420,
      "mean_overall_rating": 3.18,
      "share_4_or_5_stars_pct": 42.6,
      "share_1_or_2_stars_pct": 33.3,
      "mean_health_inspection_rating": 2.8,
      "mean_staffing_rating": 3.51,
      "mean_quality_measures_rating": 3.97,
      "share_for_profit_pct": 77.1,
      "share_non_profit_pct": 13.9,
      "share_government_pct": 9,
      "special_focus_facilities": 12
    },
    {
      "state": "MN",
      "facility_count": 338,
      "rated_facility_count": 336,
      "mean_overall_rating": 3.17,
      "share_4_or_5_stars_pct": 47,
      "share_1_or_2_stars_pct": 35.4,
      "mean_health_inspection_rating": 2.84,
      "mean_staffing_rating": 4.09,
      "mean_quality_measures_rating": 3.22,
      "share_for_profit_pct": 30.8,
      "share_non_profit_pct": 61.5,
      "share_government_pct": 7.7,
      "special_focus_facilities": 12
    },
    {
      "state": "MO",
      "facility_count": 487,
      "rated_facility_count": 481,
      "mean_overall_rating": 2.49,
      "share_4_or_5_stars_pct": 26.4,
      "share_1_or_2_stars_pct": 54.3,
      "mean_health_inspection_rating": 2.81,
      "mean_staffing_rating": 2.1,
      "mean_quality_measures_rating": 2.72,
      "share_for_profit_pct": 79.3,
      "share_non_profit_pct": 16.2,
      "share_government_pct": 4.5,
      "special_focus_facilities": 18
    },
    {
      "state": "MS",
      "facility_count": 202,
      "rated_facility_count": 200,
      "mean_overall_rating": 2.71,
      "share_4_or_5_stars_pct": 31,
      "share_1_or_2_stars_pct": 49.5,
      "mean_health_inspection_rating": 2.8,
      "mean_staffing_rating": 3.64,
      "mean_quality_measures_rating": 2.23,
      "share_for_profit_pct": 77.2,
      "share_non_profit_pct": 10.4,
      "share_government_pct": 12.4,
      "special_focus_facilities": 6
    },
    {
      "state": "MT",
      "facility_count": 61,
      "rated_facility_count": 59,
      "mean_overall_rating": 3.05,
      "share_4_or_5_stars_pct": 42.4,
      "share_1_or_2_stars_pct": 37.3,
      "mean_health_inspection_rating": 2.88,
      "mean_staffing_rating": 3.59,
      "mean_quality_measures_rating": 3.15,
      "share_for_profit_pct": 54.1,
      "share_non_profit_pct": 34.4,
      "share_government_pct": 11.5,
      "special_focus_facilities": 6
    },
    {
      "state": "NC",
      "facility_count": 418,
      "rated_facility_count": 416,
      "mean_overall_rating": 2.94,
      "share_4_or_5_stars_pct": 37.7,
      "share_1_or_2_stars_pct": 41.8,
      "mean_health_inspection_rating": 2.88,
      "mean_staffing_rating": 2.7,
      "mean_quality_measures_rating": 3.27,
      "share_for_profit_pct": 83.5,
      "share_non_profit_pct": 14.4,
      "share_government_pct": 2.2,
      "special_focus_facilities": 12
    },
    {
      "state": "ND",
      "facility_count": 72,
      "rated_facility_count": 71,
      "mean_overall_rating": 3.27,
      "share_4_or_5_stars_pct": 47.9,
      "share_1_or_2_stars_pct": 35.2,
      "mean_health_inspection_rating": 2.92,
      "mean_staffing_rating": 4.08,
      "mean_quality_measures_rating": 2.9,
      "share_for_profit_pct": 5.6,
      "share_non_profit_pct": 90.3,
      "share_government_pct": 4.2,
      "special_focus_facilities": 6
    },
    {
      "state": "NE",
      "facility_count": 179,
      "rated_facility_count": 178,
      "mean_overall_rating": 2.88,
      "share_4_or_5_stars_pct": 36.5,
      "share_1_or_2_stars_pct": 43.8,
      "mean_health_inspection_rating": 2.83,
      "mean_staffing_rating": 3.24,
      "mean_quality_measures_rating": 3.03,
      "share_for_profit_pct": 40.8,
      "share_non_profit_pct": 39.7,
      "share_government_pct": 19.6,
      "special_focus_facilities": 6
    },
    {
      "state": "NH",
      "facility_count": 74,
      "rated_facility_count": 73,
      "mean_overall_rating": 2.95,
      "share_4_or_5_stars_pct": 38.4,
      "share_1_or_2_stars_pct": 45.2,
      "mean_health_inspection_rating": 2.81,
      "mean_staffing_rating": 3.21,
      "mean_quality_measures_rating": 3.21,
      "share_for_profit_pct": 60.8,
      "share_non_profit_pct": 23,
      "share_government_pct": 16.2,
      "special_focus_facilities": 6
    },
    {
      "state": "NJ",
      "facility_count": 348,
      "rated_facility_count": 345,
      "mean_overall_rating": 3.38,
      "share_4_or_5_stars_pct": 51,
      "share_1_or_2_stars_pct": 29.9,
      "mean_health_inspection_rating": 2.79,
      "mean_staffing_rating": 3.09,
      "mean_quality_measures_rating": 4.45,
      "share_for_profit_pct": 82.5,
      "share_non_profit_pct": 15.2,
      "share_government_pct": 2.3,
      "special_focus_facilities": 12
    },
    {
      "state": "NM",
      "facility_count": 68,
      "rated_facility_count": 67,
      "mean_overall_rating": 2.85,
      "share_4_or_5_stars_pct": 40.3,
      "share_1_or_2_stars_pct": 46.3,
      "mean_health_inspection_rating": 2.72,
      "mean_staffing_rating": 2.8,
      "mean_quality_measures_rating": 3.89,
      "share_for_profit_pct": 83.8,
      "share_non_profit_pct": 10.3,
      "share_government_pct": 5.9,
      "special_focus_facilities": 6
    },
    {
      "state": "NV",
      "facility_count": 66,
      "rated_facility_count": 65,
      "mean_overall_rating": 3.26,
      "share_4_or_5_stars_pct": 47.7,
      "share_1_or_2_stars_pct": 32.3,
      "mean_health_inspection_rating": 3.05,
      "mean_staffing_rating": 3.12,
      "mean_quality_measures_rating": 3.88,
      "share_for_profit_pct": 86.4,
      "share_non_profit_pct": 4.5,
      "share_government_pct": 9.1,
      "special_focus_facilities": 6
    },
    {
      "state": "NY",
      "facility_count": 596,
      "rated_facility_count": 593,
      "mean_overall_rating": 3.05,
      "share_4_or_5_stars_pct": 40.6,
      "share_1_or_2_stars_pct": 40.6,
      "mean_health_inspection_rating": 2.77,
      "mean_staffing_rating": 2.76,
      "mean_quality_measures_rating": 3.92,
      "share_for_profit_pct": 69.1,
      "share_non_profit_pct": 26,
      "share_government_pct": 4.9,
      "special_focus_facilities": 18
    },
    {
      "state": "OH",
      "facility_count": 922,
      "rated_facility_count": 912,
      "mean_overall_rating": 3.22,
      "share_4_or_5_stars_pct": 44.3,
      "share_1_or_2_stars_pct": 34,
      "mean_health_inspection_rating": 2.82,
      "mean_staffing_rating": 2.44,
      "mean_quality_measures_rating": 4.48,
      "share_for_profit_pct": 84.5,
      "share_non_profit_pct": 14.1,
      "share_government_pct": 1.4,
      "special_focus_facilities": 30
    },
    {
      "state": "OK",
      "facility_count": 283,
      "rated_facility_count": 281,
      "mean_overall_rating": 2.73,
      "share_4_or_5_stars_pct": 34.5,
      "share_1_or_2_stars_pct": 47,
      "mean_health_inspection_rating": 2.84,
      "mean_staffing_rating": 2.6,
      "mean_quality_measures_rating": 2.89,
      "share_for_profit_pct": 88.7,
      "share_non_profit_pct": 9.2,
      "share_government_pct": 2.1,
      "special_focus_facilities": 12
    },
    {
      "state": "OR",
      "facility_count": 128,
      "rated_facility_count": 127,
      "mean_overall_rating": 3.1,
      "share_4_or_5_stars_pct": 38.6,
      "share_1_or_2_stars_pct": 37.8,
      "mean_health_inspection_rating": 2.8,
      "mean_staffing_rating": 3.94,
      "mean_quality_measures_rating": 3.52,
      "share_for_profit_pct": 85.2,
      "share_non_profit_pct": 11.7,
      "share_government_pct": 3.1,
      "special_focus_facilities": 6
    },
    {
      "state": "PA",
      "facility_count": 657,
      "rated_facility_count": 653,
      "mean_overall_rating": 3.02,
      "share_4_or_5_stars_pct": 38.3,
      "share_1_or_2_stars_pct": 40.9,
      "mean_health_inspection_rating": 2.79,
      "mean_staffing_rating": 3.09,
      "mean_quality_measures_rating": 3.63,
      "share_for_profit_pct": 63,
      "share_non_profit_pct": 33.6,
      "share_government_pct": 3.3,
      "special_focus_facilities": 24
    },
    {
      "state": "PR",
      "facility_count": 9,
      "rated_facility_count": 6,
      "mean_overall_rating": 3.33,
      "share_4_or_5_stars_pct": 50,
      "share_1_or_2_stars_pct": 16.7,
      "mean_health_inspection_rating": 3.33,
      "mean_staffing_rating": 3.5,
      "mean_quality_measures_rating": null,
      "share_for_profit_pct": 66.7,
      "share_non_profit_pct": 33.3,
      "share_government_pct": 0,
      "special_focus_facilities": 0
    },
    {
      "state": "RI",
      "facility_count": 73,
      "rated_facility_count": 72,
      "mean_overall_rating": 2.99,
      "share_4_or_5_stars_pct": 43.1,
      "share_1_or_2_stars_pct": 43.1,
      "mean_health_inspection_rating": 2.89,
      "mean_staffing_rating": 3.22,
      "mean_quality_measures_rating": 3.3,
      "share_for_profit_pct": 84.9,
      "share_non_profit_pct": 15.1,
      "share_government_pct": 0,
      "special_focus_facilities": 6
    },
    {
      "state": "SC",
      "facility_count": 187,
      "rated_facility_count": 186,
      "mean_overall_rating": 3.04,
      "share_4_or_5_stars_pct": 43.5,
      "share_1_or_2_stars_pct": 41.9,
      "mean_health_inspection_rating": 2.92,
      "mean_staffing_rating": 2.95,
      "mean_quality_measures_rating": 3.54,
      "share_for_profit_pct": 79.7,
      "share_non_profit_pct": 13.4,
      "share_government_pct": 7,
      "special_focus_facilities": 6
    },
    {
      "state": "SD",
      "facility_count": 96,
      "rated_facility_count": 94,
      "mean_overall_rating": 2.84,
      "share_4_or_5_stars_pct": 31.9,
      "share_1_or_2_stars_pct": 47.9,
      "mean_health_inspection_rating": 2.77,
      "mean_staffing_rating": 3.49,
      "mean_quality_measures_rating": 2.9,
      "share_for_profit_pct": 31.3,
      "share_non_profit_pct": 63.5,
      "share_government_pct": 5.2,
      "special_focus_facilities": 6
    },
    {
      "state": "TN",
      "facility_count": 303,
      "rated_facility_count": 298,
      "mean_overall_rating": 2.97,
      "share_4_or_5_stars_pct": 38.6,
      "share_1_or_2_stars_pct": 39.6,
      "mean_health_inspection_rating": 2.88,
      "mean_staffing_rating": 2.38,
      "mean_quality_measures_rating": 3.62,
      "share_for_profit_pct": 81.5,
      "share_non_profit_pct": 14.2,
      "share_government_pct": 4.3,
      "special_focus_facilities": 12
    },
    {
      "state": "TX",
      "facility_count": 1176,
      "rated_facility_count": 1165,
      "mean_overall_rating": 2.7,
      "share_4_or_5_stars_pct": 29.5,
      "share_1_or_2_stars_pct": 48.8,
      "mean_health_inspection_rating": 2.79,
      "mean_staffing_rating": 1.84,
      "mean_quality_measures_rating": 3.79,
      "share_for_profit_pct": 70.8,
      "share_non_profit_pct": 9.9,
      "share_government_pct": 19.2,
      "special_focus_facilities": 37
    },
    {
      "state": "UT",
      "facility_count": 97,
      "rated_facility_count": 96,
      "mean_overall_rating": 3.35,
      "share_4_or_5_stars_pct": 49,
      "share_1_or_2_stars_pct": 31.3,
      "mean_health_inspection_rating": 2.81,
      "mean_staffing_rating": 3.03,
      "mean_quality_measures_rating": 4.5,
      "share_for_profit_pct": 70.1,
      "share_non_profit_pct": 7.2,
      "share_government_pct": 22.7,
      "special_focus_facilities": 6
    },
    {
      "state": "VA",
      "facility_count": 289,
      "rated_facility_count": 285,
      "mean_overall_rating": 3.02,
      "share_4_or_5_stars_pct": 41.1,
      "share_1_or_2_stars_pct": 38.2,
      "mean_health_inspection_rating": 2.8,
      "mean_staffing_rating": 2.44,
      "mean_quality_measures_rating": 3.93,
      "share_for_profit_pct": 75.4,
      "share_non_profit_pct": 21.1,
      "share_government_pct": 3.5,
      "special_focus_facilities": 6
    },
    {
      "state": "VT",
      "facility_count": 34,
      "rated_facility_count": 34,
      "mean_overall_rating": 2.82,
      "share_4_or_5_stars_pct": 29.4,
      "share_1_or_2_stars_pct": 41.2,
      "mean_health_inspection_rating": 2.79,
      "mean_staffing_rating": 3.26,
      "mean_quality_measures_rating": 2.85,
      "share_for_profit_pct": 67.6,
      "share_non_profit_pct": 29.4,
      "share_government_pct": 2.9,
      "special_focus_facilities": 5
    },
    {
      "state": "WA",
      "facility_count": 194,
      "rated_facility_count": 193,
      "mean_overall_rating": 3.31,
      "share_4_or_5_stars_pct": 49.2,
      "share_1_or_2_stars_pct": 31.6,
      "mean_health_inspection_rating": 2.85,
      "mean_staffing_rating": 3.43,
      "mean_quality_measures_rating": 4.09,
      "share_for_profit_pct": 79.9,
      "share_non_profit_pct": 14.4,
      "share_government_pct": 5.7,
      "special_focus_facilities": 5
    },
    {
      "state": "WI",
      "facility_count": 323,
      "rated_facility_count": 321,
      "mean_overall_rating": 3.03,
      "share_4_or_5_stars_pct": 42.7,
      "share_1_or_2_stars_pct": 40.8,
      "mean_health_inspection_rating": 2.83,
      "mean_staffing_rating": 3.67,
      "mean_quality_measures_rating": 3.18,
      "share_for_profit_pct": 60.1,
      "share_non_profit_pct": 27.9,
      "share_government_pct": 12.1,
      "special_focus_facilities": 12
    },
    {
      "state": "WV",
      "facility_count": 123,
      "rated_facility_count": 122,
      "mean_overall_rating": 2.93,
      "share_4_or_5_stars_pct": 36.9,
      "share_1_or_2_stars_pct": 39.3,
      "mean_health_inspection_rating": 2.85,
      "mean_staffing_rating": 2.65,
      "mean_quality_measures_rating": 3.51,
      "share_for_profit_pct": 79.7,
      "share_non_profit_pct": 17.1,
      "share_government_pct": 3.3,
      "special_focus_facilities": 6
    },
    {
      "state": "WY",
      "facility_count": 36,
      "rated_facility_count": 35,
      "mean_overall_rating": 2.97,
      "share_4_or_5_stars_pct": 37.1,
      "share_1_or_2_stars_pct": 42.9,
      "mean_health_inspection_rating": 2.83,
      "mean_staffing_rating": 3.38,
      "mean_quality_measures_rating": 3.34,
      "share_for_profit_pct": 47.2,
      "share_non_profit_pct": 16.7,
      "share_government_pct": 36.1,
      "special_focus_facilities": 6
    }
  ]
}