Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.
Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.
What We Prioritize Most
The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:
- Overall, staffing, and inspection ratings
- Long-stay and short-stay quality measures
- Nurse-to-resident and staff-to-resident ratios
- Health deficiencies and regulatory history
- Accreditations and positive local news reporting
These factors directly reflect resident safety, care quality, and compliance.
Operational Stability & Resident Support
Another 35% of the score comes from operational and stability signals, such as:
- Nurse hours per patient per day
- Occupancy levels and cleanliness citations
- Administrative stability and ownership quality
- Readmission rates and registered-nurse turnover
Balancing Additional Factors
The remaining 20% of the score includes contextual elements such as:
- Year built or renovated
- Penalties, fines, and preventable readmissions
- Revenue per bed
- Administrator tenure
These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.