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CMS 4.5–5★

CMS High-Star Home Health Agencies by State

The Medicare-certified home health agencies that CMS rates 4.5 or 5 stars — its highest tier — in every U.S. state. Reported exactly as CMS publishes it.

1,484 rated 4.5–5★ by CMS42 statesCMS data · updated 2026-08-03
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How these lists are built. Each state page lists the agencies meeting one explicit CMS threshold — a quality-of-patient-care star of 4.5 or 5. SeniorCareRating.com does not independently rank or recommend providers.

At a glance

Across the states covered here, CMS rates 1,484 of 7,804 rated home health agencies at 4.5 or 5 stars — its highest tier (about 19%). Choose a state to see its 4.5- and 5-star agencies, services, and ownership. SeniorCareRating.com reports CMS’s ratings and adds no ranking of its own.
Rated 4.5–5★ by CMS
1,484
across covered states
Share of rated agencies
19%
of 7,804 rated
States covered
42
Our own ratings
0
we never rank providers

Choose a state

Each state lists the Medicare-certified home health agencies CMS rates 4.5 or 5 stars.

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Frequently asked questions

How many top CMS-rated home health agencies are there nationally?

CMS rates 1,484 of the 7,804 rated Medicare-certified home health agencies covered here at 4.5 or 5 stars — its highest tier (about 19%). Pick a state below.

Does this site pick or recommend the best agencies?

No. These lists are the agencies CMS itself rates 4.5 or 5 stars. SeniorCareRating.com does not independently rank or recommend providers — it reports CMS's own ratings exactly as published.

Methodology and limits
These pages list the Medicare-certified home health agencies CMS rates 4.5 or 5 stars, by state, from the CMS Home Health Care Agencies dataset. Inclusion is based solely on the CMS star rating; SeniorCareRating.com does not independently rank or recommend providers. See full methodology.
SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.