Where CMS Reports the Least: Home-Health Data by State
Whether CMS reports a quality star for a home health agency depends heavily on where the agency is. This report measures that gap state by state — because for home health, how much of the public record exists is itself the first quality signal a family encounters.
What the state-level data shows
- Agencies analyzed
- 12,392
- Medicare-certified
- With a CMS star, nationally
- 64.2%
- 7,961 agencies
- Highest state coverage
- 100%
- Mississippi
- Lowest state coverage
- 29.5%
- Ohio
Where CMS reports the most
States where the largest share of agencies carry a CMS quality star.
Highest star coverage, by state
The share of each state's Medicare-certified agencies that carry a CMS quality-of-patient-care star.
CMS-reported data · updated 2026-08-03 · site-calculated context, not a CMS rating
Methodology
Where CMS reports the least
States where the smallest share of agencies carry a CMS quality star.
Lowest star coverage, by state
The states where a family is most likely to encounter agencies CMS cannot rate.
Low coverage concentrates where agencies are small or new — it describes the public record, not the care delivered.
CMS-reported data · updated 2026-08-03 · site-calculated context, not a CMS rating
Methodology
Why coverage varies this much
The mechanics behind the gap, from CMS's own reporting rules.
CMS only publishes a star when an agency has enough Medicare patient episodes in the reporting window to compute one reliably. States with many small, new, or rapidly multiplying agencies therefore show low coverage — the certification grew faster than the reporting history. The practical consequence for a family: in a low-coverage state, the first filter worth applying is not the star value but whether CMS reports anything at all. Our search workspace exposes that directly ("only show agencies with CMS quality data"), and each state page — for example Ohio — now states plainly how many of its agencies CMS reports on.
Limits of this analysis
What the public data can and cannot tell you.
These figures describe a dated CMS snapshot, not live conditions, and coverage shares describe the public record — not the quality of care delivered in any state. Nothing here recommends any agency or state. Confirm the current record on Medicare’s Care Compare. See Methodology and Data updates.