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Choosing a nursing home3 min readPublished on 18/07/2026

How to choose a nursing home: CMS star ratings and what they miss

How to read Medicare’s Five-Star ratings, health inspections and staffing data — and the questions ratings never answer.

Why this article matters

Built to reduce uncertainty for families who need to understand costs, urgency, waiting lists and real options.

Medicare’s Care Compare gives every certified nursing home a rating from one to five stars, built from three parts: health inspections, staffing and quality measures. It’s the best free starting filter — but it isn’t the whole story.

Read the three components, not just the overall star

A facility can have a strong overall rating but weak staffing, or great quality measures and a poor recent inspection. Nurse-staffing hours per resident are one of the most reliable signals of day-to-day care.

What the stars don’t capture

Culture, turnover, how call lights are answered on a Sunday night, and whether the staff know each resident by name. Visit in person, ideally unannounced, and at a busy time like late morning or dinner.

A short comparison checklist

Overall and staffing stars; the last health-inspection report; distance from family; whether they accept Medicaid; the level of care offered (skilled nursing, memory care, rehab); and current bed availability.

Ready-to-send message

Hello,

we’re comparing nursing homes for a parent and would like to visit.

Could we schedule a tour, and could you share your current staffing ratios and most recent inspection results?

Do you have beds available now, and do you accept Medicaid?

Thank you,
[Name]
[Phone]

Want a clear shortlist before you start calling?

If you don't know which nursing homes to contact first, Curalune Care Help can prepare an ordered shortlist of 3 to 5 suitable options — with contacts, useful links and a ready-to-send message you can put to all of them at once.

The service helps you organise the search. $89, one-off. If you don't receive at least 3 homes matching the area and criteria you gave us, we refund you in full. It does not replace the home's own assessment and does not guarantee admission, price or bed availability.

Important limit

Curalune offers practical help with the search and orientation. Admission, pricing, bed availability and the final assessment always rest with the nursing homes and the competent authorities (your state Medicaid agency, the state survey agency and Medicare).

Curalune Help

Choose how much you want to handle

Receive the shortlist and contact the homes yourself, or ask Curalune to handle contacts and follow-ups too.

Curalune Help
You contact

Not sure which facility to start with?

An operator compares the facilities that match your case — area, budget, level of care — and hands you a shortlist of 3–5 verified names with the right contact details.

The guarantee covers the search and does not guarantee availability, admission or public funding.

$89 one-offNo subscription
Curalune Care Help Complete
We contact

Would you rather leave it all to us?

With Curalune Care Help Complete we select the compatible nursing homes and then do the most tiring round ourselves — we contact them, follow up with those who do not reply and keep you posted on the responses, through to the written summary. We handle three cases at a time.

$399 one-offContacts and follow-ups includedNo subscription

Care homes in the area

Three care homes to review yourself

Suggested by location, not by care needs. Confirm suitability and current availability directly with each care home.

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