Home health agencies provide skilled nursing care, occupational, speech, or physical therapy, and various medical social services to older adults and other vulnerable populations in their private environment. In addition, they often operate coordinated post-discharge services for patients leaving hospitals.i
To provide patients with a comprehensive resource for informed decision-making, Statista and Newsweek have partnered for the first time to award America’s Best Home Health Agencies, recognizing 300 top providers across the U.S. Facilities in the 25 states with the highest number of home health agencies, according to the Centers for Medicare & Medicaid Services (CMS), were included in the survey and were ranked by state.
To create the ranking, a score was calculated for each home health agency included in the analysis.
The list is based on four data sources:
- Quality metrics data: 45% of the total score
- National online survey: 35% of the total score
- Patient experience data: 15% of the total score
- Accreditations: 5% of the total score
Quality metrics data
For each home health agency, quality metrics published by CMS were evaluated. Quality metrics were divided into two sub-groups.
Outcome measures (60% of total quality metrics score)
- Treating symptoms (30% of sub-group score)
- Preventing unplanned hospital care (30% of sub-group score)
- Preventing harm (20% of sub-group score)
- Managing daily activities (20% of sub-group score)
Process measures (40% of quality metrics score)
- Preventing harm (75% of sub-group score)
- Immunization (25% of sub-group score)
Each metric was allocated a weight, and the weighted subgroups were aggregated to produce the overall quality metrics score.
National online survey
The national online survey consisted of two parts:
- Healthcare professionals’ recommendations for home health agencies
- Quality assessment of home health agencies
a) Healthcare professionals’ recommendations
From July to August 2025, Statista conducted a nationwide online survey among healthcare professionals (e.g., nurses, physical/occupational therapists, medical doctors) and managers/administrators working in home health agencies. The survey was available on newsweek.com.
Participants were asked to recommend notable home health agencies in their state and had the option to recommend agencies in another state. Recommendations for their own employer were not allowed.
Recommendations were weighted based on the order in which they were given, with the first recommendation receiving the highest weight. Additionally, the professional experience of the participant was considered.
b) Quality assessment
For each recommendation, participants rated the recommended agency in five dimensions on a scale from 1 (“poor”) to 10 (“excellent”):
- Quality of care (30% of score)
(e.g., effectiveness of treatment plans, evidence-based care)
- Staffing (17.5% of score)
(e.g., qualifications & experience)
- Organization and accessibility (17.5% of score)
(e.g., timely visits, appointment scheduling)
- Patient counseling (17.5% of score)
(e.g., communication of staff, patient education)
- Continuity of care (17.5% of score)
(e.g., consistency of staff visits, follow-through)
A quality score was assigned to each agency based on the weighted average of these ratings.
Patient experience data
Publicly available data from patient surveys by the Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) were used to analyze patient experience.
The following survey topics associated with patient care were used:
- How often the home health team gave care in a professional way
- How well the home health team communicated with patients
- How well the home health team discussed medicines, pain, and home safety with patients
- How patients rate the overall care from the home health agency
- Whether patients would recommend the home health agency to friends and family
These data were aggregated per home health agency to form the patient experience score.
Accreditations
To highlight agency quality and recognized expertise in home health care, three accreditations were considered in the analysis, reflecting national structural and quality standards.
a) Accreditation Commission for Health Care (ACHC)
Home Health Accreditation
b) Community Health Accreditation Partner (CHAP)
Home Health Accreditation
c) The Joint Commission (TJC)
Home Care Accreditation
Each accreditation was allocated equal weight within the scoring model.
Download the full methodology here.
iXiao R, Miller JA, Zafirau WJ, Gorodeski EZ, Young JB. Impact of Home Health Care on Health Care Resource Utilization Following Hospital Discharge: A Cohort Study. Am J Med. 2018 Apr;131(4):395-407.e35. doi: 10.1016/j.amjmed.2017.11.010. Epub 2017 Dec 2. PMID: 29180024.
Disclaimer
The rankings are comprised exclusively of home health agencies that are eligible regarding the scope described in this document. A mention in the ranking is a positive recognition based on peer recommendations and publicly available data sources at the time. The ranking is the result of an elaborate process which, due to the interval of data collection and analysis, reflects the last calendar year only. Furthermore, events preceding or following the period 09/04/2024–09/03/2025 and/or pertaining to individual persons affiliated/associated with the facilities were not included in the metrics. As such, the results of this ranking should not be used as the sole source of information for future deliberations.
The information provided in this ranking should be considered in conjunction with other available information about home health agencies or, if possible, accompanied by a visit to a facility. The quality of agencies that are not included in the rankings is not disputed.
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