State Rankings

Does your state make the grade? Hospitals across the country show a lot of variation when it comes to patient safety.

States are ranked based on the number of “A” hospitals they have compared to the total number of graded hospitals on the fall 2021 Leapfrog Hospital Safety Grade. Click here for a printable version.

Fall 2021 Ranking	State	% A Hospitals	Spring 2021 Ranking	% A Hospitals Spring 2021
1	Virginia	56.2%	4	50.0%
2	North Carolina	55.1%	5	47.0%
3	Idaho	53.9%	2	58.3%
4	Massachusetts	51.7%	1	58.6%
5	Colorado	48.8%	7	46.5%
6	Utah	48.2%	8	45.8%
7	Hawaii	46.2%	20	33.3%
8	Pennsylvania	45.9%	9	44.8%
9	New Jersey	42.9%	14	38.2%
10	Michigan	42.7%	10	44.3%
11	Maine	41.2%	3	56.3%
11	Oregon	41.2%	6	46.9%
13	Florida	36.4%	11	42.5%
14	Kansas	36.4%	13	38.7%
15	Tennessee	35.1%	15	36.4%
16	Texas	34.7%	12	40.3%
17	Ohio	33.6%	27	30.4%
18	Missouri	33.3%	32	25.4%
18	Rhode Island	33.3%	20	33.3%
20	California	33.0%	18	34.3%
21	Washington	32.7%	24	31.9%
22	Mississippi	31.8%	28	29.7%
23	New Hampshire	30.8%	42	15.4%
24	Arkansas	29.7%	47	10.3%
25	South Carolina	29.4%	19	34.0%
26	Illinois	28.5%	17	34.8%
27	Connecticut	27.6%	29	28.6%
28	Louisiana	27.4%	26	30.9%
29	Minnesota	26.1%	42	15.4%
30	Kentucky	25.4%	33	24.0%
31	Oklahoma	24.4%	35	21.4%
32	Indiana	24.3%	35	21.4%
33	Arizona	23.9%	23	32.6%
34	Wisconsin	23.1%	34	23.4%
35	Maryland	21.4%	16	34.9%
36	Nevada	21.1%	36	21.1%
37	Montana	20.0%	38	20.0%
38	Georgia	19.5%	25	31.6%
39	Alabama	19.4%	37	20.4%
40	Alaska	16.7%	38	20.0%
40	Nebraska	16.7%	45	11.1%
40	Vermont	16.7%	20	33.3%
43	Iowa	14.7%	49	6.5%
44	New Mexico	13.6%	44	14.3%
45	Wyoming	12.5%	29	28.6%
46	South Dakota	10.0%	50	0.0%
47	New York	8.0%	46	10.7%
48	West Virginia	4.6%	48	9.5%
49	Washington, D.C.	0.0%	41	16.7%
49	Delaware	0.0%	29	28.6%
49	North Dakota	0.0%	50	0.0%