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 spring 2021 Leapfrog Hospital Safety Grade. Click here for a printable version.

Spring 2021 Ranking	State	% A Hospitals	Fall 2020 Ranking	% A Hospitals Fall 2020
1	Massachusetts	58.6%	4	56.9%
2	Idaho	58.3%	2	58.3%
3	Maine	56.3%	1	62.5%
4	Virginia	50.0%	6	52.9%
5	North Carolina	47.0%	7	51.9%
6	Oregon	46.9%	5	54.8%
7	Colorado	46.5%	9	47.6%
8	Utah	45.8%	11	45.8%
9	Pennsylvania	44.8%	10	47.1%
10	Michigan	44.3%	14	42.7%
11	Florida	42.5%	19	36.3%
12	Texas	40.3%	13	42.7%
13	Kansas	38.7%	27	32.3%
14	New Jersey	38.2%	17	37.3%
15	Tennessee	36.4%	24	33.3%
16	Maryland	34.9%	16	38.1%
17	Illinois	34.8%	23	33.7%
18	California	34.3%	20	35.9%
19	South Carolina	34%	22	34.0%
20	Vermont	33.3%	8	50.0%
20	Hawaii	33.3%	12	28.6%
20	Rhode Island	33.3%	31	28.6%
23	Arizona	32.6%	32	25.5%
24	Washington	31.9%	15	40.4%
25	Georgia	31.6%	26	32.4%
26	Louisiana	30.9%	30	29.1%
27	Ohio	30.4%	18	37.3%
28	Mississippi	29.7%	29	29.7%
29	Delaware	28.6%	3	57.1%
29	Wyoming	28.6%	28	31.8%
29	Connecticut	28.6%	24	33.3%
32	Missouri	25.4%	34	23.7%
33	Kentucky	24.0%	21	35.6%
34	Wisconsin	23.4%	33	24.1%
35	Indiana	21.4%	41	18.6%
36	Nevada	21.1%	38	21.1%
37	Alabama	20.4%	40	19.6%
38	Montana	20.0%	37	22.2%
38	Alaska	20.0%	49	0.0%
40	Oklahoma	17.1%	36	22.2%
41	Washington	16.7%	39	20.0%
42	Minnesota	15.4%	35	23.1%
42	New Hampshire	15.4%	44	15.4%
44	New Mexico	14.3%	42	16.7%
45	Nebraska	11.1%	47	5.9%
46	New York	10.7%	45	9.8%
47	Arkansas	10.3%	46	6.9%
48	West Virginia	9.5%	48	4.6%
49	Iowa	6.5%	43	16.1%
50	South Dakota	0.0%	49	0.0%
50	North Dakota	0.0%	49	0.0%