Only a select group of 43 agencies that earned 5 stars in quality of care July 12 have remained on top all along.
 
Overall, 362 agencies earned 5 stars in quality this quarter.
 
But fewer than 12% of those agencies have maintained a 5-star rating in quality of care during the nine quarters the ratings system has existed.
 
Five states have had multiple agencies achieve that honor: California (11 agencies), Texas (seven), Illinois (six), Florida (five) and North Carolina (two).
 
And just three cities have multiple agencies to achieve the honor: Houston; Burbank, Calif.; and Skokie, Ill. 
 
Related link: View a list of agencies that have achieved 5-star ratings in quality in every quarter since July 2015 at http://bit.ly/2uiwT26.