Just 27 home health agencies have maintained a 5-star rating in quality of care during the 13 quarters the star ratings system has existed. The latest ratings were released July 25.
Four states have had multiple agencies achieve 5-star ratings for all 13 quarters: California (eight agencies), Texas (four), Illinois (three) and Florida (two).
Houston is the only city nationwide that has multiple agencies that achieve the honor. 
Related link: View a list of agencies that have achieved 5-star ratings in quality in every quarter since July 2015 at https://bit.ly/2uQi99H.