Two-thirds of Connecticut’s 99 licensed home health care agencies provide average or above-average care, while 19 were rated below average, according to new Medicare five-star rating data. Just one agency, McLean Home Care & Hospice in Simsbury, received the highest rating of five stars; three agencies, including the Lighthouse Home Health Care in Old Saybrook, received 4.5 stars; and eight received four stars. Nationally, as in Connecticut, a majority of the agencies fall “in the middle” with a three or 3.5 star rating, the data released in late January show. Of the 12,201 home care agencies rated nationally, only 2,512 received five stars. Patricia Adams, administrator for home care and hospice at McLean Home, said, “Our team is really thrilled” with the five-star rating.