The number of employees working in U.S. skilled nursing facilities (SNF) amounted to 1.47 million in 2024. Roughly a third of these workers were nursing assistants, while a further one in ten were registered nurses (RN).

How many people live in nursing homes? As of 2024, there were around 1.2 million residents in nursing homes across the United States. The states with the highest numbers of residents in certified nursing facilities were, by far, California and New York, with over 99,000 and 98,000 residents, respectively. On the other hand, Alaska had the lowest number of nursing home residents. Occupancy rates and recovery The COVID-19 pandemic significantly impacted nursing home occupancy rates nationwide. Prior to the pandemic, the median occupancy rate for skilled nursing facilities hovered around 80 percent. However, this figure plummeted to 67 percent by 2021. As of July 2024, occupancy rates for certified nursing homes have begun to recover, reaching 77 percent. This gradual increase suggests a slow but steady return to pre-pandemic levels. Quality concerns and financial penalties Despite the crucial role nursing homes play, quality issues persist in some facilities. In 2024, Aspen Point Health and Rehabilitation in Missouri faced 208 substantiated complaints, the highest number nationwide. Financial penalties for serious violations can be severe, as evidenced by the 1.41 million U.S. dollar fine imposed on Siesta Key Health And Rehabilitation Center in Florida over a three-year period. These cases underscore the ongoing challenges in maintaining high standards of care across the industry.

Submitted data as of the week ending 01/05/2025. The Nursing Home COVID-19 Public File includes data reported by nursing homes to the CDC’s National Healthcare Safety Network (NHSN) Long Term Care Facility (LTCF) COVID-19 Module. For resources and ways to explore and visualize the data, please see the links to the left, as well as the buttons at the top of the page. Up to Date with COVID-19 Vaccines On January 1, 2024, the Centers for Disease Control (CDC) changed the way it collects data to calculate the percent of staff who are up to date with their COVID-19 vaccination. It may take facilities some time to adapt to the new methodology. As a result, the reported percent of staff who are up to date with their COVID-19 vaccination should be viewed with caution over the next few weeks. Contact facilities directly for more information on their vaccination levels.

Alaska had the smallest number of nursing homes in the U.S. as of 2014. Alaska had just 18 nursing homes that year. This number is still an increase in the number of nursing homes Alaska has had in previous years. Among all U.S. states Alaska also had the highest cost for a private room in a nursing home in 2018.

Nursing homes overview

Nursing homes are healthcare facilities that offer a higher level of care than could be provided through home care or assisted living. Nursing homes in the U.S. offer a variety of health care services for residents. As of 2015, a majority of U.S. nursing homes offered skilled nursing as part of their health programs. The largest sector of nursing home employment is nursing assistants. Nursing assistants provide a majority of the direct patient care in nursing homes in the U.S.

U.S. nursing home facilities

The number of nursing homes in the U.S. has gradually declined in recent years. Despite declining numbers overall, the number of nursing homes owned by for-profit entities has increased. Given the decline in the number of nursing homes in the U.S. in recent years one may expect the number of nursing home beds to have declined. However, the number of nursing home beds in the U.S. has remained relatively stable.

Nursing Home locations. The dataset contains locations and attributes of Nursing Homes, created as part of the DC Geographic Information System (DC GIS) for the D.C. Office of the Chief Technology Officer (OCTO) and participating D.C. government agencies. Information from DC Health and Medicare identified Nursing Homes locations and DC GIS staff geo-processed the data.

Graph and download economic data for All Employees, Skilled Nursing Care Facilities (CES6562310001) from Jan 1990 to May 2025 about nursing homes, nursing, health, establishment survey, education, services, employment, and USA.

As of July 2024, there were a total of 14,827 certified nursing facilities in the United States. The number of nursing homes slowly decreased during the recorded time period. From 15,648 facilities in 2015, numbers have diminished by more than 800 nursing homes.

Nursing homes in the United States are mostly under for-profit ownership. In 2024, 72 percent of U.S. nursing homes were for-profit, while just 21 percent were non-profit. Over the years, the share of non-profit nursing facilities decreased in the United States.

This dataset supports the New York State Department of Health Nursing Home Profile public website. The dataset includes facility demographic information, inspection results, and complaint summary and state enforcement fine data. Visit the Nursing Home Profile website at: https://profiles.health.ny.gov/nursing_home/

In U.S. nursing homes, most residents were aged between 64 to 84 years old in 2017. Indeed, residents of this age group accounted for 45 percent of nursing home residents. The older age group, 85 and over, represented 39 percent of the nursing home resident occupancy.

The Nursing Home Affiliated Entity Performance Measures dataset provides select quality and performance measures from Care Compare for groups of nursing homes that share common individual or organizational owners, officers, or entities with operational/managerial control. The data include measures such as average health and staffing star ratings, staffing measures, average quality star ratings, select enforcement remedies, claims-based and Minimum Data Set (MDS) measures, average Skilled Nursing Facility Quality Reporting Program (SNF QRP) metrics, and COVID-19 vaccination rates.

The PA_Nursing_Homes layer contains the latitude and longitude coordinates of 689 nursing homes in Pennsylvania. When possible, efforts were made to confirm the rooftop location of each nursing home. The accuracy of geocoding is available in Geocoding Certainty attribute field (Geocoding Certainty: Rooftop="00", Street="01", Zip Centroid="04", Not geocoded="99"). Latitude and longitude are recorded in the WGS 1984 coordinate system in decimal degrees. The attribute data were obtained from an annual nursing home survey and include fields such as Facility ID numbers, longitude, latitude, facility name, street address, etc. Additional fields and data items could be potentially linked to this layer. For more information please visit https://www.statistics.health.pa.gov/HealthStatistics/HealthFacilities/NursingHomeReports/Pages/NursingHomeReports.aspxLast updated: 07/12/2022Contact Us: Pennsylvania Department of HealthDivision of Health InformaticsRA-DHICONTACTUS@pa.gov717-782-2448

This data package contains information about Measures of Rehospitalization, Emergency Visit and Community Discharge for Medicare Beneficiaries. It also includes Nursing Home Compare information on Deficiencies, Fire Safety Deficiencies, MDS Quality Measures, Ownership information, Fines and Payment denial, Provider Information, State Averages and Survey Summary information about nursing homes.

Note: This web page provides data on health facilities only. To file a complaint against a facility, please see: https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/FileAComplaint.aspx

Skilled Nursing Facility (SNF) testing and case data for the COVID-19 response. For details on the SNF COVID-19 data, please visit this site: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/SNFsCOVID_19.aspx

Please note that values of less than eleven (11) are masked (shown as blank) in accordance with de-identification guidelines. This means the cumulative sum in this dataset will not match the totals from the dashboard due to data artifact from small cell size suppression.

Nursing Homes Located in Montgomery County

As of 6/1/2023, this data set is no longer being updated. Connecticut nursing homes are required by the Centers for Medicare and Medicaid Services (CMS) to report on the impact of COVID-19 on their residents and staff through CDC’s National Healthcare Safety Network (NHSN). This reporting is intended to reflect recent COVID-19 activity in nursing homes. Data presented here from NHSN reflect resident and staff COVID-19 cases and COVID-related deaths reported for Connecticut nursing homes for the previous week, Thursday–Wednesday. All nursing homes follow NHSN definitions and instructions when reporting to the NHSN COVID-19 module, ensuring data are reported in a systematic way. These data do not show where the resident or staff got infected. Detailed information about COVID-19 reporting for nursing homes and NHSN can be found here: https://www.cdc.gov/nhsn/ltc/covid19/index.html

The data was created by geocoding a list of facility location addresses derived from the Florida Agency for Health Care Administration (ACHA) list and FPL premise list against a composite address locator. Some addresses were matched on address points, parcel centroids while others were placed according to the street centerline address range. Attributes include classification of critical and noncritical infrastructures, premise number, name and location address. The points representing the location of infrastructure in this data is approximate.

· Source: Florida Agency for Health Care Administration (ACHA), Florida Power and Light (FPL)

· Effective Date: 05/2018

· Last Update: 06/2021

· Update Cycle: Quarterly

Which state has the most nursing homes? As of July 2024, there were a total of 14,827 certified nursing facilities in the United States, 1,184 of which could be found in the state of Texas, the highest number of all states. In second place was California, with 1,164 nursing homes.

The 1985 National Nursing Home Survey was designed to gather a variety of data on all types of nursing homes providing nursing care in the United States. In this collection data are available on nursing and related care facilities, services provided by the facilities, residents of the nursing homes, and discharges. Nursing home care is examined from the perspectives of both the recipients and the providers of services. Information about patients, both current and discharged, includes basic demographic characteristics, marital status, place of residence prior to admission, health status, services received, and, for discharges, the outcomes of care. A family member of both current and discharged patients was contacted by telephone to obtain data on socioeconomic status and prior episodes of health care. Facility-level data include basic characteristics such as size, ownership, Medicare/Medicaid certification, occupancy rate, and days of care provided.

On an annual basis (calendar year), individual LTC facilities report facility-level data on services capacity, utilization, patients, and capital/equipment expenditures.