Private Nursing Homes Market
There are approximately 15,600 nursing homes in the US, of which 92.8% are private (either for-profit or non-profit). The five states with the largest number of nursing homes are Texas, California, Ohio, Illinois, and Pennsylvania.
TOTAL NURSING HOMES IN THE US
- According to a 2019 CDC report, there are approximately 15,600 nursing homes in the US.
- 69.3% of these, or approximately 10,810, are private, for-profit facilities.
- Another 23.5%, or approximately 3,666, are private, non-profit facilities.
- Only 7.2% (1,123) are government-run facilities.
STATES WITH THE MOST NURSING HOMES
According to the Henry J Kaiser Family Foundation, the five states with the most nursing home facilities are:
Note that a separate report from IQVIA published in 2018, which has slightly lower facility counts across most states, shows California in the first position with 1,200 beds and Texas just barely behind with 1,198.
We located a 2019 CDC report on long-term care in the US which provided the total number of nursing homes in the US along with a breakdown of facilities by region and type (profit, non-profit, etc.). While the report does not provide a breakdown of facilities by state, it is otherwise incredibly detailed and it may prove useful to read in more detail.
One important detail to bear in mind is that while this report was released in 2019, it is based on data collected in 2016. We would normally use data from previous years to extrapolate a compound annual growth rate (CAGR) and extrapolate the number for the current year, but there was insufficient information in the report to do so, and based on an almost sine wave-like pattern in the number of residential communities (Appendix 1, Table IV), we judge that further extrapolation would likely give false data. That being the case, we have simply provided the official government numbers as-is.
To find which states have the most nursing homes, we pulled a table from the Henry J Kaiser Family Foundation which provides a count of "nursing facilities" from 2017. The total count comes to 15,483, verifying that though slightly different terminology is being used, both Kaiser and the CDC have nursing care centers in mind. The slightly different total counts may stem from different methodologies and the CDC rounding their total up, though without more information about how either organization collected their data, we cannot pinpoint the exact reason. In any case, the margin of error between the two is so small that it will not affect the determination of which states have the largest number of facilities, so we have provided Kaiser's count above.
As our research into the top nursing home companies continued, we located another report from IQVIA which also provided state-by-state counts of nursing home facilities. This report was published in 2018, but given that the number of facilities is lower for most states, we suspect that it may contain older data. Since this report shows California just barely surpassing Texas, we have noted it in our findings above.