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Home › Research › Care settings

Care settings, state by state

If you are trying to work out what residential care looks like where you live — how many places there are, how well staffed they are, what they charge — start with your state below.

Choosing a care home is not a data problem. These numbers narrow a list; they cannot tell you how a place smells at 4pm on a Tuesday or how the staff speak to residents. Visit unannounced, more than once, and talk to families in the car park. Medicare's own Care Compare tool has the inspection reports behind the star ratings shown here.

How to read the labels: Measured counted, surveyed or written in law. Modelled estimate produced by a statistical model — an estimate, not a count. Basis not stated the source did not say which.

135 of the 1920 records behind this page are model estimates, not measurements. They are produced by statistical models — projections, small-area estimates such as CDC PLACES, Global Burden of Disease figures, pooled meta-analyses, or cost models. A model estimate can be the best number available and still be wrong for any particular person, county or year.

Each one carries a Modelled estimate label where it appears.

Compare states

51 states · 1657 state records in total

One row per state. Blank cells mean the figure was not in the source file for that state — not that the value is zero.

Care capacity, staffing, quality and price by state. Click a state name to see every record we have for it.
State Certified nursing homes
2026 		Certified nursing home beds
2026 		Nurse staffing hours / resident / day
2026 		Mean overall 5-star rating
2026 		Nursing home, semi-private ($/day)
2025 		Assisted living ($/month)
2025 		Geriatricians per 100k age 65+
2024
Alabama 224 26,504 3.878 3 274 4,425 1.46
Alaska 20 815 6.693 3.45 915 9,882 0.92
Arizona 140 15,984 3.971 3.32 275 6,250 1.55
Arkansas 221 24,167 4.025 3.41 245 4,637 3.38
California 1,165 114,991 4.516 3.16 400 7,000 2.94
Colorado 210 19,757 3.724 3.13 334 6,584 3.89
Connecticut 191 22,535 3.735 2.99 500 9,118 8.54
Delaware 44 4,717 4.345 3.28 476 7,600 2.18
District of Columbia 17 2,485 4.765 3.35 — — 13.19
Florida 694 84,537 3.823 3.27 340 5,610 1.43
Georgia 356 39,494 3.564 2.64 290 5,300 1.48
Hawaii 43 4,248 4.972 3.56 509 12,096 10.31
Idaho 80 6,113 4.044 3.14 345 5,175 0.85
Illinois 666 84,975 3.446 2.55 273 6,219 3.17
Indiana 507 48,825 3.68 3.14 294 5,639 2.47
Iowa 387 25,131 3.815 3.07 305 5,380 0.49
Kansas 296 18,044 4.067 3.11 285 5,975 1.89
Kentucky 267 25,368 3.95 3.01 320 5,528 2.06
Louisiana 265 32,291 3.725 2.52 250 5,162 0.98
Maine 78 5,830 4.338 3.09 460 8,205 5.75
Maryland 221 27,307 3.874 3.13 425 7,172 4.63
Massachusetts 341 40,961 3.862 3.04 475 9,600 6.36
Michigan 422 44,005 3.991 3.12 370 5,818 3.93
Minnesota 338 24,060 4.193 3.15 350 6,572 3.5
Mississippi 202 17,496 4.18 2.76 315 4,369 1.51
Missouri 487 50,043 3.433 2.51 222 5,400 2.99
Montana 61 4,997 4.046 2.88 295 6,075 1.25
Nebraska 180 13,715 3.98 2.75 275 6,350 3.72
Nevada 66 7,235 4.3 3.17 388 6,241 1.91
New Hampshire 73 7,326 3.903 3.08 402 8,025 4.94
New Jersey 348 50,998 3.85 3.31 420 8,710 3.99
New Mexico 68 6,880 3.533 2.85 300 5,950 1.16
New York 593 111,413 3.625 3.03 510 7,110 5.09
North Carolina 419 43,850 3.834 2.93 320 6,496 3.85
North Dakota 72 4,909 4.42 3.2 379 4,729 0.73
Ohio 922 81,083 3.686 3.15 302 6,102 3.17
Oklahoma 283 27,595 3.788 2.67 231 6,150 1.73
Oregon 128 10,602 5.031 3.13 551 6,874 2
Pennsylvania 656 83,059 3.888 2.97 393 6,480 3.75
Rhode Island 72 8,190 3.714 2.89 398 7,780 8.23
South Carolina 187 19,589 3.835 3.01 297 5,350 1.95
South Dakota 96 5,848 3.789 2.88 310 4,900 0.58
Tennessee 303 34,613 3.802 3 310 5,845 1.88
Texas 1,177 133,408 3.385 2.65 185 5,666 2.64
Utah 97 8,379 4.07 3.29 285 5,475 2.08
Vermont 33 2,951 4.22 2.88 464 8,597 3.39
Virginia 289 32,648 3.758 2.95 337 6,945 3.23
Washington 193 18,781 4.369 3.21 432 7,600 3.12
West Virginia 123 10,717 3.661 2.98 422 6,340 1.03
Wisconsin 323 24,758 4.212 2.98 350 6,540 4.36
Wyoming 36 2,938 3.868 2.89 326 5,325 0.86

This table is wider than a phone screen — swipe it sideways to see the rest.

What each column is, and where it comes from

Certified nursing homes
Certified nursing homes — providers, 2026. Measured CMS Care Compare Nursing Home Provider Information (dataset 4pq5-n9py, Aug 2026)
Certified nursing home beds
Certified nursing home beds — beds, 2026. Measured CMS Care Compare Nursing Home Provider Information (dataset 4pq5-n9py, Aug 2026)
Nurse staffing hours / resident / day
Reported total nurse staffing hours per resident per day (facility mean) — hours per resident per day, 2026. Measured CMS Care Compare Nursing Home Provider Information (dataset 4pq5-n9py, Aug 2026)
Mean overall 5-star rating
Mean overall 5-star rating of nursing homes — stars (1-5), 2026. Measured CMS Care Compare Nursing Home Provider Information (dataset 4pq5-n9py, Aug 2026)
Nursing home, semi-private ($/day)
Median daily rate, nursing home semi-private room — USD per day, 2025. Measured CareScout Cost of Care Survey 2025, Ranked Median Costs by State Data Tables
Assisted living ($/month)
Median monthly cost, assisted living community (private one-bedroom) — USD per month, 2025. Measured CareScout Cost of Care Survey 2025, Ranked Median Costs by State Data Tables
Geriatricians per 100k age 65+
Medicare-billing 'Geriatric Medicine' physicians per 100,000 adults 65+ — per 100,000 age 65+, 2024. Measured CMS Medicare Physician & Other Practitioners - by Provider, 2024; Census Bureau Vintage 2024 state population estimates by age

The national picture

263 records

Setting distribution

15 records

Share of people with Alzheimer's dementia living in a nursing home at age 80

Modelled estimate
75 percent
  • Year: 2010

(Arrighi et al. 2010, Alzheimer Dis Assoc Disord 24(1):90-95, F&F ref 478; year given is publication year, underlying cohort data older). Compared with 4% of general population aged 80.

Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures · 2010

Show all 15 records (8 shown so far)

Nursing home residents

18 records

Show all 18 records (8 shown so far)

Assisted living memory care

25 records

Show all 25 records (8 shown so far)

Dementia beds

16 records

Show all 16 records (8 shown so far)

Nursing home staffing

20 records

Show all 20 records (8 shown so far)

Quality ratings

36 records

Show all 36 records (8 shown so far)

Direct care workforce

21 records

Annual turnover rate, nursing assistants in nursing homes

Measured
99 percent
  • Year: 2018

(Gandhi, Yu & Grabowski 2021 Health Affairs 40(3):384-391 from CMS Payroll-Based Journal 2017-2018, F&F ref 830). Year = data period of that study. Gandhi 2021 abstract (PMID 33646872) reports mean 128% / median 94% annual turnover for total nursing staff across 15,645 facilities; the 99% nursing-assistant figure is as cited by F&F 2026 and PHI 2025 from the same paper.

Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures · 2018

Show all 21 records (8 shown so far)

Physician workforce

25 records

Show all 25 records (8 shown so far)

Workforce projection

19 records

Everything in this section is a projection — a model's guess about a future that has not happened. Projections of workforce shortages are especially sensitive to assumptions about immigration, pay and retirement.

Show all 19 records (8 shown so far)

Hospital outcomes

7 records

30-day hospital readmission rate for patients with Alzheimer's or other dementias (statewide collaborative, Michigan)

Measured
21.5 percent
  • Year: 2017
  • US (Michigan statewide collaborative)

(Kamdar et al. 2023 JAMA Netw Open 6(3):e232109, F&F ref 927; year = end of study data period 2012-2017 (Michigan Value Collaborative); published 2023). Versus 14.7% for patients without dementia (6.8 percentage points higher). Verified against Europe PMC abstract PMID 36929401: 21.5% (95% CI 21.2-21.8) vs 14.7% (14.4-15.0), propensity-matched 58,629 episodes per group.

Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures · 2017

30-day hospital readmission rate for patients without dementia (same collaborative)

Measured
14.7 percent
  • Year: 2017
  • US (Michigan statewide collaborative)

Comparator for cs-hosp-001. Verified against Europe PMC abstract PMID 36929401: 21.5% (95% CI 21.2-21.8) vs 14.7% (14.4-15.0), propensity-matched 58,629 episodes per group.

Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures · 2017

Share of nursing-facility discharges of primary care patients with dementia that went to a hospital

Measured
44 percent
  • Year: 2012
  • US (Indiana primary care cohort)

(Callahan et al. 2012 J Am Geriatr Soc 60(5):813-820, F&F ref 958; year = publication). 39% discharged home.

Source: Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures · 2012

Pooled prevalence of delirium superimposed on dementia among hospitalized older adults with dementia

Measured
48.9 percent
  • Year: 2020
  • Multinational (81 studies)

Pooled estimate (random-effects meta-analysis of 81 observational studies, search to Dec 2020; abstract via Europe PMC). Highest in the Americas and orthopedic wards; DSD associated with longer stay, worse cognitive/functional outcomes, higher institutionalization and mortality.

Source: Prevalence, Risk Factors, and Impact of Delirium on Hospitalized Older Adults With Dementia: systematic review and meta-analysis. JAMDA 2022 (PMID 34648761) · 2020

Nursing home closures

61 records

Average bed size of nursing homes that closed

Measured
77 beds
  • Year: 2024

By AHCA Research Department from CMS QCOR certification data (trade-association compilation, not independently verified here); period Feb 2020 to Jul 2024. Closed facilities: 69% urban / 31% rural; 62% of residents on Medicaid; 36% were 4- or 5-star; 31% not-for-profit; average operating margin -19%.

Source: AHCA/NCAL Access to Care Report, August 2024 (analysis of CMS QCOR data, Feb 2020-Jul 2024) · 2024

What to do about it Legal and financial planning → How people actually pay for this, and what to arrange before you need a bed. Related evidence Costs and economics → National cost totals, out-of-pocket spending and who pays for long-term care. For families Stages of Alzheimer's → When residential care usually comes up, and what tends to prompt the decision.

Where these numbers come from

Records behind this page
1920
Distinct sources
34
Years covered
2005–2050
Basis
1785 measured · 135 modelled · 0 not stated
Data collected
2026-09-21
Source files
care_settings.json (1.1 MB, 1920 rows)

Most-cited sources on this page

What could make these numbers misleading

Facility counts, beds and staffing figures are aggregated by this project from CMS Care Compare provider files and are measured. Workforce projections for 2037-2050 are modelled and labelled. Costs are median survey prices for the year shown, not guaranteed rates.

Every figure on this page is read straight out of a file in our data folder; nothing is typed in by hand. You can download the raw data and check any row yourself. This is a summary of published research, not medical advice.