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US nursing home statistics

Original summary statistics computed from the CMS Provider Information file for the 14,690 Medicare/Medicaid-certified nursing homes listed in this directory.

National overview

Facilities14,690
States and territories53
Certified beds1,567,452
Median beds per facility100
Average residents per day (median)78
Facilities rated 4 or 5 stars (of rated)40%
Facilities with an abuse flag10%
Facilities with special-focus status4%
Facilities with sprinklers in all required areas0%
Facilities with a resident and family council0%

Staffing and turnover (national medians)

Total nurse staffing hours per resident per day3.68
RN staffing hours per resident per day0.58
Total nurse hours on weekends3.26
Total nursing-staff turnover44.9%
RN turnover42.1%

Ownership

Ownership typeFacilitiesShare
For profit - Limited Liability company5,26536%
For profit - Corporation4,64532%
Non profit - Corporation2,30116%
For profit - Individual6094%
For profit - Partnership3562%
Government - County3392%
Government - Hospital district3212%
Non profit - Other3102%
Non profit - Church related2482%
Government - State1581%
Government - City/county720%
Government - City500%
Government - Federal160%

Chains with the most facilities

ChainFacilities
THE ENSIGN GROUP344
PACS GROUP275
LIFE CARE CENTERS OF AMERICA194
GENESIS HEALTHCARE184
CREATIVE SOLUTIONS IN HEALTHCARE149
TRILOGY HEALTH SERVICES127
SABER HEALTHCARE GROUP126
AVIR HEALTH GROUP118
COMMUNICARE HEALTH110
PRUITTHEALTH96

69% of facilities belong to a multi-facility chain.

States with the most nurse staffing hours (≥20 facilities)

StateAverage
Oregon5.03 hours
Hawaii4.97 hours
California4.52 hours
North Dakota4.42 hours
Washington4.36 hours

States with the fewest nurse staffing hours (≥20 facilities)

StateAverage
Texas3.39 hours
Missouri3.43 hours
Illinois3.45 hours
New Mexico3.54 hours
Georgia3.56 hours

States with the highest average CMS overall rating (≥20 facilities)

StateAverage
Hawaii3.71 / 5
Arkansas3.43 / 5
Alaska3.40 / 5
New Jersey3.34 / 5
Utah3.33 / 5

States with the lowest average CMS overall rating (≥20 facilities)

StateAverage
Missouri2.51 / 5
Illinois2.53 / 5
Louisiana2.55 / 5
Texas2.66 / 5
Georgia2.67 / 5

Averages are computed from the CMS published file and are not risk-adjusted; use them as context, not as facility quality verdicts. Individual facility pages carry the CMS ratings.

Data: CMS Provider Data Catalog, nursing home Provider Information (public domain), reproduced as published. Not medical or legal advice.

Written and maintained by the US Nursing Homes data team · last reviewed 2026-10-24 · sources and methodology.