U.S. Elder Care Statistics
A reference snapshot of the U.S. elder-care landscape, facility capacity, CMS quality ratings, and the cost of care across five settings, compiled from federal data and the CareScout 2025 survey.
At a glance
The U.S. has 14,710 CMS-certified nursing homes reporting 1,570,845 licensed beds, plus 12,251 home health agencies. The facility-weighted average quality rating is 3.0 of 5, and 39% of rated homes earn 4 stars or more.
The United States has 14,710 CMS-certified nursing homes averaging 3.0 of 5 stars, and a semi-private room costs a national median of about $11,029/month.
The United States has 14,710 CMS-certified nursing homes including 10 in U.S. territories outside the 50-state + D.C. cost table reporting 1,570,845 licensed beds on 14,707 homes with bed counts, plus 12,251 Medicare-certified home health agencies. Cost medians cover the 51 jurisdictions in the CareScout state table. The facility-weighted average CMS quality rating is 3.0 of 5 stars among 14,574 rated homes, and 39% of rated homes earn 4 stars or higher. A semi-private nursing-home room runs a national median of $11,029 per month, ranging from $5,627 in Texas to $27,831 in Alaska.
According to the U.S. Centers for Medicare & Medicaid Services, its Nursing Home Compare and Home Health Compare programs covered 14,710 Medicare-certified nursing homes and 12,251 home health agencies in this snapshot (14,700 nursing homes and 12,203 agencies in the 50 states + D.C. cost table; territories add 10 homes and 48 agencies); cost medians are from the CareScout 2025 Cost of Care Survey. See our methodology for source vintage.
Facilities & capacity
Bed and resident totals are sums over homes that report those fields (14,707 of 14,710 report beds; 14,647 report resident census). Homes without a reported value are excluded from the sum, not treated as zero.
National monthly cost by care type
Median U.S. cost across the five care settings. Source: CareScout 2025 Cost of Care Survey.
Costs vary several-fold by state: a semi-private nursing-home room runs a median of $27,831/mo in Alaska versus $5,627/mo in Texas - about a 4.9× spread. See the full 50-state cost ranking.
CMS quality-rating distribution
How the 14,574 rated nursing homes spread across the CMS 1-to-5 overall star scale. Source: CMS Nursing Home Compare.
Ownership mix
About 74% of U.S. nursing homes are for-profit. Source: CMS Nursing Home Compare.
| Ownership type | Facilities | Share |
|---|---|---|
| For profit - Corporation | 4,939 | 34% |
| For profit - Limited Liability company | 4,832 | 33% |
| Non profit - Corporation | 2,305 | 16% |
| For profit - Individual | 669 | 5% |
| For profit - Partnership | 408 | 3% |
| Government - County | 358 | 2% |
Source: Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare & Home Health Compare; CareScout 2025 Cost of Care Survey CMS Five-Star Quality Ratings + CareScout state cost medians · 2025
All figures are compiled directly from the cited federal datasets and the CareScout survey, with no adjustment. See our methodology for source vintage and processing steps. Free to cite with attribution to PlainElderCare.