How many nursing homes are in the US?
By Louis-Marie Giudicenti. Published . Updated . Data read .
There are 16,880 nursing homes on Google Maps in the US as of November 9, 2026, one for every 20,149 residents. CMS lists 14,686 active Medicare and Medicaid certified nursing homes (October 2026 data). Assisted living facilities, a separate Google category, are counted apart: 33,817.
- 16,880
- nursing homes on Google Maps in the US
- 0.5
- per 10,000 residentsone for every 20,149
- 1,483
- in California, the most of any state
- 1.2
- per 10,000 residents in Iowa, the most of any state
Source: Primavera’s database of Google Maps listings, snapshot 2026-11, read November 9, 2026. Population: Census 2024 estimates. See method.
Our count next to the Census and the official figures
Each source counts something different: Google Maps lists places, the Census counts businesses with or without paid staff, and federations count their members or their own definition. Here they are side by side.
| Source and what it counts | Year | Number |
|---|---|---|
| Primavera, Google Maps listings: nursing homes open on the map, service points left out | 2026 | 16,880 |
| Centers for Medicare & Medicaid Services, Nursing Homes Provider Information: Active Medicare and Medicaid certified nursing homes, 10 in Puerto Rico and Guam included (dataset of October 2026) | 2026 | 14,686 |
| KFF, Total Number of Certified Nursing Facilities: Certified nursing facilities surveyed, from Nursing Home Compare (July 2025) | 2025 | 14,742 |
| U.S. Census Bureau, County Business Patterns 2023: Skilled nursing facilities with paid employees (NAICS 623110) | 2023 | 18,126 |
| AHCA/NCAL, Assisted Living Facts and Figures: Assisted living communities, counted apart from nursing homes (the page gives no date) | Undated | 41,465 |
| U.S. Census Bureau, County Business Patterns 2023: Assisted living facilities for the elderly with paid employees, counted apart (NAICS 623312) | 2023 | 20,884 |
Primavera’s count is 6.9% below the Census count of establishments with paid employees (18,126 in 2023).
Sources: Census national files and federation pages read on November 9, 2026; Primavera, snapshot 2026-11.
Why the numbers differ
- Certified homes. CMS counts nursing homes certified by Medicare or Medicaid. Google Maps also lists homes without certification, and some homes list a rehabilitation wing or a memory care unit separately.
- Names. The category is the one the owner chose: some assisted living residences call themselves nursing homes on Google Maps, and some nursing homes do the reverse.
- Paid staff. County Business Patterns counts 18,126 skilled nursing facilities with paid employees (2023), each establishment once.
- Dates. The CMS data describe October 2026, KFF’s figure July 2025 and the Census 2023; this count, November 9, 2026.
Which state has the most nursing homes?
California, with 1,483 listings, ahead of Texas (1,372). Per resident, Iowa has the most: 1.2 per 10,000 residents, against 0.5 for the US.
Nursing homes per 10,000 residents, by state
Google Maps listings counted November 9, 2026. US: 0.5 per 10,000 residents.
- 0.2–0.4
- 0.5–0.6
- 0.7
- 0.8–1.2
Each square is a state, placed roughly where it is on a map. Darker means more per resident.
| # | State | Nursing homes | Rank by number | Per 10,000 residents | vs US |
|---|---|---|---|---|---|
| 1 | Iowa | 391 | 16 | 1.2 | +0.7 |
| 2 | Kansas | 262 | 24 | 0.9 | +0.4 |
| 3 | Nebraska | 173 | 33 | 0.9 | +0.4 |
| 4 | Missouri | 527 | 9 | 0.8 | +0.3 |
| 5 | South Dakota | 78 | 42 | 0.8 | +0.3 |
| 6 | Arkansas | 257 | 25 | 0.8 | +0.3 |
| 7 | Ohio | 960 | 3 | 0.8 | +0.3 |
| 8 | Rhode Island | 86 | 41 | 0.8 | +0.3 |
| 9 | West Virginia | 136 | 35 | 0.8 | +0.3 |
| 10 | North Dakota | 58 | 45 | 0.7 | +0.2 |
| 11 | Oklahoma | 293 | 21 | 0.7 | +0.2 |
| 12 | Indiana | 482 | 12 | 0.7 | +0.2 |
| 13 | Louisiana | 320 | 20 | 0.7 | +0.2 |
| 14 | Vermont | 45 | 47 | 0.7 | +0.2 |
| 15 | Mississippi | 200 | 31 | 0.7 | +0.2 |
| 16 | Maine | 94 | 37 | 0.7 | +0.2 |
| 17 | Wyoming | 39 | 48 | 0.7 | +0.2 |
| 18 | Washington | 523 | 10 | 0.7 | +0.2 |
| 19 | Wisconsin | 387 | 17 | 0.6 | +0.1 |
| 20 | Illinois | 819 | 4 | 0.6 | +0.1 |
| 21 | Kentucky | 286 | 22 | 0.6 | +0.1 |
| 22 | Minnesota | 342 | 19 | 0.6 | +0.1 |
| 23 | Connecticut | 214 | 30 | 0.6 | +0.1 |
| 24 | Montana | 66 | 44 | 0.6 | +0.1 |
| 25 | Massachusetts | 403 | 15 | 0.6 | +0.1 |
| 26 | New Hampshire | 77 | 43 | 0.5 | 0.0 |
| 27 | Tennessee | 381 | 18 | 0.5 | 0.0 |
| 28 | Pennsylvania | 680 | 7 | 0.5 | 0.0 |
| 29 | North Carolina | 569 | 8 | 0.5 | 0.0 |
| 30 | Michigan | 489 | 11 | 0.5 | 0.0 |
| 31 | Idaho | 91 | 39 | 0.5 | 0.0 |
| 32 | Alabama | 228 | 27 | 0.4 | −0.1 |
| 33 | Texas | 1,372 | 2 | 0.4 | −0.1 |
| 34 | New Jersey | 405 | 14 | 0.4 | −0.1 |
| 35 | New Mexico | 90 | 40 | 0.4 | −0.1 |
| 36 | Georgia | 470 | 13 | 0.4 | −0.1 |
| 37 | District of Columbia | 29 | 50 | 0.4 | −0.1 |
| 38 | Maryland | 254 | 26 | 0.4 | −0.1 |
| 39 | South Carolina | 215 | 29 | 0.4 | −0.1 |
| 40 | Hawaii | 55 | 46 | 0.4 | −0.1 |
| 41 | California | 1,483 | 1 | 0.4 | −0.1 |
| 42 | Oregon | 160 | 34 | 0.4 | −0.1 |
| 43 | Colorado | 218 | 28 | 0.4 | −0.1 |
| 44 | New York | 683 | 6 | 0.3 | −0.2 |
| 45 | Virginia | 281 | 23 | 0.3 | −0.2 |
| 46 | Nevada | 102 | 36 | 0.3 | −0.2 |
| 47 | Florida | 728 | 5 | 0.3 | −0.2 |
| 48 | Delaware | 32 | 49 | 0.3 | −0.2 |
| 49 | Utah | 93 | 38 | 0.3 | −0.2 |
| 50 | Arizona | 199 | 32 | 0.3 | −0.2 |
| 51 | Alaska | 15 | 51 | 0.2 | −0.3 |
US: 0.5 per 10,000 residents
In number, California (1,483), Texas (1,372) and Ohio (960) lead. Per resident, Iowa has 6.0 times as many nursing homes as Alaska, the lowest.
Source: Primavera, snapshot 2026-11, read November 9, 2026. 40 nursing homes without a public address could not be placed in a state and are only in the US total.
Assisted living facilities, counted apart
Assisted living facilities are listed under their own Google category: 33,817 listings, 2.0 times as many as nursing homes. AHCA/NCAL counts 41,465 assisted living communities (undated page). California has the most listings (4,691), and Wisconsin the most per resident.
| Measure | Nursing homes | Assisted living facilities |
|---|---|---|
| Listings | 16,880 | 33,817 |
| Per 10,000 residents | 0.5 | 1.0 |
| Most listings | California (1,483) | California (4,691) |
| Most per resident | Iowa (1.2) | Wisconsin (2.6) |
| Website link | 71.3% | 63.7% |
| Email address | 43.9% | 45.1% |
| Average Google rating | 3.85 | 4.34 |
| Part of a chain | 9.5% | 8.1% |
Source: Primavera, snapshot 2026-11, read November 9, 2026. Every state is in the assisted living facilities CSV of the method box. Ratings: listings with at least one review.
How nursing homes show up online
Nursing homes in the United States, by kind of contact listed
Share of all 16,880 listings.
| Measure | Nursing homes | All US businesses |
|---|---|---|
| Websites read | 10,668 | 12,846,647 |
| Built with WordPress | 66.4% | 29.2% |
| Built with Wix | 3.5% | 7.1% |
| Built with Squarespace | 2.7% | 5.6% |
| Site links to Instagram | 26.2% | 35.1% |
| Site links to Facebook | 70.5% | 45.2% |
| Meta Pixel or other Meta script | 16.3% | 8.8% |
| Google Ads tag | 7.1% | 6.1% |
| Average Google rating | 3.85 | 4.44 |
| Rated under 4 stars | 47.0% | 17.4% |
| Median Google reviews | 29 | 11 |
| Part of a chain | 9.5% | 7.9% |
Nursing homes are rated harshly on Google: 47.0% of rated nursing homes are under 4 stars, against 17.4% of all US businesses. 66.4% of their websites are built with WordPress.
Note: Builders, links and tags are shares of the websites Primavera could read (10,668 for nursing homes), social pages and booking platforms excluded. The Meta figure is an upper bound: Meta’s like buttons and chat load the same script as its ad pixel. Sites made with GoDaddy, Weebly or Duda are counted under none of these builders. Ratings: listings with at least one review.
Which chains have the most nursing homes?
9.5% of nursing home listings belong to a group our rules recognize, and no group has more than 0.9% of them.
| Chain | Listings | Share of nursing homes |
|---|---|---|
| Life Care Centers of America | 153 | 0.9% |
| Saber Healthcare Group | 150 | 0.9% |
| Genesis HealthCare | 149 | 0.9% |
| Avir Health Group | 144 | 0.9% |
| CommuniCare | 110 | 0.7% |
| PruittHealth | 102 | 0.6% |
| American Senior Communities | 94 | 0.6% |
Note: Groups often run homes under local names, which our rules do not tie to the group: the real share of homes in a chain is higher.
What these figures don’t say
- Beds, residents or quality ratings. CMS publishes those for certified homes.
- Home health agencies and adult day centers, which have categories of their own.
- Whether a home takes Medicare or Medicaid: a listing does not say.
- How many companies own these places. A company with several locations counts once per listing.
Questions
Which state has the most nursing homes?
California, with 1,483 listings, ahead of Texas (1,372). Per resident, Iowa has the most: 1.2 per 10,000 residents, against 0.5 for the US.
How many assisted living facilities are in the US?
33,817 on Google Maps in Primavera’s count of November 9, 2026. AHCA/NCAL counts about 41,465 assisted living communities, and the Census 20,884 assisted living facilities with paid employees (2023).
How many certified nursing homes are there?
14,686 active Medicare and Medicaid certified nursing homes in CMS data of October 2026, 14,742 in July 2025 according to KFF.
Method and data
Snapshot 2026-11, read November 9, 2026- What is counted
- Open listings on Google Maps in the United States whose main Google category is one of the categories below, or whose main category is generic and another of its categories is: 16,880 listings, counted on October 29, 2026 and read on November 9, 2026. Service points (lockers, charging stations) are left out.
- Categories
- 1 Google Maps category: Nursing home. Assisted living facilities: Assisted living facility.
- Per resident
- Listings for 10,000 residents, with each state’s population from the Census 2024 estimates. States are ranked on the exact ratio.
- Official figures
- Census County Business Patterns 2023, read on November 9, 2026; federation and agency pages read the same day. Links are in the table above.
- Chains
- A listing belongs to a chain when its name starts with the chain’s name and its website matches. Agents or franchisees who put their own name first are not tied to the chain.
- Cite and download
- Louis-Marie Giudicenti (2026). “How many nursing homes are in the US?” Primavera. Data: snapshot 2026-11, November 9, 2026. https://primaverapp.com/en/data/nursing-homes-in-the-us
Permanent link: https://primaverapp.com/en/data/nursing-homes-in-the-us
Download: states (CSV), map (SVG), assisted living facilities by state (CSV)
Free to reuse under the CC BY 4.0 license, with a link to this page.
More on how the database is built: all trade counts and how Primavera builds its data.
Written by Louis-Marie Giudicenti
Founder of Primavera. Primavera sells lists of local businesses built from the same database.
Published
Updated
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