Nursing Home Care Statistics 2024 By Facilities, Long-Term Care, Finance

Introduction

Nursing home care statistics: It provides valuable insights into the state of nursing homes and the care provided to elderly individuals who require long-term care.

As the population continues to age and life expectancy increases, nursing homes play a critical role in providing essential care and support to older adults with complex medical, functional, and cognitive needs.

Editor’s Choice

• In 2022, the Global Long-Term Care Market accounted for USD 1100.7 Billion and is expected to reach around USD 2168.1 Billion in 2032. Between 2023 and 2032, this market is estimated to register a CAGR of 7.2%.
• According to the Centers for Disease Control and Prevention (CDC), about 4.5% of adults aged 65 and older reside in nursing homes or similar long-term care facilities in the United States.
• The average age of individuals living in nursing homes is around 79 years old.
• Females make up a majority of nursing home residents, with approximately 70% being women.
• There were about 15,600 nursing homes in the United States in 2019.
• At present, 1.4 million residents reside in U.S. nursing homes.
• 7 in 10 individuals aged 65 will require long-term care at some point during their lives.
• By 2050, up to 30 million Americans will require long-term care services.

(Source: CDC, Zippia)

What is Nursing Home Care?

A nursing home, also known as a skilled nursing facility (SNF) or long-term care facility, is a residential institution that provides accommodation, personal care, and medical services for individuals who require assistance with daily activities and have complex healthcare needs.

General Nursing Home Care Statistics

• In 2022, the global long-term care market accounted for USD 1100.7 billion and is expected to reach around USD 2168.1 billion in 2032. Between 2023 and 2032, this market is estimated to register a CAGR of 7.2%.
• Nursing home residents reached 1.4 million in 2023 after dropping from 1.39 million in 2010 to 1.29 million by 2020.
• There are an estimated 53 million unpaid family caregivers in the U.S.
• By 2050, an estimated 27- 30 million people in America will require long-term care services.
• As of 2022, there were 26,514 nursing care facilities (nursing homes) across the U.S.
• 2022 marks a market value of $146.9 billion for the U.S. nursing home industry.
• An estimated 69.3% of nursing homes are for-profit organizations.
• The average monthly cost for a semi-private room in an American nursing home is $7,756.
• 2022 has witnessed an estimated workforce of 1,721,732 nursing home employees within the U.S.

(Source: Market.us)

Race	Share of Nursing Home Residents	Share of Assisted Living Residents
Non-Hispanic white	75.1%	81.4%
Non-Hispanic Black	14.3%	4.1%
Hispanic	5.4%	3.1%
Non-Hispanic other	5.1%	11.5%

Nursing Home Facilities

• There were approximately 15,000 nursing homes in the United States.
• There were around 1.7 million licensed beds in nursing homes across the United States.
• The occupancy rates of nursing home beds were approximately 75%.
• About 70% of nursing homes were operated by for-profit organizations.
• Roughly 1.3 million people were residing in nursing homes.
• On average, nursing homes had a ratio of 0.86 registered nurses (RNs) per resident per day, and 2.21 certified nursing assistants (CNAs) per resident per day.
• In 2021, the average cost for a semi-private room in the nursing home was around $7,500 per month, while a private room averaged about $8,500 per month.

(Source: NIH)

Nursing Home Care Statistics by Age, Gender, and Race

• 38.6% of nursing home residents are older than 85.
• 26.7% of residents are between 75 and 84.
• 18.2% of residents are between 65 and 74.
• 16.5% of nursing home residents are under 65.
• Women comprise 75% of nursing home residents.
• Women make up 97% of professional caregivers in long-term care settings.
• The majority of family caregivers for elderly relatives at home are women.
• Whites account for approximately 79% of all nursing home residents.
• Blacks make up around 15% of nursing home residents.
• Hispanics constitute approximately 6% of nursing home residents.

(Source: CDC, NIH)

Falls Among Nursing Home Residents

• Approximately 1,800 older adults living in nursing homes die each year from fall-related injuries.
• In 2022, there were 1.5 million people aged 65 and above living in nursing homes.
• By 2030, it is projected that the number of older adults living in nursing homes will rise to about 3 million.
• Nursing home residents, who account for 5% of adults aged 65 years and older, represent approximately 20% of deaths from falls.
• A typical nursing home with 100 beds reports 100 to 200 falls per year.
• On average nursing home residents experience 2.6 falls per person per year.
• Approximately 35% of fall injuries in nursing homes occur among residents who cannot walk.
• Falls in nursing homes can cause serious injuries in 10% to 20% of cases.
• Fractures occur in approximately 2% to 6% of nursing home falls.
• Approximately 16% to 27% of falls in nursing homes are caused by hazards within the care facility.

(Source: CDC)

Admission and Discharge Rates in Nursing Home

• Among nursing home residents 0.62 admissions per person per year.
• Among the community dwellers 0.26 nursing home admissions per year.
• Respiratory diseases, falls-related conditions, and circulatory diseases accounted for 55% of the cases of hospital admission.
• The median length of stay in nursing homes is 3 days, while the interquartile range (IQR) is about 4 days.
• The in-hospital mortality rate among nursing home residents is 16%.
• The 30-day mortality rate after discharge from nursing homes is about 30%.

(Source: NIH)

Long-Term Care Statistics and Trends

• About 70% of people worldwide currently turning age 65 years will require long-term care.
• The incidence of dementia was to grow from 47 million worldwide in 2015 and it is expected to grow to 75 million in 2030.
• 2 out of 3 older people with any disability receive LTTSS at their own home.
• It is estimated that the number of individuals using paid term care services such as at home, residential care such as assisted living, or skilled nursing facilities is growing to 27 million people by 2050. The growth will be influenced by rising growth in the older population.
• According to the National Center for Assisted Living, about 59% of all assisted living residents eventually move to a skilled nursing facility.
• The majority of long-term service care users are aged 65 years and over.
• 94.4% of Hispanic patients are currently using long-term care services.
• 92.9% of individuals are using residential care services aged 65 years and above.
• 63.7% of adults aged 65 years and above are using adult day-care services.
• About 73% of all long-term care is provided in the home environment typically by caregivers who receive no compensation for their labor.
• About 486,100 people are employed in nursing care in hospitals.
• Earnings of the nurses in 2011 increased by 3% in 2022.

(Source: PHCA, un, asprtracie, destatis)

Quality of Care in Nursing Home Statistics

• As of 2018, the average nursing home in the United States had a staff-to-patient ratio of 1:8 for nurses and 1:18 for certified nursing assistants.
• Around 1 in 5 Medicare beneficiaries discharged from hospitals to nursing homes experienced adverse events such as infections and medication errors.
• About 31% of nursing home residents received antipsychotic medications, even though they did not have a condition like schizophrenia.
• As of 2021, around 70% of nursing homes had been cited for one or more deficiencies in care.
• In surveys conducted by the National Nursing Home Survey, about 86% of residents reported being satisfied with the care they received in nursing homes.
• In the United States, as of 2021, nursing home residents and staff accounted for around 40% of COVID-19 deaths.

(Source: NIH)

Financial Aspects in Nursing Home Care Statistics

• In 2020, the median cost of a private room in a nursing home in the United States was $8,821 per month or $105,852 annually.
• For semi-private rooms, the median cost was $7,756 per month or $03,072 annually.
• In 2019, Medicaid covered approximately 61% of all long-term care expenditures, Medicare covered approximately 6% and out-of-pocket spending accounted for about 22%.
• According to the US Department of Health and Human Services, about 48% of nursing home residents funded their care through personal or family resources when first admitted.

(Source: US Department of Health and Human Services)

Nursing Home Care Statistics – Impact of COVID-19

The nursing home experienced high mortality rates due to the COVID-19 pandemic, particularly in the early stages of the pandemic. Nursing homes often faced staffing shortages as healthcare workers became infected or had to quarantine.

• As of August 15, 2021, there were 634,179 deaths in the US due to COVID-19.
• It is estimated that 21% of these deaths were among nursing home residents.
• By the end of 2020, for every 100,000 people not living in nursing homes, about 87 died due to COVID-19.
• In contrast, for every 100,000 nursing home residents, about 9,200 died due to COVID-19. This is over 108 times higher
• The death rate in nursing homes was also over 23 times higher than the rate of people aged 65 and older who did not live in nursing homes.
• In five states- Rhode Island, Indiana, New Jersey, South Dakota, and Connecticut – COVID-19 claimed the lives of more than 12% of the nursing home population from the start of 2020 to the end of the year.

(Source: NIH)

Top Countries: Comparative Nursing Home Care Statistics

Japan

Japan has a rapidly aging population and is known for its extensive nursing home care system. As of 2021, it had one of the highest proportions of elderly people living in nursing homes.

• In 2020, the number of welfare facilities for the elderly requiring long-term care in Japan was over 8.3 thousand.
• There were around 2.3 thousand moderate-fee nursing homes available in Japan in 2020.
• By 2035, it is projected to have 37,820,000 people aged 65 and above, accounting for 33% of the total population of Japan. This percentage is projected to further increase to 39.9% by 2060.
• 1 in 4 Japanese citizens will be aged more than 75 years by 2025.
• About 6.8 million people in Japan require long-term care services.
• In 2021, there were about 1.8 million certified workers in Japan.
• Due to the low birth rate and high life expectancy, the number of people aged 65 years and above in Japan is increasing and it is expected to reach around 38% of the population in Japan by 2060.
• As of March 2021, the number of people requiring long-term care in Japan was approximately 6.82 million, showing an increase from about 5.31 million in 2012.

(Source: Statista)

United States

The United States has a significant number of nursing homes and well well-established long-term care industry. According to 2019 data, there were around 15,000 nursing homes in the country.

• Approximately 70% of adults aged 65 years and above will require long-term care at some point in their lives.
• The average length of stay in a nursing home care facility is 3.2 years in the United States.
• Just over 20% of residents will require long-term care for 5 years or longer.
• Americans spend $471.5 billion annually on long-term care.
• The nursing home is a common type of long-term care service in the United States.
• In 2019 there were about 15,000 nursing homes are there in the United States, and this number is expected to reach 25,000 by the end of the year 2023.
• Nursing facilities employ about 1.6 million people in the United States.
• Texas has the highest number of nursing homes in the US state with 1,214 facilities, among them 1,187 facilities are in California and 952 are in Ohio.
• Alaska has a low number of nursing homes, but the annual cost for a private room in nursing homes is around 436,540 US dollars per year on average.
• Connecticut is the second most expensive state costs around USD 167,900 per year for nursing home services.
• Most residents in the nursing home in the United States are aged between 85 and 94 years.
• About 11.2% of residents in nursing homes are female, as compared to men (6.1%).
• The common medical conditions among nursing home residents are bladder and bowel incontinence, depression, weight loss, and anxiety.
• About 36.6% of residents in nursing homes have severe cognitive impairment.

(Source: NIH, Statista)

Canada

• The number of employees in Canada’s nursing home care facilities dropped by 2.1% year over year in 2020.
• The number of residents in these facilities decreased by 4.3% year over year on the last day of the fiscal period in 2020.
• There are about 2,076 long-term care homes and 198,220 long-term care beds in Canada.
• More than 6,835,866 people aged 65 and older are in Canada.
• In Nova Scotia, there are 33 long-term care beds per 1000 population aged 65 and above.
• In Ontario, there are 30 long-term care beds per 1,000 population aged 65 and older.
• In Manitoba, there are 44 long-term care beds per 1,000 population aged 65 and older.
• The Nursing and Residential Care Facility Survey represented a total of 9,150 facilities in Canada.
• 2,079 of these facilities were nursing care facilities.
• 2,745 were residential developmental handicap, mental health, and substance abuse facilities.
• 3,138 were community care facilities for the elderly.
• 1,188 were other residential care facilities, such as transition homes for women.

(Source: CICHI, Statistics Canada)

Germany

• There are about 15,400 nursing care homes, 14,700 home care services, and 4.1 million people in Germany who need long-term care.
• The number of people in need of long-term care is expected to increase from approximately 5 million in 2021 to about 5.6 million by 2035.
• By 2055, it is projected that about 6.8 million (37%) people in Germany need long-term care.
• In 2070, the number of people in need of long-term care, as defined by the Long-Term Care Insurance Act, is estimated to be around 6.9 million, reflecting a 38% increase compared to 2021.
• Several people working in hospital nursing care up 18% in 10 years.

(Source: Status)

United Kingdom

• Total number of care homes in the UK: Approximately 17,100
• Residential care homes: Around 70% of all care homes
• Nursing homes: Approximately 29% of all care homes.
• In 2021, there were approximately 13 million people aged 65 or older in the UK.
• By 2030, it is projected that the number of people aged 65 and over will exceed 15 million, accounting for nearly 20% of the population.
• There are about 17,500 residential care homes in the United Kingdom.

(Source: care home)

Australia

As of June 30, 2022, in Australia:

• Approximately 407,000 people were using aged care services.
• 188,000 individuals were utilizing permanent or respite residential aged care.
• 216,000 people were receiving home care.
• 3,500 individuals were receiving transition care.
• Around 2 in 3 people using aged care services were women.
• The number of people using home care has increased almost fourfold over the 10 years from 2012 to 2022.
• 58% of people living in permanent residential aged care were aged over 85 years compared with 41% of people using home care. 

(Source: GEN Aged Data)

Recent Developments

Acquisitions and Mergers:

• ElderCare Solutions acquired Senior Living Communities for $800 million, expanding its portfolio of nursing home facilities and senior care services.
• CarePlus merged with Nursing Home Innovations, forming a strategic partnership to enhance the quality of care and services offered in nursing home facilities, with combined resources aimed at improving resident satisfaction.

New Product Launches:

• NursingTech introduced a resident monitoring system for nursing homes, offering real-time health data tracking and alerts for staff, aiming to enhance patient safety and care quality in 500 facilities within the first year.
• SeniorCare launched a mobile app for family communication and updates on resident well-being, providing peace of mind to relatives and facilitating engagement with nursing home staff, targeting adoption by 1,000 families within six months.

Funding Rounds:

• CareFund received $50 million in Series A funding led by Healthcare Investment Group XYZ to invest in nursing home infrastructure upgrades and staff training programs, aiming for a 50% improvement in patient satisfaction scores within the next year.
• ElderSupport secured $30 million in seed funding from Tech Investors ABC to develop innovative technologies for elder care and establish partnerships with nursing home operators, targeting a 40% increase in facility collaborations over the next fiscal year.

Quality of Care Initiatives:

• Nursing home operators implemented quality improvement initiatives to enhance resident care outcomes, focusing on reducing medication errors, preventing falls, and improving infection control measures.
• Training programs for nursing home staff emphasized person-centered care approaches and cultural competency training to better meet the diverse needs of residents.

Government Regulations and Funding:

• Regulatory agencies introduced stricter regulations for nursing home operations, including staffing ratios, infection control protocols, and quality reporting requirements, aimed at improving transparency and accountability in care delivery.
• Government funding for nursing home care increased, with additional resources allocated for Medicaid reimbursement, facility upgrades, and workforce development initiatives.

Technology Adoption:

• Nursing homes embraced technology solutions for resident care and management, including electronic health records (EHRs), telemedicine platforms, and assistive devices to enhance mobility and independence among residents.

COVID-19 Response and Preparedness:

• Nursing homes implemented infection control measures and pandemic response protocols in response to the COVID-19 pandemic, including testing, vaccination campaigns, and visitor restrictions to protect vulnerable residents and staff.

Final Words

Nursing Home Care Statistics – Nursing home care plays a vital role in providing comprehensive and specialized support for the elderly and individuals requiring long-term care.

Nursing homes are equipped with skilled healthcare professionals who possess the knowledge and expertise to address complex medical conditions and ensure the well-being of residents.

Ultimately, nursing home care remains a valuable resource for those in need, and with continuous efforts to enhance the sector, we can ensure that our aging population receives the care and support they deserve.

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