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  • What Percent Of Elderly People Live In Nursing Homes? Plus Over 101 Nursing Home Statistics! (2021)

What Percent Of Elderly People Live In Nursing Homes? Plus Over 101 Nursing Home Statistics! (2021)

Last year was an especially rough time for nursing homes because over 40% of all reported Coronavirus (COVID-19) deaths in the entire U.S. happened in a nursing home. That’s a huge number when you consider that only about 1.5 million people live in nursing homes in America.  And according to the Associated Press, for every two COVID-19 victims in long-term care, there is another who died prematurely of other causes.

In this post, you will discover how many people live in nursing homes, how covid-19 deaths are affecting nursing homes, the number of nursing homes in America, and over 101 additional nursing home stats.

Top Nursing Home Statistics: 

  • In 2020 over 40% of all reported Coronavirus (COVID-19) deaths in the U.S. happened in a nursing home.
  • COVID-19 is responsible for the deaths of over 107,107 nursing home residents
  • Around 1,340 nursing home staff members have died from the Coronavirus.
  • Only 0.46% (roughly 1.5 million) people live in nursing homes in America.
  • Around 0.21% (1 million) of elderly adults live in assisted living facilities in the U.S.
  • The average age of a nursing home resident is 81.1 years old.
  • There are 15,600 nursing homes in America.
  • There are over 1.7 million licensed nursing beds inside of nursing homes. 
  • 835 days is the average stay in a nursing home.
  • 5 Months Is the average nursing home stay before death.

U.S. Nursing Home Population Statistics & Facts

What Percent Of Elderly People Live In Nursing Homes?


Only 0.46% (roughly 1.5 million) people live in nursing homes in America, while about 1 million elderly (0.26%) live in assisted living facilities. Women account for a whopping 70% of all nursing home residents, while men only make up only 30%. 

Key Statistics:


  • Only 0.46% (roughly 1.5 million) people live in nursing homes in America.
  • Around 0.21% (1 million) of elderly adults live in assisted living facilities in the U.S.
  • Women account for a whopping 70% of all nursing home residents.
  • Men only make up 30% of nursing home residents.
  • Between 1992 - 2009, admissions to skilled nursing facilities increased from 28 to 80 per 1,000 Medicare beneficiaries.
  • In 2012 only 1.3 million Americans lived in nursing homes
  • 1 in 4 Americans over the age of 85 lived in a nursing home in 1990.
  • Around 5 Million senior citizens utilize home health care
  • Some 730,000 older adults are in assisted living facilities
  • 1 in 9 people age 85 or older lived in institutions in 2010
  • Private pay prices for a private or semi-private room grew by 4% to 4.5% per year between 2002 & 2012
  • The number of Americans age 65 and older that will require nursing home care will increase by up to 75% by year 2030.
  • On average a nursing home has 87 residents on any given day.
  • As of 2017 two-thirds of Americans living in a nursing home rely on Medicaid to pay for their care.

How Many People Die In Nursing Homes Each Year?


It was estimated that by 2020 40% of U.S. residents would die in a nursing home; however, due to covid-19, that rate has drastically changed. The Associated Press estimates that for every two COVID-19 victims in long-term care, there is another who died prematurely of other causes

Key Statistics:


  • 40% of U.S. residents are expected to die in a nursing home by 2020
  • 65% of people who entered a nursing home passed away within one year of admission.
  • For every two coronavirus victims in long-term care, there is another who died prematurely of other causes.

What Are The Leading Causes Of Nursing Home Deaths?


Alzheimer’s is the most common cause of death in a nursing home; this stat could change if things stay the same or worsen with covid-19 deaths inside nursing homes. 

In a study conducted for 6 months by Science Direct, 39 of their patients passed away in a nursing facility.  The primary causes of death were: 

Cause Of Death

Percentage

Alzheimer's/Dementia 

36% (14 People)

Cardiac/Cerebrovascular 

30% (9 People)

Pulmonary

23% (3 People)

Hematologic And Other Malignancies

7% (2 People)

Top 10 Nursing Home Populations By State, Race, & Ethnicity


State

American Indian Or Alaska Native

Asian

Black, not Hispanic origin

Hispanic or Latino

Native Hawaiian or Pacific Islander

White, not hispanic orgin

More Than One Race

California

0.3%

10.2%

11%

18%

0.4%

58.8%

1.2%

Florida

0.1%

0.5%

15.9%

10.7%

0.1%

72.3%

0.3%

Illinois

0.1%

1.6%

17.7%

3.8%

0.1%

76.4%

0.3%

Massachusetts

0.1%

1.3%

5.3%

2.8%

0.1%

90.3%

0.2%

Michagan

0.2%

0.3%

16.8%

0.9%

0%

81.6%

0.1%

New Jersey

0.1%

2.6%

17.3%

7.4%

0.1%

72%

0.4%

New York

0.3%

2.4%

18.5%

8.6%

0.1%

69.3%

0.8%

Ohio

0%

0.2%

14%

0.7%

0.1%

84.9%

0.1%

Pennsylvania

0%

0.4%

10.5%

1.4%

0.1%

87.5%

0.1%

Texas

0.1%

0.8%

13.6%

17.3%

0.1%

67.9%

0.2%

Number Of Americans Living In Nursing Homes (By State)


State

Number Of Residents

Alabama

22684

Alaska

499

Arizona

10325

Arkansas

17285

California

106523

Colorado

16004

Connecticut

1,624

Delaware

3937

District of Columbia

1256

Florida

76985

Georgia

22894

Hawaii

3444

Idaho

3286

Illinois

74576

Indiana

37564

Iowa

22349

Kansas

16812

Kentucky

21482

Louisiana

25863

Maine

5846

Maryland

16464

Massachusetts

42464

Michigan

41372

Minnesota

23444

Mississippi

15923

Missouri

37277

Montana

3776

Nebraska

10584

Nevada

5626

New Hampshire

6397

New Jersey

46366

New Mexico

5510

New York

108291

North Carolina

36148

North Dakota

5321

Ohio

77859

Oklahoma

17213

Oregon

4672

Pennsylvania

80331

Rhode Island

7558

South Carolina

15563

South Dakota

5585

Tennessee

26647

Texas

90708

Utah

5574

Vermont

2359

Virginia

19550

Washington

15094

West Virginia

9278

Wisconsin

21236

Wyoming

2224

Sources:


Coronavirus (COVID-19) Nursing Home Death Statistics

What Percent Of COVID 19 Deaths Come From Nursing Homes?


40% of all covid-19 deaths in America have occurred in nursing homes; this total includes residents and staff members. In all, 112,373 nursing home residents have died from covid-19, and there have been over 1,380 staff deaths related to covid-19.

Key Statistics:


  • 40% of all COVID-19 deaths in America have occurred in nursing homes
  • COVID-19 is responsible for the deaths of over 107,107 nursing home residents.
  • Around 1,340 nursing home staff members have died from the Coronavirus.
  • There have been over 549,852 confirmed nursing home resident COVID-19 cases
  • About 472,445 nursing home staff members have confirmed cases of COVID-19.
  • New York has the second-highest number (6,600) of nursing home deaths from COVID-19.
  • At the end of 2020 the death rate in Florida nursing homes was around 4.7 deaths for every 1,000 residents

Coronavirus (COVID-19) Nursing Home Deaths By State


40% of all covid-19 deaths in America have occurred in nursing homes; this total includes residents and staff members. In all, 112,373 nursing home residents have died from covid-19, and there have been over 1,380 staff deaths related to covid-19.

State

Number Of Nursing Home Deaths

Alabama

13009

Alaska

123

Arizona

909

Arkansas

1907

California

7037

Colorado

1537

Connecticut

2579

Delaware

341

District of Columbia

116

Florida

4063

Georgia

2649

Hawaii

59

Idaho

213

Illinois

6415

Indiana

4795

Iowa

2223

Kansas

1535

Kentucky

2243

Louisiana

2641

Maine

200

Maryland

1906

Massachusetts

4316

Michigan

3124

Minnesota

2153

Mississippi

1576

Missouri

3249

Montana

288

Nebraska

782

Nevada

327

New Hampshire

454

New Jersey

4803

New Mexico

533

New York

6829

North Carolina

2952

North Dakota

590

Ohio

6452

Oklahoma

1564

Oregon

379

Pennsylvania

8138

Rhode Island

922

South Carolina

1426

South Dakota

696

Tennessee

2275

Texas

7243

Utah

290

Vermont

78

Virginia

2232

Washington

1030

West Virginia

626

Wisconsin

1607

Wyoming

186

Sources:


Average Age Of Nursing Home Residents

What Is The Average Age of Nursing Home Residents?


A nursing home resident's average age is 81.1 years old, and almost half of all nursing home residents are age 85 years or older. Single and widowed women account for over 72% of the residents, and the average age for people using long-term care services is around 65 years old.

Key Statistics:


  • The average age of a nursing home resident is 81.1 years old
  • 7.8% of residents are 95 years old or older.
  • 33.8% of nursing home residents are 85-94 years old.
  • 26.4% of the older adults in a nursing home are 75-84 years old.
  • 16.5% of the elderly people living in a nursing home are 65-74 years old.
  • Only 15.5% of people living in a nursing home are younger than 65.
  • Single and widowed women account for over 72% of the residents.
  • 88% of nursing home residents are 65 or older, and 45% are older than 85 years old.
  • Almost half of all nursing home residents are 85 years or older
  • In 1999, 52% Of the nursing home population was age 85 or older.
  • The average age of a nursing home resident at admission was 82.6 years old In 1997.
  • Some 15% of people aged 85 and older live in nursing homes, compared with just 1.1% of people 65-74 years of age.
  • The current average age at nursing home admission is 79 years old.
  • In 2010, people ages 31 to 64 made up 14% of the nursing home population.
  • The ratio of women to men is 7 to 1 in assisted living communities.

Sources:


Average Length Of Stay In Long Term Care Facilities

What's The Average Stay In An American Nursing Home?


835 days is the average stay in a nursing home; however, for residents who have been discharged, their average stay in a nursing home is 270 days. At least 10% of the older adults who enter a nursing home will stay there for 5 or more years.

Key Statistics:


  • 835 days is the average stay in a nursing home. 
  • 270 days is the average stay in a nursing home for people who have been discharged.
  • 10% of the residents who go into a nursing home will stay there for five years or more.
  • In-home care costs around $3,800 per month for 44 hours worth of care.
  • To get a private room in a nursing facility it will cost you around $7,700 per month.
  • On average, 4 to 5 years of long term care could cost more than $300,000 depending on where you live.
  • In 1999 the average stay for a nursing-home resident was 892 days
  • In 1999 the average length of stay for a discharged nursing-home resident was 272 days

What Is The Average Stay In A Nursing Home Before Death?


5 Months is the average nursing home stay before death, while about 53% of residents die within 6 months of admission. About 65% of residents died within 1 year of being admitted to a nursing home. The average stay for women is much more extended than for men at around 8 months.  

Key Statistics:


  • 5 Months is the average nursing home stay before death.
  • Some 53% of residents die within 6 months of admission.
  • About 65% of residents died within 1 year of being admitted to a nursing home
  • On average, men die sooner after admission to a nursing home than women.
  • 8 months is the average length of stay in a nursing home before death for a woman.
  • 3 months is the average length of stay that men had at a nursing home before death
  • Nursing home residents who were married died 4 months sooner after admission than unmarried residents.
  • Residents with a high net worth died 5 months sooner after admission than those with a low net worth.

What Is The Average Length Of Stay In An Assisted Living Facility


The average length of stay in an assisted living facility is around 2 ½ years to 3 years, mainly because the resident might have to move to a nursing home for more care or due to passing away. The most common reason people leave an assisted living facility is that they need more care.  

Key Statistics:


  • 28 months is the average length of stay for residents in an assisted living facility.
  • $3,600 is the average monthly cost for an assisted living facility.
  • Around 59% of residents in an assisted living facility will eventually move to a skilled nursing facility.
  • 78% of all assisted living residents leave because they need more care.
  • About 14% of assisted living residents leave to be closer to loved ones.
  • Some 12% of assisted living residents will leave because they are dissatisfied with care.
  • Cost is the reason about 11% of people will leave an assisted living facility.
  • 11% of people leave assisted living facilities because of other dissatisfaction.
  • Around 9% of assisted living residents will have to leave because they ran out of money.
  • Some 86% of assisted living residents need help with medications.
  • About 72% of residents in an assisted living facility need help with bathing.
  • 57% of assisted living residents need help with dressing.
  • The number of assisted living facility residents that need help with toileting is 41%.
  • Around 36% of people living in an assisted living facility need help with transferring.
  • 23% of assisted living residents need help with eating.

Sources:


U.S. Nursing Home Industry Statistics

How Many Nursing Homes Are In The U.S.?


There are 15,600 nursing homes in the U.S.  However, on average, people are only able to visit their family members in nursing homes about 6 times per month.

Key Statistics:


  • There are 15,600 nursing homes in the United States Of America.
  • The U.S. has 4,600 adult day service centers.
  • Some 12,200 home health agencies exist in the U.S.
  • 4,300 facilities are dedicated to hospice care in America.
  • In the United States there are 28,900 residential care communities
  • Around 69.3% of all nursing homes are for-profit.
  • RNs will spend about 40 minutes with each nursing home resident daily.
  • LPNs will usually spend around 53 minutes per day with each resident.

Best & Worst States For Nursing Homes


Below are the results of a quality rating system created by The Centers for Medicare & Medicaid Services (CMS). Using a scale from 1 to 5, with 5 being the highest satisfaction and 1 being the lowest satisfaction, it turns out that Hawaii nursing home residents are most satisfied with the care and Texas residents are least happy with their nursing home care. 

Top 10 Best Nursing Home States

STATE

RATING

Hawaii

3.93

Washington D.C.

3.89

Florida

3.75

New Jersey

3.75

Colorado

3.74

Delaware

3.73

Connecticut

3.73

Minnesota

3.72

North Dakota

3.71

Idaho

3.71

Top 10 Worst Nursing Home States

STATE

RATING

Texas

2.68

Oklahoma

2.67

Louisiana

2.8

Kentucky

2.98

Georgia

3.01

New Mexico

3.07

North Carolina

3.07

Missouri

3.12

West Virginia

3.15

Illinois

3.18

What Are The Number Of Nursing Home Beds In America?


According to the CDC, there are over 1.7 million licensed nursing home beds, which has about 1.5 million residents in them. About 79% of beds are occupied every day, and a patient will receive approximately 4 hours of nursing care per dayHowever, on average, family members only spend 1 hour and 27 minutes visiting their family members in nursing homes.

Key Statistics:


  • There are over 1.7 million licensed nursing home beds in The U.S.
  • People usually visit their family members 6 times per month in a nursing home.
  • In America, about 79% of nursing home beds are occupied every day.
  • A patient will receive approximately 4 hours of nursing care per day.
  • On average, family members only spend 1 hour and 27 minutes visiting their family members in nursing homes.
  • Jobs were 57% of the reason people say it’s too difficult for them to spend more time visiting nursing home relatives.
  • It took about 9 visits per month for 45.3% of people to say they were satisfied with their visiting habits.
  • Some 39% of people said they found visiting loved ones in the nursing home too depressing.
  • 38.3% of visitors said other obligations are the reason they can’t visit relatives in a nursing home more often.
  • About 34.4% of visitors say that finances was the reason they weren't able to visit nursing home relatives more often. 

Number Of Certified Nursing Homes By State


State

Number Of Certified Nursing Facilities

Alabama

228

Alaska

17

Arizona

139

Arkansas

227

California

1187

Colorado

223

Connecticut

204

Delaware

45

District of Columbia

14

Florida

688

Georgia

280

Hawaii

44

Idaho

72

Illinois

722

Indiana

531

Iowa

432

Kansas

330

Kentucky

273

Louisiana

277

Maine

93

Maryland

202

Massachusetts

356

Michagan

442

Minnesota

363

Mississippi

203

Missouri

520

Montana

69

Nebraska

197

Nevada

66

New Hampshire

74

New Jersey

361

New Mexico

71

New York

570

North Carolina

424

North Dakota

80

Ohio

952

Oklahoma

290

Oregon

116

Pennsylvania

684

Rhode Island

80

South Carolina

184

South Dakota

104

Tennessee

316

Texas

1214

Utah

99

Vermont

35

Virginia

245

Washington

205

West Virginia

123

Wisconsin

353

Wyoming

37

Sources:


Taking Action

Concluding Thoughts


The most shocking statistic that we found was that COVID-19 nursing home deaths are responsible for over 40% of all coronavirus deaths in America. 

While COVID-19 is reeking havoc on our nursing home community we must all work together to stay safe by wearing masks and practicing our social distancing. 

The average life expectancy has definitely changed for nursing home residents due to COVID-19 and more people are probably going to need some type of long-term care coverage

No matter what, we all need to stick together and get these numbers lowered.

Sources: 


Sa El

About the author

Sa El is the Co-Founder of Simply Insurance and a licensed Insurance Agent with over 13 years of experience in the industry.  He specializes in Life & Health Insurance and is certified in Long Term Care Insurance in the state of Georgia. a licensed real estate agent in the state of Georgia (License #382602), an entrepreneur, insurance educator, and freelance writer.