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How many people live in nursing homes? As of 2025, there were around 1.2 million residents in nursing homes across the United States. The states with the highest numbers of residents in certified nursing facilities were, by far, California and New York, with over 101,100 and 99,100 residents, respectively. On the other hand, Alaska had the lowest number of nursing home residents.

Occupancy rates and recovery

The COVID-19 pandemic significantly impacted nursing home occupancy rates nationwide. Prior to the pandemic, the median occupancy rate for skilled nursing facilities hovered around 80 percent. However, this figure plummeted to 67 percent by 2021. As of July 2024, occupancy rates for certified nursing homes have begun to recover, reaching 77 percent. This gradual increase suggests a slow but steady return to pre-pandemic levels.

Quality concerns and financial penalties

Despite the crucial role nursing homes play, quality issues persist in some facilities. In 2024, Aspen Point Health and Rehabilitation in Missouri faced 208 substantiated complaints, the highest number nationwide. Financial penalties for serious violations can be severe, as evidenced by the 1.41 million U.S. dollar fine imposed on Siesta Key Health And Rehabilitation Center in Florida over a three-year period. These cases underscore the ongoing challenges in maintaining high standards of care across the industry.