Senior Living Industry Statistics: The Numbers That Trace to a Source
Senior living industry statistics with a named primary source and a date on every figure. Demand, residents, care needs, providers, staffing, cost and occupancy, plus the widely repeated numbers we cut and why.
By Ed Brancheau
About 1,016,400 people lived in residential care communities on a given day in 2022, the federal category that covers most assisted living. That count comes from the CDC's National Center for Health Statistics, and it is the kind of number this page is built from: one that names who measured it, when and who exactly was counted.
Most senior living statistics you will find do not. A figure gets published by a company selling the thing the figure justifies, then copied by the next company selling the same thing, until nobody can point to a study. So this page collects the senior living industry statistics that trace to a named primary source with a date, and it names the ones that do not so you can stop looking for them.
Every figure below was read directly from the source document, not from a summary of it. That process changed three numbers that were previously on this page, and it threw out about a dozen more.
Key takeaways
- Demand is the most solid thing here. Census projections move slowly and rest on decades of data. By 2034 there will be 77.0 million people 65 and older against 76.5 million under 18, the first time in United States history.
- The resident profile is older and frailer than the marketing suggests. More than half of residential care residents are 85 or older, and 62% need help with three or more everyday tasks.
- Supply is structurally stuck. Year-over-year inventory growth hit a record low of 0.4% in Q1 2026 and construction is at its lowest level since 2012, while occupancy has climbed for 19 straight quarters.
- Staffing is the binding constraint. Home health and personal care aides will add more jobs than any other occupation in the country this decade, about 1 in 7 of all new jobs, at a median wage roughly 70% of the national median.
- The most-quoted numbers in this sector are the least trustworthy. National market-size dollar figures, first-responder percentages and after-hours coverage rates almost never survive a source check.
Contents
- How fast is the older population growing?
- Who actually lives in senior living?
- How much help do residents need?
- How many senior living communities are there?
- What does the senior living workforce look like?
- What does senior living cost?
- How full are senior living communities right now?
- What does state licensing data show that national numbers hide?
- What happens when a family actually inquires?
- Which senior living statistics should you not trust?
- Methodology and sources
How fast is the older population growing?
The older population is growing faster now than at any point in modern United States history, and 2034 is the year the curve crosses. The Census Bureau projects 77.0 million people age 65 and older against 76.5 million children under 18, the first time older adults outnumber children on record.
This is the sturdiest material on the page. Demographic projections are built on birth cohorts that already exist, so they move slowly and rarely get revised much.
| Metric | Figure | Source | As of |
|---|---|---|---|
| Adults 65+ vs children under 18 | 77.0 million vs 76.5 million, the first crossover in U.S. history | U.S. Census Bureau | projected 2034 |
| Baby boomers reaching 65+ | The entire generation, putting 1 in 5 residents at retirement age | U.S. Census Bureau | by 2030 |
| Working-age adults per retiree | About 3.5, falling to 2.5 | U.S. Census Bureau | 2020 to 2060 |
| Chance of needing long-term care after 65 | Almost 70% | U.S. Dept. of Health and Human Services | 2020 |
The baby boomers behind the wave
All baby boomers will be 65 or older by 2030, which puts 1 in 5 U.S. residents at retirement age. That demographic shift sits underneath every other number on this page, and it is already most of the way done rather than something arriving next decade.
Needing care is not the same as moving into a community. Most of that 70% is care delivered at home, by family, for free. But it points a large and growing share of older adults toward senior care services eventually, and the aging population underneath it is not a forecast anyone disputes.
Who actually lives in senior living?
The typical residential care resident is a woman in her late eighties who needs help with several daily tasks, which is a good deal older and frailer than most senior living marketing pictures. The federal profile comes from the 2022 National Post-acute and Long-term Care Study, the biennial federal study of long-term care providers and the people they serve.
| Metric | Figure | Source | As of |
|---|---|---|---|
| Residents on a given day | About 1,016,400 | CDC / NCHS | 2022 |
| Female | 67% | CDC / NCHS | 2022 |
| Age 85 and older | 53% | CDC / NCHS | 2022 |
| Ages 75 to 84 | 31% | CDC / NCHS | 2022 |
| Ages 65 to 74 | 10% | CDC / NCHS | 2022 |
| Younger than 65 | 6% | CDC / NCHS | 2022 |
| White non-Hispanic | 92% | CDC / NCHS | 2022 |
| Medicaid beneficiaries | 17% | CDC / NCHS | 2022 |
The average age of assisted living residents
Residential care is the federal category that covers most assisted living, so this is the closest thing federal data offers on who lives in assisted living. Only 10% of residents are between 65 and 74, which is why acuity keeps climbing even when occupancy does not.
The 92% White non-Hispanic share deserves a second look. Residential care is far less racially diverse than the older population it draws from, and the Medicaid share tells you why the private-pay end of this market behaves the way it does. Only 17% of residents have any part of their care paid by Medicaid, and among residents 85 and older it falls to 12%.
How much help do residents need?
Most residential care residents need hands-on help with several basic tasks, not just a lighter version of independent living. In 2022, 62% needed assistance with three or more activities of daily living, and only 12% needed no assistance at all. Bathing and walking top the list, at 75% and 71%.
Help with activities of daily living
| Activity | Share needing assistance | Source | As of |
|---|---|---|---|
| Bathing | 75% | CDC / NCHS | 2022 |
| Walking | 71% | CDC / NCHS | 2022 |
| Dressing | 60% | CDC / NCHS | 2022 |
| Transferring in or out of a bed or chair | 57% | CDC / NCHS | 2022 |
| Toileting | 51% | CDC / NCHS | 2022 |
| Eating | 28% | CDC / NCHS | 2022 |
| Three or more of the above | 62% | CDC / NCHS | 2022 |
The health conditions residents arrive with
The health picture runs alongside it. About 58% of residents had been diagnosed with hypertension and 44% with Alzheimer disease or another dementia, the two conditions that shape staffing more than any others.
| Diagnosed condition | Share of residents | Source | As of |
|---|---|---|---|
| High blood pressure | 58% | CDC / NCHS | 2022 |
| Alzheimer disease or other dementias | 44% | CDC / NCHS | 2022 |
| Heart disease | 33% | CDC / NCHS | 2022 |
| Depression | 26% | CDC / NCHS | 2022 |
| Arthritis | 18% | CDC / NCHS | 2022 |
| COPD | 16% | CDC / NCHS | 2022 |
| Diabetes | 16% | CDC / NCHS | 2022 |
| Osteoporosis | 12% | CDC / NCHS | 2022 |
Only 8% of residents had never been diagnosed with any of the ten most common chronic conditions. A little over half, 55%, carried two or three of them at once.
How many senior living communities are there?
The 2022 federal count is 32,200 residential care communities and 14,700 nursing homes. Those two numbers moving in opposite directions is the whole story of the sector's last decade, and the 2022 wave is the newest full federal count available.
Counting the care facilities
| Provider type | 2022 count | 2020 count | Source |
|---|---|---|---|
| Residential care communities | 32,200 | 30,600 | CDC / NCHS NPALS |
| Nursing homes | 14,700 | 15,300 | CDC / NCHS NPALS |
| Home health agencies | 11,500 | 11,400 | CDC / NCHS NPALS |
| Hospices | 5,800 | 5,200 | CDC / NCHS NPALS |
| Adult day services centers | 3,100 | 4,100 | CDC / NCHS NPALS |
| Inpatient rehabilitation facilities | 1,200 | 1,200 | CDC / NCHS NPALS |
| Long-term care hospitals | 340 | 350 | CDC / NCHS NPALS |
These categories are a ladder rather than a menu. Independent living and active adult properties sell housing plus hospitality, most retirement communities in that tier serve adults 55 and older, and neither provides personal care. Residential care adds supportive services and help with bathing and dressing. Nursing homes add skilled clinical care for higher-acuity long term care. Families rarely arrive knowing which of these senior living options they need, which is why a first call is usually a triage conversation rather than a sales one.
Residential care communities added 1,600 locations in two years while nursing homes lost 600. Adult day services centers fell by roughly a quarter, which is the sharpest move on the table and the least discussed. Hospice went the other way, adding 600 locations for an 11% rise in two years, while home health agencies barely moved at 11,500. Both matter to an admissions team, because both are places a family is often already talking to somebody by the time they call a community.
Inside assisted living communities
The structure of those communities matters as much as the count. Most assisted living communities are private businesses rather than charities, and 57.3% answer to a parent company.
| Characteristic | Figure | Source | As of |
|---|---|---|---|
| Total licensed residential care beds | 1,313,600 | CDC / NCHS NPALS | 2022 |
| Average licensed capacity | 41 beds | CDC / NCHS NPALS | 2022 |
| For-profit ownership | 81.5% | CDC / NCHS NPALS | 2022 |
| Nonprofit ownership | 17.4% | CDC / NCHS NPALS | 2022 |
| Chain affiliated | 57.3% | CDC / NCHS NPALS | 2022 |
| Specialize in dementia care or run a dementia unit | 20% | CDC / NCHS NPALS | 2022 |
What does the senior living workforce look like?
Home health and personal care aides are projected to add more new jobs than any other occupation in the United States between 2024 and 2034, which makes labor the sector's tightest constraint by a wide margin. The Bureau of Labor Statistics puts the increase at 739,800 jobs, or 17%.
The health care staffing squeeze
| Metric | Figure | Source | As of |
|---|---|---|---|
| Aides employed | 4,347,700 growing to 5,087,500 | BLS | 2024 to 2034 |
| Projected job growth | +739,800, or +17% | BLS | 2024 to 2034 |
| Rank among all occupations by job growth | 1st | BLS | 2024 to 2034 |
| Share of all new U.S. jobs | About 1 in 7 | Derived from BLS Table 1.4 | 2024 to 2034 |
| Annual openings | About 765,800 | BLS | 2024 to 2034 |
| Median pay | $34,900 a year, $16.78 an hour | BLS | May 2024 |
| National median wage, all occupations | $49,500 | BLS | May 2024 |
| Aide FTE hours per resident per day | 2.8 | CDC / NCHS NPALS | 2022 |
| Registered nurse FTE hours per resident per day | 0.2 | CDC / NCHS NPALS | 2022 |
Put the last four rows together and the squeeze is obvious. The country needs to add three quarters of a million aides at a wage about 70% of the national median, in an occupation where the average residential care resident already gets 2.8 aide hours a day and 0.2 hours of registered nurse time.
That arithmetic is what makes staff time the scarcest thing in a community. Work that does not require a caregiver's hands, like picking up an inquiry call, is the first thing worth moving off the floor. Our guide to senior living marketing covers where that pressure shows up in the sales process.
What does senior living cost?
The national median cost of assisted living was $6,200 a month in the CareScout 2025 Cost of Care Survey, or $74,400 a year, up 5% over the prior year. CareScout, formerly Genworth, collected more than 25,000 rates from providers nationwide between July and November 2025, which makes it the largest regularly published cost dataset in the sector.
| Care setting | Median cost | Annual | Year over year | Source |
|---|---|---|---|---|
| Assisted living community | $6,200 / month | $74,400 | +5% | CareScout 2025 |
| Nursing home, semi-private room | $315 / day | $114,975 | +2% | CareScout 2025 |
| Nursing home, private room | $355 / day | $129,575 | +1% | CareScout 2025 |
| In-home non-medical caregiver | $35 / hour | $80,080 | +3% | CareScout 2025 |
| Adult day health care | $95 / day | $24,700 | -5% | CareScout 2025 |
| Private duty nursing | $90 / hour | new to 2025 | new to 2025 | CareScout 2025 |
Adult day health care is the one line that fell. It is also the provider category that lost about a quarter of its locations between 2020 and 2022, so read the two together rather than separately.
How full are senior living communities right now?
Senior housing occupancy reached 89.9% in the second quarter of 2026, the 20th consecutive quarter of gains, according to NIC MAP. Occupied units hit a record 639,650, and 15 of the 31 primary markets met or exceeded 90%.
| Metric | Figure | Source | As of |
|---|---|---|---|
| Senior housing occupancy | 89.9%, up 0.4 points | NIC MAP | Q2 2026 |
| Consecutive quarters of gains | 20 | NIC MAP | Q2 2026 |
| Occupied units | 639,650, a record | NIC MAP | Q2 2026 |
| Year-over-year inventory growth | Below 1.0% for five straight quarters | NIC MAP | Q2 2026 |
| Units under construction | Fewer than 16,000 | NIC MAP | Q2 2026 |
| Primary markets at or above 90% occupancy | 15 of 31 | NIC MAP | Q2 2026 |
Independent living and assisted living occupancy
Independent living and assisted living sit on either side of that blended figure, and the market spread is wider than the care-type spread. Both splits are broken out in our reference on senior housing occupancy rates, which carries the current independent living and assisted living numbers and the full primary-market range.
The national rate describes nobody's building, so the number that matters to an operator is the one for their care type in their metro.
Occupancy this high changes what the job is. When almost no new supply is entering a market, growth comes from capturing the inquiries already arriving rather than creating new demand, which moves the weight onto what happens when the phone rings.
Occupancy is revised every quarter, so treat any single figure as a snapshot rather than a fixed fact.
Housing capital markets and new development
Occupancy keeps climbing because new development has stalled, and the stall is a financing problem rather than a demand problem. NIC's head of research and analytics, Lisa McCracken, put it plainly in the Q1 2026 release: the bottleneck is largely on the capital side, not from lack of demand, with high costs for labor and materials and unsettled property valuations keeping projects from starting.
The result is that investors favor acquiring existing properties over building new ones, which tightens availability further. Active adult communities are the one segment moving differently, dipping 0.7 points to 91.2% occupancy across 874 properties and roughly 130,000 units, with just 464 new units added in the quarter.
The National Investment Center for Seniors Housing and Care is the body operators and capital providers watch on this, and NIC MAP data now covers 214 markets, up from 140. Any senior housing and care figure you quote from it should carry the quarter it came from.
What does state licensing data show that national numbers hide?
State licensing rosters show a sector overwhelmingly made of very small buildings, which the national averages completely flatten. We parsed California's licensed Residential Care Facility for the Elderly roster, dated 25 May 2025, and the distribution is nothing like the 41-bed national average implies.
| Metric | Figure | Source |
|---|---|---|
| Licensed RCFEs in California | 7,939 | CA Dept. of Social Services roster, 25 May 2025 |
| Total licensed beds | 207,618 | CA DSS roster |
| Facilities licensed for 6 beds or fewer | 78.9% (6,265) | CA DSS roster |
| Share of all beds those small homes hold | 17.7% | CA DSS roster |
| Facilities licensed for 100+ beds | 8.7% (694) | CA DSS roster |
| Share of all beds those large communities hold | 62.3% | CA DSS roster |
| Median licensed capacity | 6 beds | CA DSS roster |
| Counties represented | 48 | CA DSS roster |
Nearly four in five licensed elder care facilities in California are six beds or smaller. Together they hold under a fifth of the state's beds. Meanwhile 694 large communities, under 9% of the licensed count, hold 62.3% of all capacity.
California is one state, and its board and care tradition is unusually strong, so do not read this as a national distribution. But it is a useful correction to any sentence that begins "the average senior living community," because in California the median one has six beds and the average has 26.
What happens when a family actually inquires?
The only senior living study that has publicly measured inquiry handling end to end is a mystery shop, and it found that most inquiries do not get a fast answer. In more than 250 senior living web and phone mystery shops conducted during 2023, BILD & Co found that 53% got no response within two hours of a web inquiry and 13% of calls never got a response at all.
Read this table with its scope attached. BILD & Co sells mystery shopping and sales training to the operators it measured, it published no sample method and this is not a probability sample. It is the best available measurement of this question, which is a statement about how little measurement exists.
Getting a family to inquire at all is a separate discipline from what happens once they do, and our guide to how senior living communities generate leads covers the five channels that actually produce that first call.
| Measure | Figure | Scope |
|---|---|---|
| Web inquiries with no response within two hours | 53% | 250+ mystery shops, 2023 |
| Calls that never received a response at all | 13% | 250+ mystery shops, 2023 |
| Calls blind-transferred to voicemail | 17% | 250+ mystery shops, 2023 |
| Shops that elicited a same-day callback promise | 19% | 250+ mystery shops, 2023 |
| Inquiry-to-tour conversion rate | 22% | BILD & Co data, 2023 |
| Average time a shopper spent trying to inquire | 1 hour 36 minutes | 250+ mystery shops, 2023 |
| Average length of a sales call | 13 minutes | 250+ mystery shops, 2023 |
The 1 hour 36 minute average is the figure worth sitting with. It is not the response time. It is how long a person spent trying to hand a community their business.
We traced the rest of this category claim by claim in our speed to lead statistics audit, where roughly a dozen widely repeated missed-call numbers turned out to have no study behind them. If you want to know what your own line does, the after-hours audit tests it, and the occupancy calculator puts a number on what a filled unit is worth to you.
Which senior living statistics should you not trust?
Start with any precise national market-size dollar figure. You will see the senior living market valued at $940 billion, at $805 billion by 2030 and at $94.2 billion in annual revenue, and those three numbers cannot all describe the same thing. Every citation leads to another vendor page. The figure also swings depending on whether it counts real estate, operations, care revenue or all three.
Here is what got cut from this page and why.
| Claim | Verdict |
|---|---|
| "The senior living market is worth over $940 billion" | No traceable source, and it contradicts the other market-size figures in circulation |
| "9.5 million seniors live in care facilities annually" | Irreconcilable with the federal count of 1,016,400 residential care residents |
| "The typical move-in age is around 80" | Traces to a blog post, not a data release |
| "The average age of senior housing properties is 24 years" | Same blog, no underlying study |
| "75% of families choose the first community that responds" | Traces to one vendor page citing nothing |
| "78% of buyers choose the first company to respond" | Orphan statistic, no primary source |
| "85% of businesses never call a lead back" | Repeated everywhere, sourced nowhere |
| "22% of inquiries arrive after hours" | Traces to one unnamed operator at a vendor event |
| "67% of communities go to voicemail after 5pm" | No study of senior living phone coverage exists |
| "Two in three voicemail callers hang up without leaving a message" | Traces to a survey asking whether people trust voicemail, which is an attitude, not a behavior |
Two rules keep you honest. First, if a number cannot name its primary source and its date, do not quote it. Second, never blend statistics that measure different things. A web-inquiry response rate, an all-hours phone answer rate and a share of after-hours calls have three different denominators, and averaging them is exactly how the fabricated numbers get built.
One more, because it bit this page. When a number is genuinely real but its vintage has rolled over, the old version keeps circulating for years. The aide-employment figures here moved from the 2023 to 2033 projection to the 2024 to 2034 one, and the share of new jobs went from about 1 in 8 to about 1 in 7. Same source, same claim, different answer.
Methodology and sources
Every figure on this page was read directly from the source document listed below, not from a summary, an aggregator or a secondary article quoting it. Where a publisher blocked automated access, the page was opened in a browser and read in full. Numbers that could not be located in the cited source were removed rather than softened.
| Source | What it covers | Population and method | Date |
|---|---|---|---|
| U.S. Census Bureau, 2017 National Population Projections (CB18-41) | Population aging, the 2034 crossover | National projections from existing birth cohorts | Released 2018, revised Sept 2018 |
| NCHS Data Brief No. 506 | Resident demographics, ADLs, chronic conditions | 549 residents sampled across 688 responding residential care communities with 4+ licensed beds | August 2024, 2022 data |
| NCHS NPALS Biennial Overview | Provider counts, capacity, ownership, staffing | Survey of providers plus CMS administrative data, collected Sept 2022 to March 2023 | 2022 wave |
| BLS Occupational Outlook Handbook and Employment Projections Table 1.4 | Aide employment, wages, projections | National Employment Matrix | Last modified August 2025 |
| CareScout 2025 Cost of Care Survey | Cost of assisted living, nursing homes, home care | 25,000+ rates from providers nationwide, reported at metro level | Collected July to November 2025, released March 2026 |
| NIC MAP, Q1 2026 release | Occupancy, inventory, construction | 31 primary markets | Released April 2026 |
| BILD & Co 2023 mystery shops, via Senior Housing News | Inquiry handling and conversion | 250+ web and phone mystery shops. Vendor-run, no published sample method, not a probability sample | Conducted 2023, reported February 2024 |
| California Dept. of Social Services licensed RCFE roster | California facility counts and bed distribution | All 7,939 facilities in LICENSED status, parsed from the full 12,522-row roster | File dated 25 May 2025 |
How solid is each group? The Census, NCHS and BLS figures are the strongest. They are federal, methodologically documented and slow-moving, so they are safe to quote for years. The NIC occupancy figures are reliable but revised quarterly, so date them when you use them. The BILD mystery-shop numbers are the weakest thing here and are included only because no neutral study of this question exists. Treat them as directional and always carry the scope.
How often each figure moves. Occupancy is revised quarterly by NIC MAP, cost annually by CareScout, and the federal provider and resident data every two years by NCHS. Check the primary source before quoting any single number as current. This page was last reviewed on 27 July 2026.
Corrections. This page previously reported the CDC provider counts from the 2015 to 2016 survey, the BLS aide projection on the 2023 to 2033 vintage, and the aide share of new jobs as about 1 in 8. All three were updated on 27 July 2026 to the current vintages. If you cited an earlier version, please update.
Sloane, our AI Admissions Agent for senior living, exists because of the gap between the first and last tables on this page. The demand is not in question. Whether an inquiry reaches a person is.
Frequently asked questions
How many people live in assisted living and residential care in the United States?
About 1,016,400 residents lived in residential care communities on a given day in 2022, according to the CDC's National Center for Health Statistics. Residential care is the federal category that covers most assisted living, along with board and care homes, personal care homes and memory care.
How many assisted living communities and nursing homes are there in the U.S.?
The 2022 National Post-acute and Long-term Care Study counted 32,200 residential care communities and 14,700 nursing homes. Residential care communities added 1,600 locations in two years while nursing homes lost 600.
What does assisted living cost?
The national median cost of assisted living was 6,200 dollars a month, or 74,400 dollars a year, in the CareScout 2025 Cost of Care Survey, an increase of 5% over the prior year. That survey collected more than 25,000 rates from providers nationwide between July and November 2025.
How full are senior living communities right now?
Senior housing occupancy reached 89.9% in the second quarter of 2026, the 20th consecutive quarter of gains, according to NIC MAP. Occupied units hit a record 639,650, and 15 of the 31 primary markets met or exceeded 90%.
How much do senior living residents need help with?
Among residential care residents in 2022, 62% needed assistance with three or more activities of daily living, and only 12% needed no assistance at all. Bathing and walking top the list, at 75% and 71%.
Which senior living statistics should you not trust?
Start with any precise national market-size dollar figure, because every citation leads to another vendor page. Two rules keep you honest. First, if a number cannot name its primary source and its date, do not quote it. Second, never blend statistics that measure different things.
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