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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?

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.

MetricFigureSourceAs of
Adults 65+ vs children under 1877.0 million vs 76.5 million, the first crossover in U.S. historyU.S. Census Bureauprojected 2034
Baby boomers reaching 65+The entire generation, putting 1 in 5 residents at retirement ageU.S. Census Bureauby 2030
Working-age adults per retireeAbout 3.5, falling to 2.5U.S. Census Bureau2020 to 2060
Chance of needing long-term care after 65Almost 70%U.S. Dept. of Health and Human Services2020

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.

MetricFigureSourceAs of
Residents on a given dayAbout 1,016,400CDC / NCHS2022
Female67%CDC / NCHS2022
Age 85 and older53%CDC / NCHS2022
Ages 75 to 8431%CDC / NCHS2022
Ages 65 to 7410%CDC / NCHS2022
Younger than 656%CDC / NCHS2022
White non-Hispanic92%CDC / NCHS2022
Medicaid beneficiaries17%CDC / NCHS2022

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

ActivityShare needing assistanceSourceAs of
Bathing75%CDC / NCHS2022
Walking71%CDC / NCHS2022
Dressing60%CDC / NCHS2022
Transferring in or out of a bed or chair57%CDC / NCHS2022
Toileting51%CDC / NCHS2022
Eating28%CDC / NCHS2022
Three or more of the above62%CDC / NCHS2022

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 conditionShare of residentsSourceAs of
High blood pressure58%CDC / NCHS2022
Alzheimer disease or other dementias44%CDC / NCHS2022
Heart disease33%CDC / NCHS2022
Depression26%CDC / NCHS2022
Arthritis18%CDC / NCHS2022
COPD16%CDC / NCHS2022
Diabetes16%CDC / NCHS2022
Osteoporosis12%CDC / NCHS2022

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 type2022 count2020 countSource
Residential care communities32,20030,600CDC / NCHS NPALS
Nursing homes14,70015,300CDC / NCHS NPALS
Home health agencies11,50011,400CDC / NCHS NPALS
Hospices5,8005,200CDC / NCHS NPALS
Adult day services centers3,1004,100CDC / NCHS NPALS
Inpatient rehabilitation facilities1,2001,200CDC / NCHS NPALS
Long-term care hospitals340350CDC / 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.

CharacteristicFigureSourceAs of
Total licensed residential care beds1,313,600CDC / NCHS NPALS2022
Average licensed capacity41 bedsCDC / NCHS NPALS2022
For-profit ownership81.5%CDC / NCHS NPALS2022
Nonprofit ownership17.4%CDC / NCHS NPALS2022
Chain affiliated57.3%CDC / NCHS NPALS2022
Specialize in dementia care or run a dementia unit20%CDC / NCHS NPALS2022

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

MetricFigureSourceAs of
Aides employed4,347,700 growing to 5,087,500BLS2024 to 2034
Projected job growth+739,800, or +17%BLS2024 to 2034
Rank among all occupations by job growth1stBLS2024 to 2034
Share of all new U.S. jobsAbout 1 in 7Derived from BLS Table 1.42024 to 2034
Annual openingsAbout 765,800BLS2024 to 2034
Median pay$34,900 a year, $16.78 an hourBLSMay 2024
National median wage, all occupations$49,500BLSMay 2024
Aide FTE hours per resident per day2.8CDC / NCHS NPALS2022
Registered nurse FTE hours per resident per day0.2CDC / NCHS NPALS2022

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 settingMedian costAnnualYear over yearSource
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 / hournew to 2025new to 2025CareScout 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%.

MetricFigureSourceAs of
Senior housing occupancy89.9%, up 0.4 pointsNIC MAPQ2 2026
Consecutive quarters of gains20NIC MAPQ2 2026
Occupied units639,650, a recordNIC MAPQ2 2026
Year-over-year inventory growthBelow 1.0% for five straight quartersNIC MAPQ2 2026
Units under constructionFewer than 16,000NIC MAPQ2 2026
Primary markets at or above 90% occupancy15 of 31NIC MAPQ2 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.

MetricFigureSource
Licensed RCFEs in California7,939CA Dept. of Social Services roster, 25 May 2025
Total licensed beds207,618CA DSS roster
Facilities licensed for 6 beds or fewer78.9% (6,265)CA DSS roster
Share of all beds those small homes hold17.7%CA DSS roster
Facilities licensed for 100+ beds8.7% (694)CA DSS roster
Share of all beds those large communities hold62.3%CA DSS roster
Median licensed capacity6 bedsCA DSS roster
Counties represented48CA 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.

MeasureFigureScope
Web inquiries with no response within two hours53%250+ mystery shops, 2023
Calls that never received a response at all13%250+ mystery shops, 2023
Calls blind-transferred to voicemail17%250+ mystery shops, 2023
Shops that elicited a same-day callback promise19%250+ mystery shops, 2023
Inquiry-to-tour conversion rate22%BILD & Co data, 2023
Average time a shopper spent trying to inquire1 hour 36 minutes250+ mystery shops, 2023
Average length of a sales call13 minutes250+ 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.

ClaimVerdict
"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.

SourceWhat it coversPopulation and methodDate
U.S. Census Bureau, 2017 National Population Projections (CB18-41)Population aging, the 2034 crossoverNational projections from existing birth cohortsReleased 2018, revised Sept 2018
NCHS Data Brief No. 506Resident demographics, ADLs, chronic conditions549 residents sampled across 688 responding residential care communities with 4+ licensed bedsAugust 2024, 2022 data
NCHS NPALS Biennial OverviewProvider counts, capacity, ownership, staffingSurvey of providers plus CMS administrative data, collected Sept 2022 to March 20232022 wave
BLS Occupational Outlook Handbook and Employment Projections Table 1.4Aide employment, wages, projectionsNational Employment MatrixLast modified August 2025
CareScout 2025 Cost of Care SurveyCost of assisted living, nursing homes, home care25,000+ rates from providers nationwide, reported at metro levelCollected July to November 2025, released March 2026
NIC MAP, Q1 2026 releaseOccupancy, inventory, construction31 primary marketsReleased April 2026
BILD & Co 2023 mystery shops, via Senior Housing NewsInquiry handling and conversion250+ web and phone mystery shops. Vendor-run, no published sample method, not a probability sampleConducted 2023, reported February 2024
California Dept. of Social Services licensed RCFE rosterCalifornia facility counts and bed distributionAll 7,939 facilities in LICENSED status, parsed from the full 12,522-row rosterFile 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.

Hear her yourself

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She is the concierge for a Newport Beach community that does not exist. Call her, ask her the hard questions, and see how she holds up.