Census 2025 · CMS September 2026 · CDC 2020
Senior housing demand and supply by state
The US had 27,928,937 people aged 75 and older in July 2025, +23.4% since April 2020, and 7,041,036 aged 85 and older (+11.3%). Here is each state's growth against its licensed beds.
| State | Age 75+ | Since 2020 | Age 85+ | Nursing beds per 1,000 aged 85+ | AL beds per 1,000 aged 75+ (CDC 2020) | CON, nursing | CON, assisted living |
|---|---|---|---|---|---|---|---|
| Alabama | 428,110 | +21.2% | 102,135 | 259.5 | 23.8 | Yes | Not listed |
| Alaska | 42,277 | +41.5% | 8,199 | 99.4 | 44.9 | Yes | Not listed |
| Arizona | 717,221 | +31.4% | 167,460 | 95.5 | 52.8 | No | No |
| Arkansas | 254,918 | +18.1% | 60,837 | 397.3 | 31.8 | Yes (moratorium on residential care) | Yes |
| California | 3,031,385 | +23.3% | 809,992 | 142.0 | 54.1 | No | No |
| Colorado | 429,641 | +32.1% | 99,686 | 198.1 | 47.5 | No | No |
| Connecticut | 331,907 | +19.5% | 90,958 | 247.7 | 5.7 | Yes | Not listed |
| Delaware | 100,192 | +30.9% | 22,783 | 207.0 | 19.0 | Yes | Not listed |
| District of Columbia | 42,757 | +21.6% | 11,617 | 213.9 | 30.4 | Yes | Not listed |
| Florida | 2,484,675 | +26.1% | 633,779 | 133.4 | 38.2 | Yes | No |
| Georgia | 789,464 | +31.3% | 179,950 | 219.3 | 39.4 | Yes | Listed (personal care homes) |
| Hawaii | 152,313 | +31.3% | 43,663 | 97.3 | 30.9 | Yes | Not listed |
| Idaho | 161,775 | +32.6% | 37,412 | 163.5 | 43.3 | No | No |
| Illinois | 1,023,833 | +18.5% | 275,741 | 308.2 | 45.7 | Yes | Not listed |
| Indiana | 539,658 | +19.8% | 134,204 | 363.8 | 57.1 | Yes (comprehensive care beds) | Not listed |
| Iowa | 283,683 | +16.1% | 80,343 | 312.8 | 44.1 | Yes | Not listed |
| Kansas | 239,869 | +19.2% | 63,246 | 285.1 | 68.4 | No | No |
| Kentucky | 361,825 | +21.0% | 84,398 | 301.0 | 34.8 | Yes | Not listed |
| Louisiana | 358,765 | +21.3% | 85,984 | 374.9 | 19.8 | Yes (Facility Need Review) plus moratorium | Not listed |
| Maine | 149,997 | +26.3% | 36,155 | 161.3 | 46.0 | Yes | Not listed |
| Maryland | 494,794 | +24.5% | 126,255 | 215.7 | 39.6 | Yes | Not listed |
| Massachusetts | 628,062 | +22.5% | 165,591 | 247.1 | 30.1 | Yes (Determination of Need) | Not listed |
| Michigan | 870,581 | +19.5% | 216,289 | 203.5 | 37.7 | Yes | Not listed |
| Minnesota | 476,381 | +21.6% | 128,077 | 187.8 | 108.5 | Moratorium (no formal CON) | Not listed |
| Mississippi | 238,387 | +18.9% | 56,572 | 309.5 | 26.4 | Yes plus moratorium | Not listed |
| Missouri | 525,265 | +18.3% | 133,254 | 375.6 | 42.8 | Yes | Yes |
| Montana | 106,575 | +27.8% | 24,810 | 201.4 | 55.4 | Yes (LTC only) | Not listed |
| Nebraska | 156,913 | +18.4% | 41,154 | 333.3 | 73.3 | Yes plus moratorium | Not listed |
| Nevada | 252,934 | +31.5% | 53,590 | 135.0 | 29.3 | Yes, rural counties only | UNVERIFIED |
| New Hampshire | 135,526 | +30.9% | 32,441 | 225.8 | 45.0 | No | No |
| New Jersey | 767,236 | +18.7% | 206,230 | 247.3 | 27.9 | Yes | Yes |
| New Mexico | 192,331 | +26.5% | 43,798 | 157.3 | 27.0 | No | No |
| New York | 1,707,429 | +19.0% | 478,142 | 233.0 | 16.9 | Yes | Partial (adult care facilities) |
| North Carolina | 910,753 | +29.0% | 210,994 | 207.8 | 37.2 | Yes | Yes (adult care homes) |
| North Dakota | 60,492 | +16.6% | 17,523 | 280.1 | 81.0 | No | No |
| Ohio | 1,019,613 | +18.2% | 259,049 | 313.1 | 59.5 | Yes plus moratorium | Not listed |
| Oklahoma | 313,226 | +18.0% | 77,136 | 357.2 | 38.6 | Yes | Not listed |
| Oregon | 399,771 | +28.5% | 93,346 | 113.6 | 83.5 | Yes | Not listed |
| Pennsylvania | 1,220,838 | +17.0% | 327,495 | 253.6 | 47.1 | No | No |
| Rhode Island | 100,310 | +20.1% | 26,799 | 305.6 | 44.9 | Yes | Not listed |
| South Carolina | 503,436 | +34.1% | 109,745 | 178.5 | 36.0 | Yes (nursing homes only) | No |
| South Dakota | 75,046 | +16.5% | 21,085 | 277.4 | 62.6 | No | No |
| Tennessee | 575,289 | +23.6% | 133,326 | 259.6 | 34.8 | Yes | Not listed |
| Texas | 1,938,615 | +28.1% | 461,222 | 289.4 | 31.6 | No | No |
| Utah | 191,424 | +26.7% | 44,850 | 186.8 | 52.8 | No | No |
| Vermont | 66,253 | +28.3% | 15,550 | 189.8 | 51.3 | Yes | Not listed |
| Virginia | 706,606 | +26.2% | 173,078 | 188.6 | 45.0 | Yes (COPN) | Not listed |
| Washington | 629,096 | +29.5% | 150,667 | 124.7 | 57.1 | Yes | Not listed |
| West Virginia | 170,927 | +18.5% | 39,623 | 270.5 | 18.7 | Yes plus moratorium | Not listed |
| Wisconsin | 522,109 | +21.0% | 133,736 | 185.1 | 84.7 | Bed cap / approval (no formal CON) | Not listed |
| Wyoming | 48,454 | +26.4% | 11,067 | 265.5 | 33.0 | No (since 2026-07-01) | No |
US: 222.6 nursing beds per 1,000 aged 85+. Certificate of need from NCSL (updated April 29, 2025) with later changes noted on each state page.