Census 2025 estimates · CMS September 2026 · CDC 2020

Senior housing development in Connecticut

Connecticut had 331,907 residents aged 75 and older in July 2025, +19.5% since April 2020 (US +23.4%), and 90,958 aged 85 and older (+3.7%). Its 191 certified nursing homes hold 22,532 beds, 247.7 for every 1,000 people 85 and older, more than the US ratio of 222.6. Certificate of need for nursing home beds: yes; for assisted living: not listed.

Age 75+ (2025)
331,907
Growth since 2020
+19.5%
Nursing beds per 1,000 aged 85+
247.7
Assisted living beds per 1,000 aged 75+
5.7

Demand: the older population

Age groupApril 2020July 2025ChangeUS change
75 and older277,766331,907+19.5%+23.4%
85 and older87,71490,958+3.7%+11.3%

Nationally, the Census Bureau's 2023 projections have the 75+ population growing 21% from 2025 to 2030 and the 85+ population 59% from 2025 to 2035. The bureau publishes those projections for the US only, not by state.

Supply: licensed beds

SettingBedsPer 1,000 aged 75+Per 1,000 aged 85+Source
Nursing homes (Medicare or Medicaid certified)22,53267.9247.7CMS, September 2026
Residential care / assisted living1,9005.720.9CDC survey, 2020

US: 222.6 nursing beds and 170.1 assisted living beds per 1,000 aged 85+. Assisted living beds are CDC's 2020 survey estimate, its latest with state detail, set against 2025 population, so the ratio understates any supply added since.

Certificate of need

Nursing home beds
Yes
Assisted living
Not listed
Notes
Conn. Gen. Stat. 17b-352 covers nursing homes, rest homes and residential care homes. Residential care homes are not CT's assisted living license AL not named

From NCSL's certificate of need table (updated April 29, 2025, covering January 2025) with later changes checked on state sites on October 24, 2026. "Not listed" means NCSL does not name assisted living, not that it is exempt. Confirm with the state health planning agency before relying on it. HUD requires a state CON for nursing home beds where the state has one (Handbook 4232.1, 2.5.EE).

Counties

The Census Bureau now reports Connecticut by planning region, while CMS still lists nursing homes by the old counties, so county-level beds are not shown for Connecticut.

HUD Section 232 construction in Connecticut

Since fiscal 2001 HUD has insured 23 new construction or substantial rehabilitation loans on care facilities in Connecticut (2 assisted living, 21 nursing homes), $269.4 million of original principal, 4 of them since fiscal 2016.

  • FY2022: The Guilford House, Guilford, nursing home, $18.9 million
  • FY2020: Milford Health and Rehab Center, Milford, nursing home, $9.4 million
  • FY2018: Marbridge Retirement Center, Cheshire, assisted living, $13.7 million
  • FY2017: The Guilford House, Guilford, nursing home, $18.9 million

Planning a building in Connecticut? Model the budget, lease-up and a HUD 232 construction loan.

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Other states

Sources: Census Bureau Vintage 2025 county population estimates; CMS Nursing Home Provider Information (September 2026); CDC/NCHS National Post-acute and Long-term Care Study (2020); HUD Office of Healthcare Programs endorsement database (data run 07/08/2026); NCSL. Absorption is operated by Janover Capital LLC and is not affiliated with any of them. Methodology.