Census 2025 estimates · CMS September 2026 · CDC 2020

Senior housing development in Oklahoma

Oklahoma had 313,226 residents aged 75 and older in July 2025, +18.0% since April 2020 (US +23.4%), and 77,136 aged 85 and older (+9.5%). Its 283 certified nursing homes hold 27,555 beds, 357.2 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): 313,226
Growth since 2020: +18.0%
Nursing beds per 1,000 aged 85+: 357.2
Assisted living beds per 1,000 aged 75+: 38.6

Demand: the older population

Age group	April 2020	July 2025	Change	US change
75 and older	265,422	313,226	+18.0%	+23.4%
85 and older	70,413	77,136	+9.5%	+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

Setting	Beds	Per 1,000 aged 75+	Per 1,000 aged 85+	Source
Nursing homes (Medicare or Medicaid certified)	27,555	88.0	357.2	CMS, September 2026
Residential care / assisted living	12,100	38.6	156.9	CDC 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: None

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 25 counties with the most residents aged 75+, with certified nursing home beds per 1,000 aged 85+.

County	Age 75+	Since 2020	Share of population	Age 85+	Nursing homes	Beds per 1,000 aged 85+
Oklahoma County	54,182	+18.4%	6.6%	13,736	40	322.2
Tulsa County	49,476	+19.3%	7.1%	12,463	33	304.9
Cleveland County	22,164	+34.0%	7.3%	5,536	10	179
Canadian County	11,131	+41.8%	5.9%	2,503	5	184.6
Rogers County	8,650	+24.9%	8.5%	2,105	5	236.6
Comanche County	7,693	+16.7%	6.3%	2,034	4	242.4
Wagoner County	7,316	+39.6%	7.8%	1,495	2	145.2
Creek County	6,648	+18.7%	8.9%	1,688	7	420
Pottawatomie County	5,849	+14.0%	7.8%	1,255	6	516.3
Muskogee County	5,659	+11.9%	8.5%	1,347	10	641.4
Payne County	5,629	+23.5%	6.7%	1,474	3	206.2
Washington County	5,366	+8.9%	9.9%	1,598	5	303.5
Delaware County	4,967	+19.7%	11.9%	1,077	5	474.5
Garfield County	4,771	+4.5%	7.7%	1,332	6	486.5
Osage County	4,433	+25.3%	9.5%	952	3	178.6
Grady County	4,404	+19.7%	7.4%	1,093	5	397.1
Stephens County	4,271	+13.0%	9.6%	1,093	5	435.5
Le Flore County	4,215	+16.2%	8.4%	900	6	613.3
Carter County	4,155	+12.7%	8.5%	1,018	4	363.5
Pittsburg County	4,113	+10.2%	9.5%	945	6	464.6
Cherokee County	4,097	+26.0%	8.3%	995	3	375.9
Bryan County	4,026	+17.0%	7.8%	932	5	502.1
Kay County	4,016	+9.3%	9.2%	995	4	460.3
Logan County	4,004	+38.6%	7.2%	976	2	230.5
McClain County	3,654	+34.3%	7.4%	823	3	272.2

Fastest growth in the 75+ population

Canadian County: +41.8% (11,131)
Wagoner County: +39.6% (7,316)
Logan County: +38.6% (4,004)
McClain County: +34.3% (3,654)
Cleveland County: +34.0% (22,164)
Cherokee County: +26.0% (4,097)
Osage County: +25.3% (4,433)
Rogers County: +24.9% (8,650)
Payne County: +23.5% (5,629)
Delaware County: +19.7% (4,967)

Counties with at least 2,000 residents aged 75+.

Fewest nursing beds per 1,000 aged 85+

Wagoner County: 145.2 (217 beds, 1,495 aged 85+)
Cleveland County: 179 (991 beds, 5,536 aged 85+)
Canadian County: 184.6 (462 beds, 2,503 aged 85+)
Payne County: 206.2 (304 beds, 1,474 aged 85+)
Rogers County: 236.6 (498 beds, 2,105 aged 85+)
Comanche County: 242.4 (493 beds, 2,034 aged 85+)
Washington County: 303.5 (485 beds, 1,598 aged 85+)
Tulsa County: 304.9 (3,800 beds, 12,463 aged 85+)
Oklahoma County: 322.2 (4,426 beds, 13,736 aged 85+)
Carter County: 363.5 (370 beds, 1,018 aged 85+)

Counties with at least 1,000 residents aged 85+.

HUD Section 232 construction in Oklahoma

Since fiscal 2001 HUD has insured 16 new construction or substantial rehabilitation loans on care facilities in Oklahoma (11 assisted living, 4 nursing homes), $95.3 million of original principal, 1 of them since fiscal 2016.

FY2021: Canoe Brook Assisted Living, Catoosa, assisted living, $7.3 million

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

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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.