Census 2025 estimates · CMS September 2026 · CDC 2020

Senior housing development in Utah

Utah had 191,424 residents aged 75 and older in July 2025, +26.7% since April 2020 (US +23.4%), and 44,850 aged 85 and older (+13.8%). Its 97 certified nursing homes hold 8,379 beds, 186.8 for every 1,000 people 85 and older, fewer than the US ratio of 222.6. Certificate of need for nursing home beds: no; for assisted living: no.

Age 75+ (2025): 191,424
Growth since 2020: +26.7%
Nursing beds per 1,000 aged 85+: 186.8
Assisted living beds per 1,000 aged 75+: 52.8

Demand: the older population

Age group	April 2020	July 2025	Change	US change
75 and older	151,048	191,424	+26.7%	+23.4%
85 and older	39,427	44,850	+13.8%	+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)	8,379	43.8	186.8	CMS, September 2026
Residential care / assisted living	10,100	52.8	225.2	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: No
Assisted living: No
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+
Salt Lake County	64,476	+25.3%	5.3%	14,992	35	200
Utah County	28,014	+27.7%	3.7%	6,813	13	161
Washington County	23,432	+32.7%	11%	5,555	8	135.6
Davis County	19,387	+26.0%	5.1%	4,787	6	115.9
Weber County	15,553	+22.4%	5.6%	3,593	11	311.7
Cache County	6,841	+21.9%	4.7%	1,677	4	239.1
Iron County	4,260	+41.6%	6.3%	898	2	189.3
Box Elder County	3,693	+12.0%	5.7%	997	3	197.6
Tooele County	3,293	+33.9%	3.8%	675	1	165.9
Summit County	2,739	+55.4%	6.3%	497	0	0
Wasatch County	2,360	+48.8%	6.1%	438	1	210
Sanpete County	2,306	+22.1%	7.3%	530	1	86.8
Uintah County	1,937	+25.9%	5.1%	349	1	315.2
Sevier County	1,784	+16.1%	7.8%	432	2	296.3
Carbon County	1,716	+18.5%	8.3%	366	2	431.7
Duchesne County	1,291	+21.6%	6.2%	313	1	287.5
Millard County	1,123	+19.5%	8%	283	1	212
San Juan County	1,048	+19.5%	7.2%	260	1	400
Kane County	1,012	+34.8%	11.8%	210	0	0
Grand County	928	+43.9%	9.5%	225	1	160
Juab County	802	+31.0%	5.9%	218	1	367
Emery County	801	+18.8%	7.9%	171	1	298.2
Morgan County	768	+21.1%	5.7%	183	0	0
Garfield County	601	+27.1%	11.4%	136	1	154.4
Beaver County	494	+14.9%	6.8%	97	0	0

Fastest growth in the 75+ population

Summit County: +55.4% (2,739)
Wasatch County: +48.8% (2,360)
Iron County: +41.6% (4,260)
Tooele County: +33.9% (3,293)
Washington County: +32.7% (23,432)
Utah County: +27.7% (28,014)
Davis County: +26.0% (19,387)
Salt Lake County: +25.3% (64,476)
Weber County: +22.4% (15,553)
Sanpete County: +22.1% (2,306)

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

Fewest nursing beds per 1,000 aged 85+

Davis County: 115.9 (555 beds, 4,787 aged 85+)
Washington County: 135.6 (753 beds, 5,555 aged 85+)
Utah County: 161 (1,097 beds, 6,813 aged 85+)
Salt Lake County: 200 (2,998 beds, 14,992 aged 85+)
Cache County: 239.1 (401 beds, 1,677 aged 85+)
Weber County: 311.7 (1,120 beds, 3,593 aged 85+)

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

HUD Section 232 construction in Utah

Since fiscal 2001 HUD has insured 30 new construction or substantial rehabilitation loans on care facilities in Utah (17 assisted living, 12 nursing homes), $234.6 million of original principal, 4 of them since fiscal 2016.

FY2021: Hunter Hollow, West Valley City, nursing home, $11.8 million
FY2020: Legacy House of Ogden, Washington Terrace, board and care, $6.6 million
FY2017: Legacy Village of Taylorsville, Taylorsville, assisted living, $11.4 million
FY2016: Rocky Mountain Care - Hunter Hollow, West Valley, nursing home, $11.8 million

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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.