Certified Nursing Facility Occupancy Rate by Rurality | KFF State Health Facts

Home State Health Facts Providers & Service Use Nursing Facilities in Rural Areas

Certified Nursing Facility Occupancy Rate by Rurality

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Certified Nursing Facility Occupancy Rate by Rurality

This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.

2025

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.73	0.8
Alabama	0.82	0.82
Alaska	0.88	0.95
Arizona	0.65	0.75
Arkansas	0.72	0.77
California	0.81	0.88
Colorado	0.67	0.78
Connecticut	0.87	0.84
Delaware	0.77	0.86
District of Columbia	N/A	0.83
Florida	0.86	0.89
Georgia	0.75	0.8
Hawaii	0.78	0.81
Idaho	0.68	0.73
Illinois	0.66	0.74
Indiana	0.72	0.74
Iowa	0.75	0.78
Kansas	0.78	0.83
Kentucky	0.84	0.85
Louisiana	0.7	0.74
Maine	0.88	0.84
Maryland	0.74	0.85
Massachusetts	0.74	0.81
Michigan	0.77	0.82
Minnesota	0.81	0.84
Mississippi	0.85	0.84
Missouri	0.66	0.72
Montana	0.62	0.66
Nebraska	0.68	0.74
Nevada	0.69	0.84
New Hampshire	0.78	0.82
New Jersey	N/A	0.82
New Mexico	0.75	0.85
New York	0.87	0.89
North Carolina	0.79	0.81
North Dakota	0.88	0.91
Ohio	0.81	0.83
Oklahoma	0.56	0.66
Oregon	0.52	0.68
Pennsylvania	0.75	0.81
Rhode Island	N/A	0.83
South Carolina	0.85	0.84
South Dakota	0.8	0.9
Tennessee	0.67	0.74
Texas	0.58	0.68
Utah	0.57	0.7
Vermont	0.82	0.81
Virginia	0.83	0.89
Washington	0.74	0.75
West Virginia	0.9	0.88
Wisconsin	0.7	0.7
Wyoming	0.66	0.71

2024

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.72	0.79
Alabama	0.81	0.81
Alaska	0.85	0.88
Arizona	0.65	0.72
Arkansas	0.65	0.73
California	0.78	0.86
Colorado	0.68	0.76
Connecticut	0.82	0.82
Delaware	0.76	0.85
District of Columbia	N/A	0.82
Florida	0.83	0.87
Georgia	0.73	0.79
Hawaii	0.75	0.8
Idaho	0.65	0.68
Illinois	0.65	0.72
Indiana	0.69	0.73
Iowa	0.71	0.75
Kansas	0.78	0.81
Kentucky	0.82	0.84
Louisiana	0.69	0.72
Maine	0.84	0.84
Maryland	0.74	0.84
Massachusetts	0.71	0.8
Michigan	0.74	0.79
Minnesota	0.78	0.82
Mississippi	0.84	0.84
Missouri	0.64	0.7
Montana	0.57	0.63
Nebraska	0.67	0.74
Nevada	0.65	0.83
New Hampshire	0.77	0.81
New Jersey	N/A	0.79
New Mexico	0.71	0.83
New York	0.86	0.88
North Carolina	0.76	0.81
North Dakota	0.9	0.91
Ohio	0.8	0.81
Oklahoma	0.56	0.65
Oregon	0.52	0.65
Pennsylvania	0.75	0.8
Rhode Island	N/A	0.84
South Carolina	0.85	0.81
South Dakota	0.8	0.87
Tennessee	0.67	0.74
Texas	0.57	0.66
Utah	0.57	0.68
Vermont	0.79	0.77
Virginia	0.81	0.87
Washington	0.68	0.73
West Virginia	0.88	0.88
Wisconsin	0.68	0.7
Wyoming	0.66	0.68

2023

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.69	0.77
Alabama	0.78	0.78
Alaska	0.85	0.89
Arizona	0.66	0.72
Arkansas	0.61	0.72
California	0.69	0.85
Colorado	0.65	0.75
Connecticut	0.81	0.8
Delaware	0.72	0.79
District of Columbia	N/A	0.79
Florida	0.81	0.85
Georgia	0.7	0.76
Hawaii	0.73	0.77
Idaho	0.63	0.66
Illinois	0.62	0.7
Indiana	0.67	0.71
Iowa	0.69	0.74
Kansas	0.76	0.78
Kentucky	0.79	0.8
Louisiana	0.67	0.69
Maine	0.8	0.83
Maryland	0.7	0.82
Massachusetts	0.71	0.78
Michigan	0.72	0.76
Minnesota	0.75	0.78
Mississippi	0.81	0.8
Missouri	0.62	0.66
Montana	0.57	0.58
Nebraska	0.66	0.72
Nevada	0.61	0.78
New Hampshire	0.75	0.77
New Jersey	N/A	0.77
New Mexico	0.68	0.81
New York	0.82	0.86
North Carolina	0.71	0.78
North Dakota	0.87	0.85
Ohio	0.78	0.78
Oklahoma	0.53	0.62
Oregon	0.5	0.61
Pennsylvania	0.72	0.78
Rhode Island	N/A	0.82
South Carolina	0.81	0.79
South Dakota	0.82	0.87
Tennessee	0.66	0.72
Texas	0.57	0.66
Utah	0.56	0.68
Vermont	0.79	0.76
Virginia	0.79	0.85
Washington	0.61	0.69
West Virginia	0.85	0.88
Wisconsin	0.66	0.67
Wyoming	0.66	0.73

2022

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.67	0.73
Alabama	0.76	0.75
Alaska	0.84	0.84
Arizona	0.61	0.68
Arkansas	0.58	0.67
California	0.64	0.8
Colorado	0.62	0.71
Connecticut	0.77	0.76
Delaware	0.71	0.76
District of Columbia	N/A	0.82
Florida	0.75	0.79
Georgia	0.69	0.72
Hawaii	0.74	0.77
Idaho	0.6	0.59
Illinois	0.59	0.66
Indiana	0.65	0.68
Iowa	0.67	0.7
Kansas	0.75	0.74
Kentucky	0.77	0.78
Louisiana	0.66	0.67
Maine	0.74	0.76
Maryland	0.68	0.77
Massachusetts	0.71	0.75
Michigan	0.7	0.71
Minnesota	0.72	0.74
Mississippi	0.77	0.76
Missouri	0.6	0.64
Montana	0.51	0.5
Nebraska	0.64	0.7
Nevada	0.55	0.74
New Hampshire	0.75	0.73
New Jersey	N/A	0.72
New Mexico	0.65	0.74
New York	0.79	0.83
North Carolina	0.67	0.75
North Dakota	0.85	0.81
Ohio	0.73	0.74
Oklahoma	0.52	0.6
Oregon	0.49	0.58
Pennsylvania	0.69	0.75
Rhode Island	N/A	0.78
South Carolina	0.75	0.76
South Dakota	0.88	0.9
Tennessee	0.64	0.69
Texas	0.57	0.63
Utah	0.55	0.63
Vermont	0.73	0.76
Virginia	0.76	0.79
Washington	0.61	0.65
West Virginia	0.78	0.84
Wisconsin	0.66	0.68
Wyoming	0.66	0.7

2021

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.64	0.69
Alabama	0.72	0.7
Alaska	0.81	0.81
Arizona	0.54	0.64
Arkansas	0.54	0.62
California	0.61	0.73
Colorado	0.61	0.67
Connecticut	0.74	0.71
Delaware	0.69	0.7
District of Columbia	N/A	0.79
Florida	0.76	0.76
Georgia	0.67	0.69
Hawaii	0.76	0.76
Idaho	0.6	0.57
Illinois	0.56	0.63
Indiana	0.6	0.64
Iowa	0.63	0.67
Kansas	0.7	0.69
Kentucky	0.73	0.73
Louisiana	0.62	0.64
Maine	0.75	0.75
Maryland	0.62	0.73
Massachusetts	0.71	0.69
Michigan	0.67	0.68
Minnesota	0.72	0.74
Mississippi	0.73	0.71
Missouri	0.57	0.6
Montana	0.51	0.51
Nebraska	0.63	0.66
Nevada	0.5	0.7
New Hampshire	0.74	0.68
New Jersey	N/A	0.67
New Mexico	0.59	0.7
New York	0.75	0.76
North Carolina	0.63	0.68
North Dakota	0.78	0.76
Ohio	0.68	0.69
Oklahoma	0.49	0.57
Oregon	0.47	0.61
Pennsylvania	0.67	0.71
Rhode Island	N/A	0.72
South Carolina	0.71	0.72
South Dakota	0.76	0.74
Tennessee	0.59	0.65
Texas	0.53	0.59
Utah	0.53	0.6
Vermont	0.71	0.66
Virginia	0.71	0.73
Washington	0.61	0.63
West Virginia	0.77	0.77
Wisconsin	0.64	0.65
Wyoming	0.65	0.66

2020

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.76	0.82
Alabama	0.87	0.85
Alaska	0.88	0.76
Arizona	0.75	0.73
Arkansas	0.66	0.74
California	0.75	0.87
Colorado	0.78	0.81
Connecticut	0.87	0.86
Delaware	0.83	0.85
District of Columbia	N/A	0.89
Florida	0.86	0.86
Georgia	0.82	0.85
Hawaii	0.85	0.85
Idaho	0.68	0.66
Illinois	0.68	0.74
Indiana	0.73	0.76
Iowa	0.75	0.79
Kansas	0.81	0.8
Kentucky	0.86	0.84
Louisiana	0.73	0.78
Maine	0.88	0.89
Maryland	0.78	0.86
Massachusetts	0.85	0.85
Michigan	0.82	0.83
Minnesota	0.84	0.86
Mississippi	0.86	0.85
Missouri	0.66	0.72
Montana	0.62	0.62
Nebraska	0.72	0.76
Nevada	0.68	0.82
New Hampshire	0.87	0.87
New Jersey	N/A	0.82
New Mexico	0.76	0.84
New York	0.88	0.91
North Carolina	0.78	0.84
North Dakota	0.89	0.9
Ohio	0.82	0.82
Oklahoma	0.59	0.68
Oregon	0.57	0.69
Pennsylvania	0.83	0.86
Rhode Island	N/A	0.89
South Carolina	0.86	0.84
South Dakota	0.87	0.89
Tennessee	0.71	0.76
Texas	0.64	0.71
Utah	0.6	0.68
Vermont	0.79	0.77
Virginia	0.83	0.86
Washington	0.72	0.78
West Virginia	0.88	0.89
Wisconsin	0.75	0.77
Wyoming	0.78	0.77

2019

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.76	0.82
Alabama	0.86	0.85
Alaska	0.88	0.92
Arizona	0.74	0.73
Arkansas	0.67	0.75
California	0.77	0.87
Colorado	0.76	0.8
Connecticut	0.87	0.87
Delaware	0.83	0.85
District of Columbia	N/A	0.91
Florida	0.88	0.89
Georgia	0.83	0.86
Hawaii	0.87	0.86
Idaho	0.67	0.66
Illinois	0.68	0.75
Indiana	0.72	0.75
Iowa	0.75	0.78
Kansas	0.82	0.79
Kentucky	0.87	0.83
Louisiana	0.73	0.78
Maine	0.89	0.89
Maryland	0.8	0.86
Massachusetts	0.85	0.85
Michigan	0.83	0.83
Minnesota	0.84	0.84
Mississippi	0.87	0.86
Missouri	0.66	0.72
Montana	0.64	0.64
Nebraska	0.69	0.75
Nevada	0.73	0.82
New Hampshire	0.86	0.88
New Jersey	N/A	0.83
New Mexico	0.73	0.84
New York	0.88	0.91
North Carolina	0.78	0.83
North Dakota	0.88	0.92
Ohio	0.82	0.82
Oklahoma	0.61	0.68
Oregon	0.54	0.7
Pennsylvania	0.85	0.87
Rhode Island	N/A	0.89
South Carolina	0.88	0.85
South Dakota	0.88	0.88
Tennessee	0.73	0.76
Texas	0.65	0.72
Utah	0.61	0.69
Vermont	0.8	0.81
Virginia	0.87	0.86
Washington	0.74	0.78
West Virginia	0.88	0.88
Wisconsin	0.76	0.78
Wyoming	0.79	0.79

2018

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.74	0.8
Alabama	0.84	0.84
Alaska	0.91	0.92
Arizona	0.73	0.71
Arkansas	0.65	0.73
California	0.75	0.85
Colorado	0.68	0.77
Connecticut	0.78	0.81
Delaware	DQ	DQ
District of Columbia	N/A	0.91
Florida	0.87	0.88
Georgia	0.8	0.84
Hawaii	0.79	0.85
Idaho	0.62	0.63
Illinois	0.69	0.74
Indiana	0.72	0.73
Iowa	0.74	0.77
Kansas	0.79	0.74
Kentucky	0.86	0.81
Louisiana	0.69	0.77
Maine	0.85	0.85
Maryland	0.81	0.85
Massachusetts	0.84	0.85
Michigan	0.83	0.81
Minnesota	0.82	0.85
Mississippi	0.82	0.87
Missouri	0.65	0.68
Montana	0.54	0.67
Nebraska	0.6	0.69
Nevada	0.69	0.79
New Hampshire	0.88	0.87
New Jersey	N/A	0.83
New Mexico	0.74	0.83
New York	0.88	0.87
North Carolina	0.77	0.81
North Dakota	0.85	0.89
Ohio	0.81	0.81
Oklahoma	0.55	0.61
Oregon	0.55	0.67
Pennsylvania	0.82	0.86
Rhode Island	N/A	0.89
South Carolina	0.9	0.83
South Dakota	0.85	0.87
Tennessee	0.72	0.76
Texas	0.61	0.71
Utah	0.52	0.64
Vermont	0.75	0.81
Virginia	0.86	0.87
Washington	0.69	0.76
West Virginia	0.86	0.89
Wisconsin	0.76	0.74
Wyoming	0.76	0.81

2017

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.77	0.82
Alabama	0.86	0.83
Alaska	0.83	0.83
Arizona	0.73	0.69
Arkansas	0.69	0.75
California	0.77	0.86
Colorado	0.73	0.8
Connecticut	0.83	0.85
Delaware	DQ	DQ
District of Columbia	N/A	0.93
Florida	0.86	0.88
Georgia	0.81	0.83
Hawaii	0.81	0.85
Idaho	0.66	0.67
Illinois	0.7	0.76
Indiana	0.73	0.73
Iowa	0.75	0.79
Kansas	0.78	0.71
Kentucky	0.87	0.84
Louisiana	0.73	0.79
Maine	0.87	0.89
Maryland	0.82	0.88
Massachusetts	0.86	0.85
Michigan	0.84	0.81
Minnesota	0.85	0.86
Mississippi	0.87	0.89
Missouri	0.67	0.74
Montana	0.62	0.74
Nebraska	0.71	0.77
Nevada	0.72	0.79
New Hampshire	0.88	0.87
New Jersey	N/A	0.84
New Mexico	0.77	0.83
New York	0.89	0.91
North Carolina	0.81	0.82
North Dakota	0.91	0.93
Ohio	0.81	0.84
Oklahoma	0.63	0.69
Oregon	0.51	0.68
Pennsylvania	0.86	0.88
Rhode Island	N/A	0.91
South Carolina	0.9	0.85
South Dakota	0.91	0.89
Tennessee	0.74	0.75
Texas	0.64	0.71
Utah	0.6	0.64
Vermont	0.8	0.83
Virginia	0.86	0.86
Washington	0.7	0.79
West Virginia	0.88	0.88
Wisconsin	0.79	0.77
Wyoming	0.8	0.87

2016

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.77	0.83
Alabama	0.87	0.85
Alaska	0.86	0.85
Arizona	0.71	0.7
Arkansas	0.68	0.75
California	0.79	0.87
Colorado	0.75	0.81
Connecticut	0.86	0.86
Delaware	DQ	DQ
District of Columbia	N/A	0.9
Florida	0.85	0.88
Georgia	0.82	0.84
Hawaii	0.78	0.84
Idaho	0.64	0.67
Illinois	0.7	0.76
Indiana	0.74	0.73
Iowa	0.76	0.81
Kansas	0.79	0.74
Kentucky	0.88	0.86
Louisiana	0.7	0.78
Maine	0.87	0.9
Maryland	0.86	0.88
Massachusetts	0.86	0.86
Michigan	0.86	0.81
Minnesota	0.85	0.88
Mississippi	0.87	0.87
Missouri	0.68	0.75
Montana	0.63	0.73
Nebraska	0.73	0.81
Nevada	0.67	0.75
New Hampshire	0.88	0.9
New Jersey	N/A	0.85
New Mexico	0.76	0.84
New York	0.88	0.9
North Carolina	0.81	0.83
North Dakota	0.91	0.92
Ohio	0.83	0.83
Oklahoma	0.63	0.7
Oregon	0.52	0.69
Pennsylvania	0.87	0.89
Rhode Island	N/A	0.89
South Carolina	0.9	0.86
South Dakota	0.92	0.91
Tennessee	0.74	0.77
Texas	0.64	0.74
Utah	0.6	0.64
Vermont	0.82	0.85
Virginia	0.86	0.85
Washington	0.73	0.8
West Virginia	0.86	0.88
Wisconsin	0.79	0.78
Wyoming	0.77	0.81

2015

Location	Occupancy Rate in Nursing Facilities in Rural Areas	Occupancy Rate in Nursing Facilities in Urban Areas
United States	0.78	0.83
Alabama	0.88	0.85
Alaska	0.87	0.92
Arizona	0.72	0.71
Arkansas	0.7	0.75
California	0.8	0.87
Colorado	0.74	0.8
Connecticut	0.86	0.88
Delaware	DQ	DQ
District of Columbia	N/A	0.92
Florida	0.86	0.89
Georgia	0.85	0.85
Hawaii	0.87	0.91
Idaho	0.62	0.67
Illinois	0.71	0.78
Indiana	0.76	0.77
Iowa	0.77	0.82
Kansas	0.81	0.79
Kentucky	0.89	0.85
Louisiana	0.69	0.77
Maine	0.9	0.9
Maryland	0.83	0.89
Massachusetts	0.86	0.87
Michigan	0.87	0.84
Minnesota	0.88	0.89
Mississippi	0.88	0.86
Missouri	0.68	0.75
Montana	0.64	0.73
Nebraska	0.74	0.79
Nevada	0.73	0.8
New Hampshire	0.9	0.9
New Jersey	N/A	0.86
New Mexico	0.77	0.79
New York	0.89	0.9
North Carolina	0.81	0.84
North Dakota	0.9	0.96
Ohio	0.82	0.85
Oklahoma	0.63	0.71
Oregon	0.5	0.63
Pennsylvania	0.88	0.91
Rhode Island	N/A	0.92
South Carolina	0.89	0.87
South Dakota	0.91	0.92
Tennessee	0.76	0.8
Texas	0.64	0.73
Utah	0.65	0.65
Vermont	0.84	0.87
Virginia	0.86	0.89
Washington	0.73	0.82
West Virginia	0.87	0.88
Wisconsin	0.81	0.8
Wyoming	0.78	0.82

Categories

Nursing Facilities in Rural Areas