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Distribution of Certified Nursing Facility Residents by Primary Payer Source and Rurality
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Distribution of Certified Nursing Facility Residents by Primary Payer Source and 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
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer
United States
0.66
0.63
0.1
0.15
0.24
0.23
Alabama
0.75
0.65
0.08
0.1
0.17
0.26
Alaska
0.89
0.57
0.02
0.19
0.09
0.25
Arizona
0.62
0.54
0.11
0.21
0.27
0.25
Arkansas
0.69
0.67
0.11
0.1
0.21
0.23
California
0.69
0.61
0.17
0.2
0.14
0.19
Colorado
0.63
0.63
0.09
0.12
0.28
0.25
Connecticut
0.64
0.68
0.13
0.12
0.23
0.2
Delaware
0.45
0.47
0.1
0.15
0.44
0.38
District of Columbia
N/A
0.84
N/A
0.11
N/A
0.05
Florida
0.68
0.58
0.14
0.19
0.17
0.23
Georgia
0.79
0.68
0.08
0.12
0.13
0.2
Hawaii
0.78
0.58
0.09
0.21
0.13
0.22
Idaho
0.71
0.62
0.11
0.17
0.18
0.21
Illinois
0.62
0.7
0.11
0.12
0.27
0.18
Indiana
0.65
0.64
0.1
0.11
0.25
0.25
Iowa
0.52
0.52
0.07
0.09
0.42
0.39
Kansas
0.6
0.61
0.08
0.13
0.32
0.27
Kentucky
0.75
0.64
0.11
0.14
0.14
0.22
Louisiana
0.74
0.74
0.12
0.11
0.14
0.15
Maine
0.67
0.63
0.12
0.12
0.21
0.25
Maryland
0.69
0.62
0.15
0.19
0.17
0.19
Massachusetts
0.64
0.63
0.1
0.12
0.26
0.25
Michigan
0.69
0.65
0.1
0.15
0.21
0.2
Minnesota
0.55
0.52
0.09
0.12
0.36
0.36
Mississippi
0.77
0.72
0.1
0.15
0.13
0.13
Missouri
0.68
0.63
0.07
0.11
0.25
0.26
Montana
0.56
0.56
0.06
0.24
0.38
0.2
Nebraska
0.49
0.59
0.08
0.15
0.43
0.26
Nevada
0.72
0.59
0.1
0.22
0.17
0.19
New Hampshire
0.64
0.63
0.09
0.12
0.26
0.24
New Jersey
N/A
0.61
N/A
0.19
N/A
0.2
New Mexico
0.68
0.63
0.16
0.19
0.16
0.18
New York
0.68
0.65
0.1
0.17
0.21
0.18
North Carolina
0.65
0.59
0.16
0.17
0.19
0.24
North Dakota
0.55
0.49
0.04
0.14
0.41
0.37
Ohio
0.64
0.65
0.1
0.09
0.25
0.27
Oklahoma
0.74
0.67
0.09
0.12
0.17
0.21
Oregon
0.57
0.59
0.2
0.16
0.24
0.25
Pennsylvania
0.66
0.64
0.08
0.11
0.25
0.26
Rhode Island
N/A
0.64
N/A
0.08
N/A
0.29
South Carolina
0.66
0.62
0.1
0.15
0.24
0.23
South Dakota
0.5
0.5
0.13
0.11
0.38
0.38
Tennessee
0.65
0.55
0.14
0.15
0.22
0.3
Texas
0.64
0.62
0.1
0.15
0.26
0.24
Utah
0.66
0.58
0.12
0.18
0.22
0.25
Vermont
0.68
0.58
0.12
0.16
0.2
0.26
Virginia
0.69
0.6
0.11
0.16
0.2
0.24
Washington
0.63
0.58
0.22
0.19
0.15
0.23
West Virginia
0.79
0.77
0.09
0.1
0.11
0.14
Wisconsin
0.58
0.53
0.13
0.17
0.29
0.3
Wyoming
0.58
0.6
0.09
0.19
0.33
0.21
2024
Location
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer
United States
0.66
0.62
0.1
0.14
0.24
0.24
Alabama
0.75
0.65
0.08
0.1
0.17
0.26
Alaska
0.88
0.66
0.03
0.21
0.09
0.13
Arizona
0.7
0.52
0.07
0.19
0.22
0.29
Arkansas
0.68
0.66
0.1
0.1
0.22
0.24
California
0.69
0.61
0.19
0.19
0.13
0.21
Colorado
0.64
0.62
0.08
0.12
0.28
0.26
Connecticut
0.68
0.68
0.13
0.11
0.19
0.21
Delaware
0.63
0.5
0.14
0.13
0.22
0.37
District of Columbia
N/A
0.83
N/A
0.11
N/A
0.05
Florida
0.7
0.57
0.14
0.18
0.16
0.24
Georgia
0.79
0.68
0.07
0.12
0.13
0.2
Hawaii
0.75
0.49
0.08
0.23
0.18
0.27
Idaho
0.69
0.63
0.11
0.15
0.21
0.22
Illinois
0.62
0.7
0.1
0.11
0.28
0.18
Indiana
0.67
0.65
0.1
0.11
0.23
0.23
Iowa
0.5
0.5
0.06
0.09
0.44
0.41
Kansas
0.59
0.58
0.09
0.13
0.33
0.29
Kentucky
0.73
0.65
0.11
0.13
0.16
0.23
Louisiana
0.74
0.74
0.11
0.11
0.15
0.15
Maine
0.67
0.63
0.12
0.11
0.21
0.26
Maryland
0.69
0.64
0.15
0.18
0.16
0.19
Massachusetts
0.57
0.62
0.09
0.12
0.34
0.26
Michigan
0.7
0.64
0.09
0.13
0.22
0.23
Minnesota
0.55
0.52
0.1
0.12
0.35
0.35
Mississippi
0.75
0.72
0.1
0.14
0.15
0.13
Missouri
0.67
0.65
0.07
0.1
0.26
0.25
Montana
0.55
0.59
0.08
0.15
0.37
0.26
Nebraska
0.51
0.58
0.09
0.16
0.41
0.26
Nevada
0.7
0.59
0.12
0.2
0.18
0.21
New Hampshire
0.65
0.64
0.11
0.13
0.24
0.23
New Jersey
N/A
0.6
N/A
0.18
N/A
0.22
New Mexico
0.78
0.6
0.07
0.19
0.15
0.21
New York
0.69
0.63
0.11
0.16
0.2
0.21
North Carolina
0.66
0.59
0.12
0.15
0.21
0.27
North Dakota
0.57
0.49
0.04
0.14
0.39
0.37
Ohio
0.62
0.63
0.1
0.08
0.27
0.29
Oklahoma
0.73
0.66
0.1
0.12
0.17
0.22
Oregon
0.56
0.57
0.18
0.13
0.25
0.3
Pennsylvania
0.66
0.63
0.08
0.1
0.26
0.27
Rhode Island
N/A
0.64
N/A
0.07
N/A
0.29
South Carolina
0.68
0.62
0.09
0.15
0.22
0.23
South Dakota
0.51
0.46
0.1
0.1
0.38
0.44
Tennessee
0.64
0.54
0.14
0.14
0.22
0.31
Texas
0.63
0.61
0.09
0.12
0.27
0.27
Utah
0.66
0.58
0.12
0.16
0.22
0.26
Vermont
0.64
0.58
0.16
0.13
0.21
0.29
Virginia
0.72
0.59
0.12
0.16
0.16
0.26
Washington
0.61
0.58
0.22
0.16
0.17
0.25
West Virginia
0.79
0.75
0.07
0.1
0.13
0.14
Wisconsin
0.57
0.53
0.11
0.15
0.32
0.32
Wyoming
0.61
0.62
0.08
0.18
0.31
0.2
2023
Location
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer
United States
0.65
0.61
0.1
0.13
0.24
0.26
Alabama
0.75
0.64
0.08
0.1
0.17
0.26
Alaska
0.88
0.68
0.03
0.19
0.09
0.13
Arizona
0.74
0.54
0.09
0.15
0.17
0.31
Arkansas
0.67
0.6
0.11
0.1
0.22
0.3
California
0.67
0.6
0.22
0.18
0.11
0.22
Colorado
0.65
0.6
0.09
0.1
0.26
0.29
Connecticut
0.67
0.68
0.14
0.11
0.19
0.21
Delaware
0.63
0.6
0.16
0.18
0.2
0.21
District of Columbia
N/A
0.79
N/A
0.13
N/A
0.08
Florida
0.71
0.57
0.14
0.17
0.15
0.26
Georgia
0.8
0.7
0.07
0.11
0.12
0.19
Hawaii
0.7
0.55
0.07
0.09
0.23
0.36
Idaho
0.72
0.58
0.09
0.13
0.19
0.28
Illinois
0.59
0.69
0.13
0.12
0.28
0.19
Indiana
0.67
0.65
0.12
0.12
0.21
0.23
Iowa
0.48
0.48
0.06
0.09
0.46
0.42
Kansas
0.57
0.57
0.09
0.13
0.34
0.3
Kentucky
0.72
0.64
0.12
0.13
0.16
0.23
Louisiana
0.72
0.72
0.13
0.11
0.15
0.17
Maine
0.68
0.62
0.07
0.1
0.24
0.28
Maryland
0.69
0.63
0.15
0.18
0.16
0.19
Massachusetts
0.6
0.6
0.18
0.13
0.22
0.27
Michigan
0.67
0.58
0.08
0.12
0.25
0.3
Minnesota
0.55
0.53
0.08
0.1
0.37
0.37
Mississippi
0.75
0.72
0.11
0.14
0.14
0.14
Missouri
0.68
0.65
0.08
0.09
0.25
0.26
Montana
0.56
0.62
0.09
0.12
0.36
0.25
Nebraska
0.52
0.61
0.08
0.12
0.4
0.27
Nevada
0.69
0.57
0.13
0.17
0.18
0.27
New Hampshire
0.63
0.62
0.11
0.14
0.26
0.24
New Jersey
N/A
0.57
N/A
0.17
N/A
0.25
New Mexico
0.75
0.65
0.08
0.11
0.16
0.25
New York
0.68
0.62
0.11
0.16
0.21
0.22
North Carolina
0.68
0.59
0.12
0.12
0.19
0.29
North Dakota
0.55
0.5
0.05
0.11
0.4
0.39
Ohio
0.61
0.61
0.11
0.08
0.28
0.31
Oklahoma
0.7
0.61
0.1
0.13
0.2
0.26
Oregon
0.56
0.59
0.18
0.1
0.26
0.3
Pennsylvania
0.65
0.62
0.08
0.08
0.27
0.3
Rhode Island
N/A
0.63
N/A
0.08
N/A
0.3
South Carolina
0.7
0.61
0.09
0.14
0.2
0.25
South Dakota
0.51
0.48
0.09
0.12
0.4
0.4
Tennessee
0.65
0.55
0.13
0.14
0.22
0.31
Texas
0.63
0.6
0.12
0.12
0.25
0.28
Utah
0.65
0.55
0.14
0.15
0.21
0.3
Vermont
0.59
0.61
0.18
0.13
0.23
0.26
Virginia
0.72
0.59
0.12
0.16
0.16
0.25
Washington
0.63
0.6
0.21
0.16
0.16
0.24
West Virginia
0.8
0.75
0.08
0.1
0.12
0.16
Wisconsin
0.58
0.57
0.11
0.12
0.32
0.31
Wyoming
0.58
0.58
0.09
0.21
0.33
0.21
2022
Location
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer
United States
0.66
0.61
0.11
0.13
0.24
0.26
Alabama
0.74
0.64
0.08
0.1
0.17
0.26
Alaska
0.88
0.69
0.04
0.17
0.07
0.14
Arizona
0.74
0.55
0.12
0.14
0.15
0.31
Arkansas
0.68
0.61
0.11
0.12
0.21
0.27
California
0.73
0.61
0.15
0.17
0.11
0.22
Colorado
0.65
0.61
0.08
0.1
0.28
0.29
Connecticut
0.66
0.68
0.14
0.11
0.2
0.21
Delaware
0.65
0.63
0.15
0.16
0.2
0.21
District of Columbia
N/A
0.81
N/A
0.11
N/A
0.08
Florida
0.71
0.57
0.14
0.17
0.14
0.26
Georgia
0.8
0.7
0.08
0.11
0.13
0.19
Hawaii
0.7
0.56
0.08
0.08
0.22
0.35
Idaho
0.7
0.59
0.1
0.14
0.2
0.27
Illinois
0.58
0.67
0.13
0.13
0.29
0.2
Indiana
0.66
0.65
0.12
0.13
0.21
0.22
Iowa
0.47
0.49
0.07
0.09
0.45
0.43
Kansas
0.57
0.58
0.09
0.13
0.35
0.29
Kentucky
0.72
0.64
0.12
0.14
0.16
0.23
Louisiana
0.73
0.71
0.13
0.11
0.14
0.17
Maine
0.72
0.66
0.08
0.09
0.21
0.24
Maryland
0.7
0.63
0.15
0.17
0.15
0.2
Massachusetts
0.65
0.61
0.15
0.12
0.19
0.26
Michigan
0.67
0.58
0.09
0.13
0.24
0.28
Minnesota
0.55
0.53
0.08
0.1
0.37
0.37
Mississippi
0.76
0.7
0.12
0.17
0.12
0.13
Missouri
0.67
0.65
0.08
0.09
0.25
0.26
Montana
0.6
0.59
0.08
0.12
0.33
0.29
Nebraska
0.52
0.6
0.09
0.13
0.39
0.27
Nevada
0.72
0.56
0.12
0.16
0.16
0.27
New Hampshire
0.66
0.63
0.11
0.15
0.23
0.23
New Jersey
N/A
0.57
N/A
0.16
N/A
0.27
New Mexico
0.75
0.67
0.11
0.11
0.14
0.22
New York
0.63
0.61
0.12
0.14
0.25
0.24
North Carolina
0.7
0.61
0.13
0.13
0.18
0.26
North Dakota
0.54
0.5
0.04
0.12
0.42
0.38
Ohio
0.61
0.61
0.11
0.08
0.28
0.31
Oklahoma
0.7
0.62
0.1
0.13
0.2
0.25
Oregon
0.55
0.57
0.21
0.12
0.24
0.31
Pennsylvania
0.65
0.63
0.09
0.08
0.26
0.29
Rhode Island
N/A
0.67
N/A
0.07
N/A
0.26
South Carolina
0.71
0.6
0.09
0.14
0.21
0.25
South Dakota
0.55
0.48
0.08
0.14
0.37
0.38
Tennessee
0.66
0.56
0.14
0.14
0.2
0.31
Texas
0.64
0.6
0.11
0.13
0.24
0.27
Utah
0.62
0.56
0.14
0.15
0.24
0.29
Vermont
0.61
0.62
0.16
0.12
0.23
0.26
Virginia
0.69
0.6
0.13
0.17
0.18
0.24
Washington
0.67
0.61
0.19
0.16
0.14
0.24
West Virginia
0.79
0.73
0.08
0.11
0.12
0.17
Wisconsin
0.59
0.56
0.11
0.13
0.31
0.32
Wyoming
0.65
0.62
0.08
0.22
0.28
0.16
2021
Location
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer
United States
0.65
0.61
0.1
0.13
0.24
0.26
Alabama
0.75
0.65
0.08
0.1
0.17
0.25
Alaska
0.88
0.72
0.06
0.12
0.06
0.15
Arizona
0.76
0.59
0.08
0.13
0.16
0.28
Arkansas
0.68
0.63
0.12
0.13
0.2
0.24
California
0.76
0.62
0.15
0.15
0.09
0.23
Colorado
0.66
0.62
0.08
0.1
0.26
0.29
Connecticut
0.69
0.69
0.11
0.1
0.2
0.21
Delaware
0.63
0.65
0.16
0.13
0.21
0.22
District of Columbia
N/A
0.78
N/A
0.11
N/A
0.11
Florida
0.72
0.6
0.16
0.16
0.12
0.24
Georgia
0.79
0.7
0.08
0.12
0.13
0.18
Hawaii
0.72
0.53
0.08
0.1
0.2
0.37
Idaho
0.72
0.59
0.14
0.15
0.14
0.26
Illinois
0.55
0.64
0.12
0.13
0.33
0.22
Indiana
0.66
0.65
0.11
0.13
0.23
0.23
Iowa
0.46
0.48
0.06
0.08
0.47
0.44
Kansas
0.55
0.58
0.08
0.11
0.37
0.31
Kentucky
0.74
0.63
0.12
0.13
0.15
0.24
Louisiana
0.76
0.73
0.12
0.1
0.12
0.16
Maine
0.7
0.66
0.1
0.1
0.2
0.24
Maryland
0.7
0.63
0.14
0.17
0.16
0.19
Massachusetts
0.72
0.62
0.09
0.11
0.19
0.27
Michigan
0.69
0.6
0.1
0.14
0.21
0.26
Minnesota
0.54
0.53
0.07
0.1
0.38
0.37
Mississippi
0.77
0.71
0.12
0.17
0.11
0.12
Missouri
0.66
0.64
0.08
0.1
0.26
0.26
Montana
0.6
0.59
0.08
0.16
0.31
0.24
Nebraska
0.53
0.57
0.09
0.13
0.38
0.3
Nevada
0.66
0.57
0.16
0.17
0.18
0.26
New Hampshire
0.66
0.61
0.13
0.14
0.21
0.25
New Jersey
N/A
0.6
N/A
0.14
N/A
0.26
New Mexico
0.73
0.66
0.11
0.13
0.16
0.2
New York
0.57
0.59
0.1
0.13
0.32
0.28
North Carolina
0.7
0.62
0.14
0.13
0.16
0.25
North Dakota
0.54
0.5
0.04
0.12
0.42
0.39
Ohio
0.62
0.6
0.11
0.09
0.27
0.31
Oklahoma
0.71
0.63
0.1
0.12
0.19
0.24
Oregon
0.59
0.57
0.18
0.13
0.22
0.3
Pennsylvania
0.68
0.62
0.09
0.08
0.24
0.3
Rhode Island
N/A
0.66
N/A
0.08
N/A
0.26
South Carolina
0.7
0.6
0.11
0.15
0.2
0.25
South Dakota
0.54
0.48
0.07
0.13
0.38
0.39
Tennessee
0.64
0.55
0.14
0.15
0.22
0.3
Texas
0.66
0.61
0.1
0.13
0.24
0.26
Utah
0.6
0.53
0.16
0.17
0.25
0.3
Vermont
0.65
0.63
0.12
0.15
0.23
0.22
Virginia
0.69
0.58
0.14
0.17
0.17
0.25
Washington
0.66
0.61
0.19
0.16
0.15
0.23
West Virginia
0.8
0.74
0.08
0.11
0.12
0.15
Wisconsin
0.58
0.53
0.1
0.13
0.32
0.34
Wyoming
0.65
0.61
0.08
0.21
0.27
0.18
2020
Location
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer
United States
0.65
0.61
0.11
0.13
0.24
0.26
Alabama
0.75
0.63
0.1
0.12
0.15
0.25
Alaska
0.85
0.7
0.05
0.13
0.1
0.17
Arizona
0.78
0.59
0.12
0.14
0.1
0.27
Arkansas
0.7
0.63
0.1
0.12
0.2
0.25
California
0.74
0.62
0.16
0.15
0.1
0.23
Colorado
0.65
0.61
0.1
0.12
0.26
0.27
Connecticut
0.62
0.7
0.12
0.11
0.26
0.19
Delaware
0.64
0.58
0.15
0.16
0.21
0.25
District of Columbia
N/A
0.76
N/A
0.14
N/A
0.1
Florida
0.73
0.57
0.14
0.17
0.13
0.25
Georgia
0.78
0.69
0.08
0.12
0.14
0.19
Hawaii
0.74
0.53
0.07
0.08
0.19
0.39
Idaho
0.71
0.6
0.12
0.18
0.17
0.22
Illinois
0.55
0.62
0.11
0.14
0.33
0.24
Indiana
0.66
0.64
0.12
0.14
0.22
0.22
Iowa
0.45
0.48
0.07
0.09
0.48
0.43
Kansas
0.54
0.56
0.07
0.12
0.39
0.32
Kentucky
0.73
0.61
0.13
0.16
0.15
0.23
Louisiana
0.75
0.74
0.12
0.1
0.13
0.16
Maine
0.69
0.66
0.12
0.12
0.2
0.23
Maryland
0.71
0.62
0.14
0.18
0.15
0.19
Massachusetts
0.65
0.63
0.07
0.11
0.28
0.26
Michigan
0.69
0.59
0.1
0.15
0.2
0.25
Minnesota
0.54
0.53
0.08
0.13
0.38
0.35
Mississippi
0.77
0.71
0.13
0.17
0.1
0.12
Missouri
0.65
0.64
0.08
0.1
0.27
0.26
Montana
0.61
0.6
0.08
0.15
0.31
0.24
Nebraska
0.49
0.57
0.1
0.14
0.41
0.29
Nevada
0.64
0.58
0.13
0.16
0.23
0.26
New Hampshire
0.64
0.61
0.14
0.16
0.22
0.23
New Jersey
N/A
0.57
N/A
0.16
N/A
0.28
New Mexico
0.74
0.64
0.1
0.12
0.16
0.24
New York
0.62
0.61
0.1
0.13
0.28
0.26
North Carolina
0.69
0.62
0.14
0.14
0.16
0.24
North Dakota
0.55
0.51
0.04
0.12
0.41
0.37
Ohio
0.62
0.6
0.12
0.1
0.26
0.3
Oklahoma
0.69
0.61
0.11
0.15
0.2
0.25
Oregon
0.58
0.57
0.19
0.13
0.23
0.3
Pennsylvania
0.68
0.64
0.08
0.08
0.24
0.28
Rhode Island
N/A
0.66
N/A
0.07
N/A
0.28
South Carolina
0.71
0.6
0.1
0.15
0.2
0.25
South Dakota
0.53
0.49
0.07
0.11
0.39
0.41
Tennessee
0.63
0.56
0.16
0.16
0.21
0.28
Texas
0.65
0.62
0.11
0.13
0.24
0.26
Utah
0.59
0.52
0.13
0.16
0.28
0.31
Vermont
0.63
0.6
0.16
0.19
0.21
0.21
Virginia
0.69
0.57
0.15
0.18
0.17
0.25
Washington
0.68
0.6
0.18
0.17
0.14
0.23
West Virginia
0.8
0.76
0.09
0.1
0.11
0.14
Wisconsin
0.59
0.53
0.11
0.12
0.31
0.34
Wyoming
0.64
0.6
0.08
0.2
0.28
0.2
2019
Location
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer
United States
0.65
0.61
0.11
0.14
0.24
0.25
Alabama
0.75
0.63
0.11
0.12
0.14
0.25
Alaska
0.9
0.73
0.03
0.13
0.07
0.13
Arizona
0.76
0.61
0.13
0.15
0.11
0.24
Arkansas
0.69
0.63
0.1
0.12
0.21
0.25
California
0.77
0.62
0.13
0.15
0.1
0.23
Colorado
0.66
0.61
0.09
0.11
0.25
0.28
Connecticut
0.72
0.69
0.1
0.12
0.18
0.19
Delaware
0.62
0.61
0.19
0.17
0.19
0.22
District of Columbia
N/A
0.75
N/A
0.14
N/A
0.1
Florida
0.71
0.58
0.15
0.19
0.15
0.24
Georgia
0.8
0.69
0.08
0.13
0.12
0.18
Hawaii
0.77
0.55
0.08
0.09
0.16
0.36
Idaho
0.69
0.6
0.12
0.18
0.18
0.22
Illinois
0.53
0.61
0.12
0.14
0.34
0.25
Indiana
0.65
0.64
0.12
0.15
0.22
0.22
Iowa
0.45
0.47
0.07
0.11
0.49
0.43
Kansas
0.51
0.57
0.08
0.13
0.41
0.31
Kentucky
0.73
0.61
0.12
0.15
0.15
0.24
Louisiana
0.75
0.74
0.12
0.1
0.12
0.16
Maine
0.66
0.66
0.14
0.12
0.21
0.22
Maryland
0.67
0.62
0.18
0.19
0.15
0.19
Massachusetts
0.67
0.62
0.06
0.12
0.27
0.26
Michigan
0.68
0.59
0.11
0.17
0.2
0.24
Minnesota
0.54
0.52
0.09
0.12
0.37
0.35
Mississippi
0.77
0.73
0.13
0.17
0.1
0.11
Missouri
0.66
0.64
0.08
0.1
0.26
0.26
Montana
0.59
0.61
0.09
0.16
0.32
0.24
Nebraska
0.49
0.54
0.1
0.16
0.41
0.3
Nevada
0.69
0.56
0.11
0.18
0.2
0.26
New Hampshire
0.65
0.63
0.14
0.15
0.21
0.22
New Jersey
N/A
0.57
N/A
0.17
N/A
0.26
New Mexico
0.65
0.67
0.1
0.1
0.25
0.23
New York
0.67
0.65
0.09
0.13
0.23
0.22
North Carolina
0.71
0.62
0.15
0.15
0.14
0.23
North Dakota
0.54
0.49
0.04
0.12
0.42
0.39
Ohio
0.62
0.59
0.12
0.1
0.25
0.31
Oklahoma
0.69
0.61
0.11
0.14
0.2
0.25
Oregon
0.58
0.55
0.17
0.14
0.24
0.31
Pennsylvania
0.68
0.65
0.09
0.09
0.23
0.27
Rhode Island
N/A
0.63
N/A
0.07
N/A
0.3
South Carolina
0.71
0.59
0.1
0.17
0.19
0.24
South Dakota
0.52
0.5
0.07
0.11
0.41
0.39
Tennessee
0.63
0.57
0.17
0.16
0.21
0.27
Texas
0.65
0.62
0.12
0.14
0.23
0.25
Utah
0.6
0.51
0.15
0.17
0.25
0.31
Vermont
0.63
0.6
0.17
0.19
0.2
0.2
Virginia
0.68
0.58
0.14
0.17
0.18
0.25
Washington
0.66
0.58
0.21
0.18
0.13
0.23
West Virginia
0.79
0.74
0.1
0.12
0.11
0.14
Wisconsin
0.6
0.52
0.1
0.14
0.29
0.34
Wyoming
0.65
0.59
0.08
0.22
0.27
0.19
2018
Location
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer
United States
0.65
0.61
0.11
0.14
0.24
0.25
Alabama
0.75
0.63
0.11
0.14
0.14
0.23
Alaska
0.88
0.76
0.04
0.13
0.08
0.11
Arizona
0.73
0.6
0.12
0.15
0.16
0.24
Arkansas
0.69
0.64
0.11
0.13
0.2
0.23
California
0.77
0.61
0.14
0.15
0.1
0.24
Colorado
0.65
0.6
0.09
0.12
0.26
0.28
Connecticut
0.69
0.7
0.13
0.12
0.18
0.18
Delaware
DQ
0.62
DQ
0.17
DQ
0.21
District of Columbia
N/A
0.8
N/A
0.13
N/A
0.07
Florida
0.72
0.57
0.15
0.19
0.13
0.24
Georgia
0.79
0.67
0.09
0.14
0.12
0.18
Hawaii
0.79
0.56
0.07
0.08
0.14
0.36
Idaho
0.67
0.61
0.16
0.17
0.17
0.22
Illinois
0.53
0.6
0.12
0.15
0.34
0.25
Indiana
0.63
0.62
0.14
0.16
0.23
0.22
Iowa
0.46
0.48
0.06
0.1
0.47
0.42
Kansas
0.53
0.53
0.08
0.14
0.39
0.33
Kentucky
0.72
0.59
0.13
0.16
0.15
0.24
Louisiana
0.76
0.74
0.12
0.1
0.12
0.16
Maine
0.68
0.61
0.13
0.14
0.19
0.25
Maryland
0.67
0.61
0.15
0.19
0.18
0.2
Massachusetts
0.67
0.62
0.07
0.12
0.26
0.26
Michigan
0.67
0.58
0.13
0.18
0.2
0.23
Minnesota
0.53
0.52
0.09
0.12
0.38
0.36
Mississippi
0.77
0.72
0.13
0.17
0.1
0.11
Missouri
0.65
0.63
0.09
0.1
0.26
0.26
Montana
0.6
0.59
0.09
0.17
0.31
0.24
Nebraska
0.49
0.54
0.09
0.16
0.42
0.3
Nevada
0.66
0.58
0.12
0.18
0.22
0.24
New Hampshire
0.65
0.62
0.14
0.15
0.21
0.23
New Jersey
N/A
0.57
N/A
0.18
N/A
0.25
New Mexico
0.68
0.67
0.11
0.12
0.22
0.22
New York
0.7
0.67
0.09
0.13
0.21
0.2
North Carolina
0.69
0.62
0.15
0.16
0.16
0.22
North Dakota
0.53
0.51
0.06
0.11
0.41
0.39
Ohio
0.61
0.59
0.12
0.11
0.27
0.3
Oklahoma
0.68
0.62
0.1
0.14
0.22
0.25
Oregon
0.58
0.56
0.2
0.14
0.22
0.31
Pennsylvania
0.69
0.64
0.1
0.09
0.22
0.27
Rhode Island
N/A
0.62
N/A
0.07
N/A
0.31
South Carolina
0.72
0.6
0.1
0.16
0.18
0.24
South Dakota
0.51
0.49
0.08
0.13
0.42
0.38
Tennessee
0.64
0.56
0.17
0.18
0.19
0.27
Texas
0.65
0.61
0.12
0.14
0.24
0.25
Utah
0.64
0.49
0.13
0.18
0.23
0.32
Vermont
0.65
0.62
0.15
0.21
0.19
0.16
Virginia
0.66
0.56
0.16
0.18
0.18
0.26
Washington
0.64
0.58
0.21
0.18
0.15
0.25
West Virginia
0.78
0.72
0.1
0.13
0.11
0.14
Wisconsin
0.6
0.52
0.1
0.14
0.3
0.35
Wyoming
0.63
0.57
0.08
0.19
0.29
0.24
2017
Location
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer
United States
0.65
0.61
0.12
0.15
0.24
0.24
Alabama
0.75
0.64
0.11
0.14
0.14
0.22
Alaska
0.84
0.69
0.07
0.13
0.09
0.18
Arizona
0.73
0.59
0.11
0.16
0.15
0.25
Arkansas
0.7
0.64
0.11
0.12
0.19
0.24
California
0.76
0.63
0.13
0.15
0.11
0.23
Colorado
0.64
0.6
0.1
0.13
0.26
0.27
Connecticut
0.66
0.67
0.14
0.15
0.19
0.19
Delaware
DQ
0.59
DQ
0.18
DQ
0.23
District of Columbia
N/A
0.8
N/A
0.13
N/A
0.07
Florida
0.71
0.57
0.15
0.2
0.14
0.23
Georgia
0.78
0.68
0.09
0.14
0.12
0.18
Hawaii
0.77
0.58
0.08
0.08
0.15
0.34
Idaho
0.67
0.62
0.14
0.18
0.2
0.2
Illinois
0.52
0.6
0.12
0.15
0.36
0.25
Indiana
0.63
0.63
0.14
0.16
0.23
0.21
Iowa
0.47
0.5
0.06
0.1
0.47
0.41
Kansas
0.52
0.53
0.08
0.15
0.39
0.32
Kentucky
0.72
0.59
0.13
0.17
0.14
0.24
Louisiana
0.76
0.74
0.12
0.1
0.12
0.15
Maine
0.68
0.63
0.12
0.14
0.19
0.23
Maryland
0.67
0.61
0.15
0.19
0.17
0.21
Massachusetts
0.61
0.61
0.12
0.13
0.28
0.27
Michigan
0.67
0.57
0.13
0.2
0.2
0.23
Minnesota
0.53
0.53
0.09
0.11
0.38
0.36
Mississippi
0.77
0.71
0.13
0.18
0.1
0.12
Missouri
0.64
0.62
0.09
0.11
0.27
0.27
Montana
0.59
0.57
0.1
0.19
0.3
0.24
Nebraska
0.48
0.5
0.1
0.18
0.42
0.32
Nevada
0.64
0.57
0.17
0.19
0.2
0.25
New Hampshire
0.65
0.61
0.14
0.18
0.21
0.22
New Jersey
N/A
0.59
N/A
0.19
N/A
0.22
New Mexico
0.66
0.63
0.11
0.11
0.24
0.26
New York
0.7
0.69
0.09
0.12
0.21
0.18
North Carolina
0.69
0.61
0.15
0.16
0.16
0.23
North Dakota
0.52
0.5
0.06
0.1
0.42
0.4
Ohio
0.62
0.61
0.12
0.12
0.26
0.27
Oklahoma
0.69
0.62
0.1
0.14
0.21
0.24
Oregon
0.58
0.56
0.2
0.14
0.22
0.3
Pennsylvania
0.7
0.63
0.1
0.1
0.21
0.27
Rhode Island
N/A
0.62
N/A
0.08
N/A
0.3
South Carolina
0.69
0.58
0.12
0.18
0.19
0.23
South Dakota
0.53
0.48
0.07
0.12
0.4
0.4
Tennessee
0.65
0.57
0.18
0.17
0.17
0.25
Texas
0.65
0.61
0.12
0.14
0.24
0.25
Utah
0.59
0.5
0.16
0.19
0.26
0.31
Vermont
0.66
0.58
0.15
0.22
0.19
0.2
Virginia
0.67
0.56
0.16
0.19
0.17
0.24
Washington
0.63
0.58
0.22
0.18
0.15
0.24
West Virginia
0.78
0.74
0.1
0.12
0.11
0.14
Wisconsin
0.62
0.51
0.11
0.15
0.27
0.34
Wyoming
0.65
0.6
0.07
0.18
0.27
0.22
2016
Location
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer
United States
0.65
0.62
0.12
0.15
0.23
0.23
Alabama
0.75
0.64
0.11
0.13
0.14
0.22
Alaska
0.9
0.71
0.03
0.16
0.07
0.13
Arizona
0.75
0.59
0.14
0.16
0.11
0.25
Arkansas
0.68
0.64
0.11
0.12
0.2
0.23
California
0.75
0.66
0.13
0.15
0.11
0.19
Colorado
0.65
0.59
0.09
0.13
0.26
0.28
Connecticut
0.69
0.67
0.15
0.14
0.16
0.19
Delaware
DQ
0.59
DQ
0.18
DQ
0.23
District of Columbia
N/A
0.82
N/A
0.1
N/A
0.08
Florida
0.7
0.57
0.17
0.21
0.13
0.23
Georgia
0.78
0.68
0.1
0.14
0.13
0.17
Hawaii
0.77
0.55
0.08
0.1
0.14
0.35
Idaho
0.67
0.6
0.15
0.18
0.18
0.22
Illinois
0.52
0.59
0.13
0.16
0.35
0.25
Indiana
0.63
0.63
0.15
0.17
0.22
0.21
Iowa
0.47
0.48
0.06
0.11
0.47
0.41
Kansas
0.54
0.55
0.09
0.14
0.38
0.31
Kentucky
0.73
0.59
0.13
0.18
0.14
0.23
Louisiana
0.75
0.73
0.12
0.11
0.13
0.16
Maine
0.69
0.63
0.13
0.15
0.18
0.22
Maryland
0.64
0.62
0.17
0.18
0.19
0.2
Massachusetts
0.68
0.61
0.1
0.13
0.22
0.26
Michigan
0.69
0.58
0.13
0.21
0.18
0.22
Minnesota
0.53
0.53
0.09
0.12
0.38
0.36
Mississippi
0.76
0.71
0.13
0.18
0.1
0.11
Missouri
0.64
0.62
0.1
0.11
0.27
0.27
Montana
0.58
0.57
0.1
0.18
0.32
0.25
Nebraska
0.49
0.54
0.09
0.18
0.42
0.29
Nevada
0.58
0.56
0.15
0.18
0.26
0.25
New Hampshire
0.67
0.62
0.13
0.17
0.2
0.22
New Jersey
N/A
0.61
N/A
0.18
N/A
0.21
New Mexico
0.65
0.66
0.11
0.12
0.24
0.22
New York
0.67
0.71
0.1
0.12
0.23
0.17
North Carolina
0.7
0.62
0.15
0.17
0.15
0.21
North Dakota
0.52
0.49
0.06
0.1
0.41
0.4
Ohio
0.63
0.62
0.12
0.12
0.25
0.25
Oklahoma
0.69
0.62
0.1
0.14
0.21
0.24
Oregon
0.61
0.59
0.18
0.15
0.22
0.27
Pennsylvania
0.68
0.63
0.1
0.1
0.22
0.27
Rhode Island
N/A
0.62
N/A
0.09
N/A
0.3
South Carolina
0.68
0.6
0.14
0.19
0.19
0.21
South Dakota
0.53
0.48
0.07
0.12
0.4
0.39
Tennessee
0.66
0.61
0.18
0.16
0.16
0.23
Texas
0.63
0.61
0.12
0.15
0.24
0.24
Utah
0.64
0.49
0.12
0.19
0.24
0.32
Vermont
0.66
0.6
0.14
0.21
0.2
0.19
Virginia
0.68
0.57
0.16
0.2
0.16
0.22
Washington
0.63
0.58
0.23
0.18
0.14
0.24
West Virginia
0.78
0.73
0.1
0.12
0.11
0.15
Wisconsin
0.63
0.53
0.11
0.15
0.26
0.32
Wyoming
0.65
0.61
0.07
0.18
0.27
0.2
2015
Location
Percent of Nursing Facility Residents in Rural Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicaid as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Medicare as Primary Payer
Percent of Nursing Facility Residents in Rural Areas with Another Primary Payer
Percent of Nursing Facility Residents in Urban Areas with Another Primary Payer