Number of Certified Nursing Facilities 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 Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4039 10703 Alabama 75 149 Alaska 14 6 Arizona 9 132 Arkansas 112 108 California 37 1125 Colorado 55 156 Connecticut 17 177 Delaware 12 32 District of Columbia N/A 17 Florida 35 660 Georgia 129 227 Hawaii 12 30 Idaho 29 51 Illinois 190 484 Indiana 170 339 Iowa 232 165 Kansas 162 141 Kentucky 132 136 Louisiana 72 194 Maine 34 44 Maryland 24 196 Massachusetts 5 337 Michigan 109 316 Minnesota 141 199 Mississippi 132 69 Missouri 199 288 Montana 42 18 Nebraska 116 64 Nevada 10 57 New Hampshire 35 39 New Jersey N/A 348 New Mexico 32 36 New York 79 522 North Carolina 125 295 North Dakota 48 25 Ohio 224 700 Oklahoma 145 140 Oregon 21 107 Pennsylvania 123 538 Rhode Island N/A 73 South Carolina 38 149 South Dakota 67 29 Tennessee 108 196 Texas 319 858 Utah 18 80 Vermont 26 8 Virginia 80 210 Washington 25 169 West Virginia 61 62 Wisconsin 129 196 Wyoming 30 6
2024
Location Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4073 10750 Alabama 75 149 Alaska 10 6 Arizona 9 133 Arkansas 113 107 California 37 1127 Colorado 55 156 Connecticut 11 186 Delaware 12 32 District of Columbia N/A 17 Florida 36 663 Georgia 130 227 Hawaii 12 30 Idaho 29 51 Illinois 196 486 Indiana 172 340 Iowa 238 166 Kansas 162 143 Kentucky 132 137 Louisiana 74 194 Maine 37 44 Maryland 24 198 Massachusetts 5 340 Michigan 111 314 Minnesota 144 199 Mississippi 133 69 Missouri 204 291 Montana 43 17 Nebraska 120 64 Nevada 10 57 New Hampshire 35 39 New Jersey N/A 346 New Mexico 32 36 New York 79 524 North Carolina 125 294 North Dakota 49 26 Ohio 228 701 Oklahoma 147 140 Oregon 21 107 Pennsylvania 127 543 Rhode Island N/A 74 South Carolina 40 149 South Dakota 68 29 Tennessee 108 196 Texas 318 866 Utah 18 80 Vermont 26 8 Virginia 74 216 Washington 25 168 West Virginia 61 62 Wisconsin 129 197 Wyoming 29 6
2023
Location Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4136 10863 Alabama 75 150 Alaska 10 6 Arizona 9 133 Arkansas 114 104 California 37 1133 Colorado 55 163 Connecticut 12 191 Delaware 12 32 District of Columbia N/A 17 Florida 36 661 Georgia 130 227 Hawaii 12 31 Idaho 29 51 Illinois 201 493 Indiana 175 346 Iowa 246 166 Kansas 168 145 Kentucky 133 143 Louisiana 74 195 Maine 42 45 Maryland 24 201 Massachusetts 5 348 Michigan 112 318 Minnesota 149 204 Mississippi 133 69 Missouri 205 305 Montana 44 18 Nebraska 122 63 Nevada 10 57 New Hampshire 34 39 New Jersey N/A 348 New Mexico 32 36 New York 81 525 North Carolina 125 295 North Dakota 49 28 Ohio 232 714 Oklahoma 152 140 Oregon 22 107 Pennsylvania 128 544 Rhode Island N/A 75 South Carolina 39 149 South Dakota 70 28 Tennessee 109 203 Texas 319 876 Utah 18 80 Vermont 27 8 Virginia 74 215 Washington 28 170 West Virginia 61 62 Wisconsin 132 200 Wyoming 30 6
2022
Location Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4201 10978 Alabama 76 150 Alaska 10 6 Arizona 9 133 Arkansas 116 104 California 37 1139 Colorado 55 165 Connecticut 12 196 Delaware 12 33 District of Columbia N/A 17 Florida 35 663 Georgia 131 229 Hawaii 12 31 Idaho 29 51 Illinois 202 501 Indiana 177 347 Iowa 261 172 Kansas 171 150 Kentucky 136 144 Louisiana 74 194 Maine 44 46 Maryland 24 200 Massachusetts 5 359 Michigan 113 321 Minnesota 151 208 Mississippi 134 70 Missouri 207 307 Montana 49 22 Nebraska 126 64 Nevada 10 56 New Hampshire 34 39 New Jersey N/A 353 New Mexico 32 36 New York 81 530 North Carolina 126 300 North Dakota 50 27 Ohio 235 717 Oklahoma 154 143 Oregon 22 108 Pennsylvania 129 555 Rhode Island N/A 76 South Carolina 39 149 South Dakota 72 32 Tennessee 110 203 Texas 322 885 Utah 18 80 Vermont 27 8 Virginia 74 214 Washington 28 172 West Virginia 61 62 Wisconsin 139 205 Wyoming 30 6
2021
Location Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4242 11045 Alabama 76 152 Alaska 10 6 Arizona 9 136 Arkansas 118 106 California 37 1147 Colorado 56 168 Connecticut 12 197 Delaware 12 34 District of Columbia N/A 17 Florida 36 669 Georgia 131 229 Hawaii 12 31 Idaho 29 51 Illinois 205 502 Indiana 178 355 Iowa 264 167 Kansas 172 152 Kentucky 137 147 Louisiana 74 202 Maine 46 47 Maryland 24 202 Massachusetts 5 366 Michigan 115 320 Minnesota 155 209 Mississippi 134 70 Missouri 209 307 Montana 48 22 Nebraska 131 64 Nevada 10 56 New Hampshire 34 39 New Jersey N/A 358 New Mexico 33 36 New York 83 533 North Carolina 127 301 North Dakota 53 26 Ohio 236 717 Oklahoma 156 142 Oregon 22 108 Pennsylvania 130 557 Rhode Island N/A 78 South Carolina 39 150 South Dakota 72 32 Tennessee 109 203 Texas 325 885 Utah 18 80 Vermont 27 8 Virginia 74 212 Washington 28 173 West Virginia 61 62 Wisconsin 140 208 Wyoming 30 6
2020
Location Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4276 11117 Alabama 75 152 Alaska 10 6 Arizona 9 137 Arkansas 119 106 California 37 1156 Colorado 56 169 Connecticut 13 201 Delaware 12 35 District of Columbia N/A 19 Florida 36 665 Georgia 132 226 Hawaii 13 31 Idaho 30 52 Illinois 210 510 Indiana 178 355 Iowa 266 168 Kansas 178 153 Kentucky 137 148 Louisiana 74 203 Maine 46 47 Maryland 24 202 Massachusetts 6 369 Michigan 115 325 Minnesota 158 209 Mississippi 134 70 Missouri 211 310 Montana 48 22 Nebraska 134 66 Nevada 10 56 New Hampshire 35 39 New Jersey N/A 364 New Mexico 34 37 New York 83 534 North Carolina 127 300 North Dakota 53 27 Ohio 235 718 Oklahoma 156 142 Oregon 22 108 Pennsylvania 131 562 Rhode Island N/A 80 South Carolina 39 151 South Dakota 72 32 Tennessee 109 207 Texas 326 891 Utah 18 80 Vermont 27 8 Virginia 74 213 Washington 28 177 West Virginia 62 61 Wisconsin 143 212 Wyoming 31 6
2019
Location Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4333 11186 Alabama 75 153 Alaska 10 4 Arizona 9 137 Arkansas 122 108 California 37 1156 Colorado 56 173 Connecticut 13 202 Delaware 11 35 District of Columbia N/A 18 Florida 35 661 Georgia 132 228 Hawaii 13 31 Idaho 30 51 Illinois 215 512 Indiana 183 363 Iowa 269 170 Kansas 181 156 Kentucky 137 148 Louisiana 74 202 Maine 47 47 Maryland 24 202 Massachusetts 6 382 Michigan 115 329 Minnesota 162 213 Mississippi 134 71 Missouri 214 310 Montana 50 23 Nebraska 142 69 Nevada 10 52 New Hampshire 35 39 New Jersey N/A 364 New Mexico 38 36 New York 83 535 North Carolina 129 300 North Dakota 53 27 Ohio 238 723 Oklahoma 155 143 Oregon 23 110 Pennsylvania 132 564 Rhode Island N/A 81 South Carolina 38 151 South Dakota 73 34 Tennessee 109 207 Texas 332 893 Utah 18 83 Vermont 28 8 Virginia 74 213 Washington 29 184 West Virginia 62 62 Wisconsin 147 216 Wyoming 31 7
2018
Location Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4392 11213 Alabama 77 151 Alaska 10 4 Arizona 9 137 Arkansas 115 116 California 36 1163 Colorado 57 172 Connecticut 14 210 Delaware DQ DQ District of Columbia N/A 18 Florida 37 655 Georgia 132 227 Hawaii 14 31 Idaho 35 45 Illinois 204 529 Indiana 178 374 Iowa 278 161 Kansas 183 151 Kentucky 148 139 Louisiana 78 199 Maine 50 50 Maryland 13 214 Massachusetts 7 390 Michigan 122 321 Minnesota 162 213 Mississippi 139 66 Missouri 218 302 Montana 58 16 Nebraska 140 74 Nevada 11 51 New Hampshire 35 39 New Jersey N/A 366 New Mexico 39 35 New York 81 538 North Carolina 126 303 North Dakota 57 23 Ohio 266 703 Oklahoma 160 143 Oregon 25 111 Pennsylvania 113 582 Rhode Island N/A 83 South Carolina 38 153 South Dakota 75 34 Tennessee 118 196 Texas 347 888 Utah 15 87 Vermont 28 8 Virginia 72 215 Washington 28 189 West Virginia 61 63 Wisconsin 152 222 Wyoming 31 7
2017
Location Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4440 11224 Alabama 77 152 Alaska 10 4 Arizona 9 140 Arkansas 116 114 California 36 1170 Colorado 56 167 Connecticut 14 210 Delaware DQ DQ District of Columbia N/A 18 Florida 37 652 Georgia 134 230 Hawaii 14 31 Idaho 34 45 Illinois 208 532 Indiana 180 373 Iowa 282 159 Kansas 188 151 Kentucky 151 141 Louisiana 78 199 Maine 51 50 Maryland 13 215 Massachusetts 7 403 Michigan 122 325 Minnesota 165 216 Mississippi 140 65 Missouri 219 296 Montana 61 16 Nebraska 145 71 Nevada 11 47 New Hampshire 35 40 New Jersey N/A 364 New Mexico 39 35 New York 81 543 North Carolina 126 299 North Dakota 57 24 Ohio 266 700 Oklahoma 162 143 Oregon 26 111 Pennsylvania 115 587 Rhode Island N/A 84 South Carolina 39 150 South Dakota 76 33 Tennessee 118 199 Texas 347 880 Utah 15 85 Vermont 29 8 Virginia 73 212 Washington 29 193 West Virginia 62 64 Wisconsin 156 226 Wyoming 31 7
2016
Location Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4458 11177 Alabama 77 149 Alaska 10 4 Arizona 9 138 Arkansas 116 113 California 36 1167 Colorado 55 162 Connecticut 14 213 Delaware DQ DQ District of Columbia N/A 19 Florida 37 651 Georgia 132 226 Hawaii 14 32 Idaho 34 44 Illinois 211 532 Indiana 178 367 Iowa 282 158 Kansas 190 149 Kentucky 151 139 Louisiana 80 199 Maine 53 50 Maryland 13 215 Massachusetts 7 406 Michigan 124 323 Minnesota 165 212 Mississippi 140 65 Missouri 219 295 Montana 64 16 Nebraska 145 71 Nevada 11 45 New Hampshire 36 40 New Jersey N/A 365 New Mexico 40 34 New York 81 545 North Carolina 126 297 North Dakota 57 24 Ohio 265 695 Oklahoma 163 142 Oregon 26 111 Pennsylvania 115 586 Rhode Island N/A 84 South Carolina 39 150 South Dakota 78 33 Tennessee 119 202 Texas 349 866 Utah 14 84 Vermont 29 8 Virginia 73 215 Washington 30 191 West Virginia 62 64 Wisconsin 158 229 Wyoming 31 7
2015
Location Number of Nursing Facilities in Rural Areas Number of Nursing Facilities in Urban Areas
United States 4486 11157 Alabama 77 150 Alaska 9 4 Arizona 9 135 Arkansas 116 112 California 39 1176 Colorado 55 162 Connecticut 15 214 Delaware DQ DQ District of Columbia N/A 19 Florida 37 651 Georgia 130 225 Hawaii 14 32 Idaho 35 44 Illinois 213 549 Indiana 176 356 Iowa 282 160 Kansas 198 147 Kentucky 151 138 Louisiana 80 200 Maine 53 50 Maryland 13 215 Massachusetts 7 407 Michigan 124 310 Minnesota 168 211 Mississippi 139 65 Missouri 219 294 Montana 66 17 Nebraska 149 70 Nevada 11 42 New Hampshire 36 40 New Jersey N/A 364 New Mexico 39 34 New York 82 545 North Carolina 127 295 North Dakota 57 23 Ohio 265 688 Oklahoma 164 144 Oregon 26 111 Pennsylvania 116 583 Rhode Island N/A 84 South Carolina 39 149 South Dakota 78 33 Tennessee 120 200 Texas 356 864 Utah 14 85 Vermont 29 8 Virginia 74 214 Washington 31 189 West Virginia 62 65 Wisconsin 157 231 Wyoming 29 7
Notes
Data are as of July of the noted year.
Data are for certified nursing facilities surveyed in the U.S.
Sources
KFF analysis of Nursing Home Compare
Definitions
DQ : Data quality. Data are not available due to data quality issues.
N/A : Not applicable. State does not have nursing facilities in rural areas.
Rural: A county or group of counties that do not contain at least one metropolitan area (i.e. an urban area with a population of 50,000 or more people).
Urban: A county or group of counties that contain at least one metropolitan area (i.e. an urban area with a population of 50,000 or more people).