Distribution of Certified Nursing Facility Residents by Primary Payer Source
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2025
Location Medicaid Medicare Private/Other Total
United States .63 .14 .23 1 Alabama .68 .09 .23 1 Alaska .71 .12 .18 1 Arizona .54 .20 .25 1 Arkansas .68 .10 .22 1 California .61 .20 .19 1 Colorado .63 .11 .26 1 Connecticut .68 .12 .20 1 Delaware .47 .14 .40 1 District of Columbia .84 .11 .05 1 Florida .58 .19 .23 1 Georgia .71 .11 .18 1 Hawaii .63 .18 .20 1 Idaho .65 .15 .20 1 Illinois .68 .12 .20 1 Indiana .64 .11 .25 1 Iowa .52 .08 .40 1 Kansas .60 .10 .29 1 Kentucky .69 .13 .18 1 Louisiana .74 .11 .15 1 Maine .64 .12 .24 1 Maryland .62 .19 .19 1 Massachusetts .63 .12 .25 1 Michigan .66 .14 .20 1 Minnesota .53 .11 .36 1 Mississippi .75 .12 .13 1 Missouri .65 .10 .25 1 Montana .56 .13 .31 1 Nebraska .54 .12 .34 1 Nevada .60 .21 .19 1 New Hampshire .64 .11 .25 1 New Jersey .61 .19 .20 1 New Mexico .65 .17 .18 1 New York .65 .17 .18 1 North Carolina .60 .17 .23 1 North Dakota .52 .09 .39 1 Ohio .65 .09 .26 1 Oklahoma .70 .11 .20 1 Oregon .59 .16 .25 1 Pennsylvania .64 .10 .26 1 Rhode Island .64 .08 .29 1 South Carolina .62 .14 .23 1 South Dakota .50 .12 .38 1 Tennessee .58 .14 .28 1 Texas .62 .14 .24 1 Utah .59 .17 .24 1 Vermont .65 .13 .22 1 Virginia .62 .15 .23 1 Washington .58 .20 .22 1 West Virginia .78 .10 .13 1 Wisconsin .55 .16 .30 1 Wyoming .59 .12 .30 1
2024
Location Medicaid Medicare Private/Other Total
United States .63 .13 .24 1 Alabama .68 .09 .23 1 Alaska .76 .13 .11 1 Arizona .53 .18 .29 1 Arkansas .67 .10 .23 1 California .61 .19 .20 1 Colorado .62 .11 .27 1 Connecticut .68 .11 .21 1 Delaware .54 .13 .33 1 District of Columbia .83 .11 .05 1 Florida .58 .18 .24 1 Georgia .72 .10 .18 1 Hawaii .56 .19 .25 1 Idaho .65 .14 .22 1 Illinois .69 .11 .20 1 Indiana .66 .11 .23 1 Iowa .50 .07 .43 1 Kansas .58 .11 .31 1 Kentucky .68 .12 .19 1 Louisiana .74 .11 .15 1 Maine .65 .11 .24 1 Maryland .64 .17 .18 1 Massachusetts .62 .12 .26 1 Michigan .65 .12 .23 1 Minnesota .53 .11 .35 1 Mississippi .74 .12 .14 1 Missouri .65 .09 .25 1 Montana .57 .11 .32 1 Nebraska .54 .12 .34 1 Nevada .60 .19 .21 1 New Hampshire .64 .12 .24 1 New Jersey .60 .18 .22 1 New Mexico .67 .15 .19 1 New York .64 .16 .21 1 North Carolina .61 .14 .25 1 North Dakota .53 .09 .38 1 Ohio .63 .09 .29 1 Oklahoma .69 .11 .20 1 Oregon .57 .14 .29 1 Pennsylvania .64 .10 .27 1 Rhode Island .64 .07 .29 1 South Carolina .63 .14 .23 1 South Dakota .49 .10 .40 1 Tennessee .57 .14 .29 1 Texas .61 .12 .27 1 Utah .59 .16 .26 1 Vermont .62 .15 .23 1 Virginia .62 .15 .23 1 Washington .59 .17 .25 1 West Virginia .77 .09 .14 1 Wisconsin .55 .14 .32 1 Wyoming .61 .11 .28 1
2023
Location Medicaid Medicare Private/Other Total
United States .62 .13 .25 1 Alabama .67 .09 .23 1 Alaska .77 .12 .11 1 Arizona .55 .15 .30 1 Arkansas .63 .10 .26 1 California .61 .18 .22 1 Colorado .61 .10 .29 1 Connecticut .68 .11 .21 1 Delaware .61 .18 .21 1 District of Columbia .79 .13 .08 1 Florida .57 .17 .26 1 Georgia .73 .10 .17 1 Hawaii .58 .09 .33 1 Idaho .62 .12 .26 1 Illinois .67 .12 .21 1 Indiana .66 .12 .23 1 Iowa .48 .08 .44 1 Kansas .57 .11 .32 1 Kentucky .68 .13 .20 1 Louisiana .72 .12 .17 1 Maine .65 .09 .27 1 Maryland .64 .18 .19 1 Massachusetts .60 .13 .27 1 Michigan .60 .11 .29 1 Minnesota .54 .09 .37 1 Mississippi .74 .12 .14 1 Missouri .66 .09 .26 1 Montana .58 .10 .31 1 Nebraska .56 .10 .34 1 Nevada .58 .16 .26 1 New Hampshire .63 .13 .25 1 New Jersey .57 .17 .25 1 New Mexico .69 .10 .21 1 New York .63 .15 .22 1 North Carolina .62 .12 .26 1 North Dakota .52 .08 .39 1 Ohio .61 .08 .30 1 Oklahoma .65 .12 .23 1 Oregon .59 .12 .30 1 Pennsylvania .63 .08 .29 1 Rhode Island .63 .08 .30 1 South Carolina .63 .13 .24 1 South Dakota .50 .10 .40 1 Tennessee .58 .13 .29 1 Texas .60 .12 .28 1 Utah .57 .15 .28 1 Vermont .60 .17 .23 1 Virginia .62 .15 .23 1 Washington .60 .16 .24 1 West Virginia .77 .09 .14 1 Wisconsin .57 .11 .31 1 Wyoming .58 .13 .29 1
2022
Location Medicaid Medicare Private/Other Total
United States .62 .13 .25 1 Alabama .67 .09 .23 1 Alaska .78 .11 .11 1 Arizona .56 .14 .31 1 Arkansas .64 .11 .24 1 California .62 .17 .22 1 Colorado .62 .09 .29 1 Connecticut .68 .11 .21 1 Delaware .63 .16 .21 1 District of Columbia .81 .11 .08 1 Florida .58 .17 .25 1 Georgia .73 .10 .17 1 Hawaii .60 .08 .32 1 Idaho .62 .13 .25 1 Illinois .65 .13 .22 1 Indiana .66 .13 .22 1 Iowa .48 .08 .44 1 Kansas .58 .11 .31 1 Kentucky .68 .13 .20 1 Louisiana .72 .12 .17 1 Maine .68 .09 .23 1 Maryland .64 .17 .19 1 Massachusetts .62 .12 .26 1 Michigan .60 .13 .27 1 Minnesota .54 .09 .37 1 Mississippi .74 .14 .12 1 Missouri .66 .09 .25 1 Montana .59 .10 .31 1 Nebraska .56 .11 .33 1 Nevada .57 .16 .26 1 New Hampshire .64 .13 .23 1 New Jersey .57 .16 .27 1 New Mexico .70 .11 .19 1 New York .61 .14 .24 1 North Carolina .63 .13 .24 1 North Dakota .52 .08 .40 1 Ohio .61 .09 .30 1 Oklahoma .66 .11 .23 1 Oregon .57 .13 .30 1 Pennsylvania .63 .08 .29 1 Rhode Island .67 .07 .26 1 South Carolina .62 .13 .24 1 South Dakota .53 .10 .37 1 Tennessee .59 .14 .27 1 Texas .61 .12 .26 1 Utah .57 .15 .28 1 Vermont .62 .15 .23 1 Virginia .62 .16 .22 1 Washington .61 .16 .23 1 West Virginia .76 .09 .15 1 Wisconsin .57 .12 .31 1 Wyoming .64 .12 .24 1
2021
Location Medicaid Medicare Private/Other Total
United States .62 .12 .25 1 Alabama .68 .10 .22 1 Alaska .81 .09 .10 1 Arizona .60 .13 .27 1 Arkansas .65 .12 .22 1 California .62 .15 .23 1 Colorado .63 .09 .28 1 Connecticut .69 .10 .21 1 Delaware .64 .14 .21 1 District of Columbia .78 .11 .11 1 Florida .60 .16 .24 1 Georgia .73 .11 .17 1 Hawaii .58 .09 .32 1 Idaho .63 .15 .22 1 Illinois .62 .13 .24 1 Indiana .65 .12 .23 1 Iowa .47 .07 .46 1 Kansas .57 .10 .34 1 Kentucky .68 .13 .19 1 Louisiana .74 .10 .15 1 Maine .67 .10 .22 1 Maryland .64 .17 .19 1 Massachusetts .62 .11 .27 1 Michigan .62 .13 .25 1 Minnesota .53 .09 .37 1 Mississippi .75 .14 .12 1 Missouri .65 .09 .26 1 Montana .60 .11 .29 1 Nebraska .55 .11 .34 1 Nevada .58 .17 .25 1 New Hampshire .63 .14 .23 1 New Jersey .60 .14 .26 1 New Mexico .69 .13 .18 1 New York .59 .13 .29 1 North Carolina .64 .13 .23 1 North Dakota .52 .08 .40 1 Ohio .61 .09 .30 1 Oklahoma .67 .11 .22 1 Oregon .57 .14 .29 1 Pennsylvania .63 .08 .29 1 Rhode Island .66 .08 .26 1 South Carolina .62 .14 .24 1 South Dakota .52 .09 .39 1 Tennessee .58 .15 .27 1 Texas .62 .12 .26 1 Utah .54 .16 .29 1 Vermont .64 .13 .23 1 Virginia .61 .16 .23 1 Washington .62 .16 .22 1 West Virginia .77 .10 .14 1 Wisconsin .55 .12 .33 1 Wyoming .64 .11 .25 1
2020
Location Medicaid Medicare Private/Other Total
United States .62 .13 .25 1 Alabama .67 .11 .22 1 Alaska .79 .08 .13 1 Arizona .60 .14 .26 1 Arkansas .67 .11 .23 1 California .62 .15 .23 1 Colorado .62 .11 .27 1 Connecticut .69 .11 .20 1 Delaware .60 .16 .24 1 District of Columbia .76 .14 .10 1 Florida .58 .17 .25 1 Georgia .72 .11 .17 1 Hawaii .59 .08 .33 1 Idaho .64 .16 .21 1 Illinois .61 .13 .26 1 Indiana .64 .13 .22 1 Iowa .46 .08 .46 1 Kansas .55 .10 .35 1 Kentucky .67 .14 .19 1 Louisiana .74 .11 .15 1 Maine .67 .12 .22 1 Maryland .63 .18 .19 1 Massachusetts .63 .11 .26 1 Michigan .62 .14 .24 1 Minnesota .53 .11 .36 1 Mississippi .75 .14 .11 1 Missouri .65 .09 .26 1 Montana .61 .11 .28 1 Nebraska .53 .12 .35 1 Nevada .58 .16 .26 1 New Hampshire .62 .15 .22 1 New Jersey .57 .16 .28 1 New Mexico .68 .11 .21 1 New York .61 .13 .26 1 North Carolina .64 .14 .22 1 North Dakota .53 .08 .39 1 Ohio .61 .10 .29 1 Oklahoma .65 .13 .22 1 Oregon .57 .14 .29 1 Pennsylvania .65 .08 .27 1 Rhode Island .66 .07 .28 1 South Carolina .62 .14 .24 1 South Dakota .52 .09 .40 1 Tennessee .58 .16 .26 1 Texas .63 .12 .25 1 Utah .53 .16 .31 1 Vermont .62 .17 .21 1 Virginia .60 .17 .23 1 Washington .61 .17 .22 1 West Virginia .78 .10 .13 1 Wisconsin .55 .12 .33 1 Wyoming .63 .11 .26 1
2019
Location Medicaid Medicare Private/Other Total
United States .62 .13 .25 1 Alabama .67 .12 .21 1 Alaska .83 .08 .09 1 Arizona .62 .15 .24 1 Arkansas .66 .11 .23 1 California .62 .15 .23 1 Colorado .62 .10 .28 1 Connecticut .69 .12 .19 1 Delaware .61 .17 .21 1 District of Columbia .75 .14 .10 1 Florida .58 .18 .23 1 Georgia .73 .12 .16 1 Hawaii .61 .08 .31 1 Idaho .63 .16 .21 1 Illinois .59 .14 .27 1 Indiana .64 .14 .22 1 Iowa .46 .08 .46 1 Kansas .54 .11 .35 1 Kentucky .66 .14 .20 1 Louisiana .74 .11 .15 1 Maine .66 .13 .22 1 Maryland .62 .19 .19 1 Massachusetts .62 .11 .26 1 Michigan .61 .16 .23 1 Minnesota .53 .11 .36 1 Mississippi .75 .14 .10 1 Missouri .65 .09 .26 1 Montana .60 .12 .28 1 Nebraska .51 .13 .36 1 Nevada .57 .17 .26 1 New Hampshire .64 .15 .22 1 New Jersey .57 .17 .26 1 New Mexico .66 .10 .24 1 New York .65 .13 .22 1 North Carolina .65 .15 .21 1 North Dakota .52 .08 .40 1 Ohio .60 .11 .30 1 Oklahoma .65 .13 .23 1 Oregon .55 .15 .30 1 Pennsylvania .65 .09 .26 1 Rhode Island .63 .07 .30 1 South Carolina .62 .15 .23 1 South Dakota .52 .08 .40 1 Tennessee .59 .16 .25 1 Texas .62 .13 .24 1 Utah .53 .17 .30 1 Vermont .63 .18 .20 1 Virginia .60 .16 .23 1 Washington .59 .19 .22 1 West Virginia .76 .11 .13 1 Wisconsin .55 .13 .32 1 Wyoming .63 .12 .25 1
2018
Location Medicaid Medicare Private/Other Total
United States .62 .14 .24 1 Alabama .67 .13 .20 1 Alaska .83 .08 .09 1 Arizona .61 .15 .24 1 Arkansas .66 .12 .22 1 California .62 .15 .23 1 Colorado .61 .11 .28 1 Connecticut .70 .12 .18 1 Delaware .62 .17 .21 1 District of Columbia .80 .13 .07 1 Florida .58 .19 .23 1 Georgia .71 .12 .16 1 Hawaii .62 .08 .30 1 Idaho .63 .16 .20 1 Illinois .59 .14 .27 1 Indiana .63 .15 .22 1 Iowa .47 .08 .45 1 Kansas .53 .11 .36 1 Kentucky .66 .15 .19 1 Louisiana .74 .10 .15 1 Maine .64 .14 .23 1 Maryland .61 .19 .20 1 Massachusetts .62 .12 .26 1 Michigan .60 .17 .22 1 Minnesota .52 .11 .37 1 Mississippi .75 .15 .10 1 Missouri .64 .10 .26 1 Montana .60 .12 .29 1 Nebraska .51 .13 .36 1 Nevada .58 .18 .24 1 New Hampshire .63 .15 .22 1 New Jersey .57 .18 .25 1 New Mexico .67 .11 .22 1 New York .67 .13 .20 1 North Carolina .64 .16 .20 1 North Dakota .52 .07 .40 1 Ohio .59 .11 .30 1 Oklahoma .65 .12 .23 1 Oregon .56 .15 .29 1 Pennsylvania .65 .09 .26 1 Rhode Island .62 .07 .31 1 South Carolina .62 .15 .23 1 South Dakota .50 .09 .41 1 Tennessee .58 .17 .24 1 Texas .62 .13 .25 1 Utah .51 .18 .31 1 Vermont .65 .17 .19 1 Virginia .58 .17 .24 1 Washington .58 .18 .24 1 West Virginia .75 .12 .13 1 Wisconsin .55 .12 .33 1 Wyoming .62 .11 .28 1
2017
Location Medicaid Medicare Private/Other Total
United States .62 .14 .24 1 Alabama .68 .13 .19 1 Alaska .78 .10 .13 1 Arizona .60 .16 .24 1 Arkansas .67 .11 .22 1 California .63 .15 .22 1 Colorado .61 .12 .27 1 Connecticut .67 .15 .19 1 Delaware .59 .18 .23 1 District of Columbia .80 .13 .07 1 Florida .57 .20 .23 1 Georgia .71 .13 .16 1 Hawaii .63 .08 .29 1 Idaho .64 .16 .20 1 Illinois .58 .14 .27 1 Indiana .63 .16 .22 1 Iowa .48 .08 .44 1 Kansas .53 .12 .35 1 Kentucky .66 .15 .19 1 Louisiana .74 .11 .15 1 Maine .65 .13 .21 1 Maryland .61 .19 .20 1 Massachusetts .61 .13 .27 1 Michigan .59 .19 .22 1 Minnesota .53 .10 .37 1 Mississippi .75 .15 .11 1 Missouri .63 .11 .27 1 Montana .59 .13 .28 1 Nebraska .49 .14 .37 1 Nevada .57 .18 .24 1 New Hampshire .63 .16 .21 1 New Jersey .59 .19 .22 1 New Mexico .64 .11 .25 1 New York .69 .12 .19 1 North Carolina .63 .16 .21 1 North Dakota .52 .07 .41 1 Ohio .62 .12 .27 1 Oklahoma .65 .12 .23 1 Oregon .57 .15 .29 1 Pennsylvania .64 .10 .26 1 Rhode Island .62 .08 .30 1 South Carolina .61 .17 .22 1 South Dakota .51 .09 .40 1 Tennessee .60 .18 .23 1 Texas .61 .14 .25 1 Utah .51 .18 .30 1 Vermont .64 .17 .19 1 Virginia .59 .18 .23 1 Washington .58 .19 .23 1 West Virginia .76 .11 .13 1 Wisconsin .55 .13 .31 1 Wyoming .63 .11 .26 1
2016
Location Medicaid Medicare Private/Other Total
United States .63 .14 .23 1 Alabama .68 .13 .19 1 Alaska .81 .09 .10 1 Arizona .60 .15 .24 1 Arkansas .66 .12 .22 1 California .66 .15 .19 1 Colorado .60 .12 .27 1 Connecticut .67 .14 .19 1 Delaware .59 .18 .23 1 District of Columbia .82 .10 .08 1 Florida .57 .21 .22 1 Georgia .71 .13 .16 1 Hawaii .61 .10 .29 1 Idaho .63 .17 .20 1 Illinois .58 .16 .27 1 Indiana .63 .16 .21 1 Iowa .47 .08 .44 1 Kansas .54 .11 .34 1 Kentucky .66 .15 .19 1 Louisiana .73 .11 .15 1 Maine .65 .14 .21 1 Maryland .62 .18 .20 1 Massachusetts .61 .13 .26 1 Michigan .60 .19 .21 1 Minnesota .53 .11 .37 1 Mississippi .74 .15 .11 1 Missouri .62 .11 .27 1 Montana .58 .13 .29 1 Nebraska .51 .13 .35 1 Nevada .57 .18 .25 1 New Hampshire .64 .15 .21 1 New Jersey .61 .18 .21 1 New Mexico .66 .11 .23 1 New York .71 .12 .18 1 North Carolina .64 .16 .20 1 North Dakota .51 .08 .41 1 Ohio .63 .12 .25 1 Oklahoma .66 .12 .23 1 Oregon .59 .15 .26 1 Pennsylvania .63 .10 .26 1 Rhode Island .62 .09 .30 1 South Carolina .61 .18 .21 1 South Dakota .51 .09 .40 1 Tennessee .63 .17 .20 1 Texas .62 .15 .24 1 Utah .51 .18 .31 1 Vermont .65 .16 .20 1 Virginia .60 .19 .21 1 Washington .59 .18 .23 1 West Virginia .75 .11 .14 1 Wisconsin .56 .14 .30 1 Wyoming .64 .11 .25 1
2015
Location Medicaid Medicare Private/Other Total
United States .63 .14 .23 1 Alabama .66 .14 .20 1 Alaska .80 .09 .12 1 Arizona .62 .15 .24 1 Arkansas .67 .11 .22 1 California .66 .15 .19 1 Colorado .61 .12 .27 1 Connecticut .66 .15 .18 1 Delaware .59 .18 .22 1 District of Columbia .82 .11 .07 1 Florida .58 .21 .21 1 Georgia .72 .12 .16 1 Hawaii .65 .10 .26 1 Idaho .63 .14 .23 1 Illinois .59 .16 .25 1 Indiana .63 .16 .21 1 Iowa .46 .08 .45 1 Kansas .55 .11 .34 1 Kentucky .66 .15 .19 1 Louisiana .73 .12 .15 1 Maine .64 .16 .20 1 Maryland .62 .17 .21 1 Massachusetts .61 .13 .25 1 Michigan .60 .20 .20 1 Minnesota .53 .12 .35 1 Mississippi .75 .14 .11 1 Missouri .62 .11 .27 1 Montana .57 .12 .31 1 Nebraska .51 .13 .36 1 Nevada .55 .18 .27 1 New Hampshire .66 .14 .20 1 New Jersey .62 .19 .19 1 New Mexico .66 .12 .23 1 New York .71 .11 .18 1 North Carolina .65 .17 .18 1 North Dakota .52 .08 .40 1 Ohio .62 .12 .25 1 Oklahoma .65 .12 .22 1 Oregon .59 .14 .27 1 Pennsylvania .63 .10 .27 1 Rhode Island .67 .09 .24 1 South Carolina .62 .18 .21 1 South Dakota .54 .08 .38 1 Tennessee .64 .16 .20 1 Texas .62 .15 .23 1 Utah .51 .19 .30 1 Vermont .64 .17 .19 1 Virginia .60 .19 .21 1 Washington .59 .19 .22 1 West Virginia .74 .13 .13 1 Wisconsin .57 .13 .29 1 Wyoming .59 .12 .30 1
Notes
Data are for certified nursing facilities surveyed in the U.S.
Data are for calendar years.
Data may not sum to totals due to rounding.
Sources
KFF analysis of Certification and Survey Provider Enhanced Reports (CASPER) data.