Jennifer Schell headshot
  • Written By
    Jennifer Schell

    Jennifer Schell

    Financial Writer

    Jennifer Schell is a professional writer focused on demystifying annuities and other financial topics including banking, financial advising and insurance. She is proud to be a member of the National Association for Fixed Annuities (NAFA) as well as the National Association of Insurance and Financial Advisors (NAIFA).

    Read More
  • Edited By
    Savannah Pittle
    Savannah Pittle, senior financial editor for Annuity.org

    Savannah Pittle

    Senior Financial Editor

    Savannah Pittle is an accomplished writer, editor and content marketer. She joined Annuity.org as a financial editor in 2021 and uses her passion for educating readers on complex topics to guide visitors toward the path of financial literacy.

    Read More
  • Updated: August 14, 2023
  • 8 min read time
  • This page features 18 Cited Research Articles
Fact Checked
Fact Checked

Annuity.org content is meticulously reviewed to ensure it meets our high standards for readability, accuracy, fairness and transparency.

Annuity.org articles are spellchecked, grammatically correct and typo-free. Annuity.org editors may revise content for clarity, logic, flow and meaning. Annuity.org only uses credible sources of information.

This includes reputable industry sources, select financial publications, credible nonprofits, official government reports, court records and interviews with qualified experts.

Cite Us
How to Cite Annuity.org's Article

APA Schell, J. (2023, August 14). Long-Term Care Statistics To Know in 2023. Annuity.org. Retrieved May 15, 2024, from https://dev.annuity.org/retirement/health-care-costs/long-term-care/statistics/

MLA Schell, Jennifer. "Long-Term Care Statistics To Know in 2023." Annuity.org, 14 Aug 2023, https://dev.annuity.org/retirement/health-care-costs/long-term-care/statistics/.

Chicago Schell, Jennifer. "Long-Term Care Statistics To Know in 2023." Annuity.org. Last modified August 14, 2023. https://dev.annuity.org/retirement/health-care-costs/long-term-care/statistics/.

Long-term care refers to services and support provided to individuals who require assistance with their daily living activities due to chronic illnesses, disabilities or cognitive impairments. Its purpose is to help people maintain their independence and quality of life when they can’t perform essential tasks on their own. There are many types of long-term care, including home care services, assisted living, nursing homes, memory care facilities, hospices and more. 

We’ve put together a list of long-term care statistics for 2023 and tips that can help you plan for your health care needs later in life — explore them in depth here. 

Key Takeaways

  • Long-term care insurance firms paid out a record $13.25 billion in 2022.
  • Today’s 65-year-olds have a nearly 70% chance of requiring long-term care services and support. 
  • Nursing home care costs about $108,408 per year for a private room.
  • The median resident age of assisted living facilities is 84 years old.
  • Reports show that 1.4 million Americans have received hospice care in 2023. 

Long-Term Care Insurance Facts

Age, health, gender and marital status are all factors that affect how much a person will pay for long-term care insurance. The cost is additionally influenced by the buyer’s desired level of coverage and the insurer.

More long-term care insurance facts: 

  • In 2021, Medicaid spent about $138.9 billion on long-term care services. (Statista)
  • According to the American Association for Long-Term Care Insurance (AALTCI), long-term care insurance firms paid out a record $13.25 billion in 2022. (AALTCI)
Infographic showing the statistic: 45 percent of assisted living residents utilize Medicaid to pay for their care costs
  • Long-term care insurance was reportedly paid to about 345,000 policyholders in 2022. (AALTCI)
  • About 45% of residents of assisted living facilities utilize Medicaid to pay for their care costs. (Gitnux)
  • Premium costs for long-term care insurance are around $950. (AALTCI)
  • A 55-year-old male purchasing $165,000 of immediate long-term care benefits could expect to pay $900 a year. (AALTCI)
  • Your age and health at the time of insurance enrollment are two factors that affect premiums. As you age, they get more expensive. (USVA)

Long-Term Care Demographics

Long-term care demographics provide crucial information about the aging population’s needs and the demand for care services in modern society.

Here are some facts about long-term care:

  • Regarding long-term care, women need care longer (3.7 years) than men (2.2 years). (ACL)
  • Today’s 65-year-olds have a nearly 70% chance of requiring long-term care services and support during their remaining years. (ACL)
  • Among today’s 65-year-olds, one-third may never require long-term care assistance, while 20% will require it for more than five years. (ACL)
Infographic showing the statistic: women need care longer than men when it comes to long-term care
  • Regardless of lifetime earnings, it is expected that more than 50% of those over 65 will require significant funded long-term service support. (ASPE
  • 80.9% of residential long-term care workers are women. (EPI)
  • 56% of residents of assisted living facilities are women, 29% are men and the remaining percentage are unreported. (Gitnux
  • The median resident age of assisted living facilities is 84 years old. (Gitnux

Nursing Home Statistics

Nursing homes provide comprehensive care and support to older adults with complex medical needs or those requiring extensive assistance in their daily lives.

Check out these nursing home statistics here:

  • As of 2022, 1,157,714 Americans were living in nursing homes. (KFF)
  • There are currently 26,836 nursing homes in the US. (IBIS)
  • Between 2018 and 2023, the U.S. nursing care facilities industry saw an average annual growth rate of 1.5%. (IBIS)
  • The States having the most nursing care facilities businesses in the U.S. are California (3,824 businesses), Texas (3,050 businesses) and Florida (1,868 businesses). (IBIS)
  •  St. Augustine Health Ministries is the largest company in the US nursing care facilities market. (IBIS)
  • For a private room, nursing home care costs about $108,408 annually. (US News)
  • New York and California have the highest number of residents in certified nursing homes, with a combined total of 90,000 people. (Statista)
  • As of 2022, Alaska has 702 nursing home residents, the lowest of any U.S. state. (Statista
  • In 2020, out-of-pocket expenses for nursing care in the U.S. amounted to $45.6 billion. (Statista)

Home Care and Assisted Living Statistics

Assisted living facilities serve as an essential care option for older adults who require assistance with daily activities while maintaining some independence. Read on to learn more: 

  • Assisted living facilities cost an average of $4,500 a month, or $54,000 a year. (Genworth)
  • In the U.S. today, there are over 30,600 assisted living facilities with close to 1.2 million beds that are licensed. (AHCA)
Infographic showing the statistic: the median resident age of assisted living facilities is 84 years old
  • The market for assisted living facilities in the U.S. was estimated to be worth $91.8 billion in 2022. (Grand View Research)
  • From 2023 to 2030, the market for assisted living facilities in the U.S. is anticipated to expand at a compound yearly growth rate of 5.53%, reaching $140.8 billion. (Grand View Research)
  • Assisted living facilities experienced the highest occupancy rates in San Jose (83.7%), Portland (83.4%) and San Francisco (83.4%). (Mordor Intelligence)
  • According to estimates, the U.S. will require 881,000 new assisted living facilities by 2030, an increase of 9.2% from the number of facilities in 2021. (Gitnux)
  • Between 2000 and 2021, assisted care saw the biggest growth in terms of the number of units, with an average annual growth of 3.5%. (Gitnux)
  • The median resident age of assisted living facilities is 84 years old. (Gitnux)

Hospice Statistics

The field of hospice care provides comfort, dignity and vital support to individuals with life-limiting illnesses and their families during the end-of-life journey.

Explore some facts and figures about hospice below: 

  • In the US, 1.4 million people are reported to have received hospice care in 2023. (NCBI)
  • Those over the age of 84 make up about 50% of hospice patients, while cancer accounts for the majority of terminal diagnoses at 27.2%. (NCBI)
  • Puerto Rico had the lowest percentage of Medicare decedents registered in hospice at the time of death (23%), while Utah had the highest rate (58%). (NCBI)
Infographic that shows the statistic: reports show that 1.4 million Americans received hospice care
  • Medicare pays about $23 billion annually for hospice care. (OIG)
  • By 2030, experts anticipate that the U.S. hospice market will be worth $64.7 billion. (ResearchandMarkets)
  • Compared to families who did not get hospice services, those whose loved ones got end-of-life care through a hospice program reported higher satisfaction levels. (NIA)
  • Compared to persons who don’t receive hospice care, hospice patients are more likely to have their pain managed and are less likely to undertake tests or receive unnecessary medications. (NIA)

5 Tips for Planning Long-Term Care

Long-term care can be expensive, often placing a significant financial burden on individuals and their families. It is essential to plan for potential long-term care needs through insurance policies, savings or other financial arrangements to ensure that appropriate care is available when required.

Infographic showing the 5 tips for planning long term care

Here are five tips for planning for long-term care below: 

  • Plan early: Planning for long-term care should ideally start well before you need it. Making decisions without feeling hurried or under pressure is possible when you start early.
  • Evaluate your needs: Determine the type of long-term care you could need by assessing your present health and lifestyle. Consider your medical history, your family’s health history and any ongoing chronic conditions. 
  • Research options: In-home care, assisted living facilities, nursing homes and continuing care retirement communities are just a few of the long-term care alternatives that are available. Examine each choice’s features to determine which suits your requirements and tastes best.
  • Consider the cost: Understanding the potential expenses associated with various care options is essential because long-term care can be very expensive. Investigate insurance coverage (such as long-term care insurance), governmental initiatives and other funding options.
  • Focus on healthy living: Give your health and well-being top priority when you make long-term care arrangements. Maintaining a healthy lifestyle that includes regular exercise, a well-balanced diet and social interactions can improve overall well-being and possibly postpone the need for long-term care.

These long-term care statistics can provide essential insights into the growing need for care services among elderly populations. Long-term care planning is a complex process, and professional financial and legal advice can help ensure your plan is comprehensive and suitable for your unique circumstances.

Contact a retirement financial advisor today to help you prepare for a comfortable retirement.

Please seek the advice of a qualified professional before making financial decisions.
Last Modified: August 14, 2023

18 Cited Research Articles

Annuity.org writers adhere to strict sourcing guidelines and use only credible sources of information, including authoritative financial publications, academic organizations, peer-reviewed journals, highly regarded nonprofit organizations, government reports, court records and interviews with qualified experts. You can read more about our commitment to accuracy, fairness and transparency in our editorial guidelines.

  1. LongTermCare.gov. (2020, February 18) How Much Care Will You Need? Retrieved from https://acl.gov/ltc/basic-needs/how-much-care-will-you-need
  2. KFF. (2022) Total Number of Residents in Certified Nursing Facilities. Retrieved from https://www.kff.org/other/state-indicator/number-of-nursing-facility-residents/
  3. IBIS World. (2023, January 30). Nursing Care Facilities in the US - Number of Businesses 2004–2029. Retrieved from https://www.ibisworld.com/industry-statistics/number-of-businesses/nursing-care-facilities-united-states/
  4. ACHA/NCAL. (2021). Facts & Figures. Retrieved from https://www.ahcancal.org/Assisted-Living/Facts-and-Figures/Pages/default.aspx
  5. Office of the Assistant Secretary for Planning and Evaluation. (2023). Long-Term Services & Supports, Long-Term Care. Retrieved from https://aspe.hhs.gov/topics/long-term-services-supports-long-term-care
  6. Kaldy, J. Esposito, L. (2023, February 7). How to Pay for Nursing Home Costs. Retrieved from https://health.usnews.com/best-nursing-homes/articles/how-to-pay-for-nursing-home-costs
  7. Bhatnagar, M. Lagnese, K. (2023, March 13). Hospice Care. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK537296/
  8. U.S. Department of Health and Human Services. (2023, March 28). Hospice. Retrieved from https://oig.hhs.gov/reports-and-publications/featured-topics/hospice/
  9. ResearchandMarkets. (2022, March). U.S. Hospice Market Size, Share & Trends Analysis Report by Location (Hospice Center, Home Hospice Care), by Type (RHC, CHC), by Diagnosis (Dementia, Cancer, Respiratory, Stroke), and Segment Forecasts, 2022-2030. Retrieved from https://www.researchandmarkets.com/reports/5561846/u-s-hospice-market-size-share-and-trends
  10. National Institute on Aging. (2021, May 14). What Are Palliative Care and Hospice Care? Retrieved from https://www.nia.nih.gov/health/what-are-palliative-care-and-hospice-care
  11. Michas, F. (2022, October 10). Number of residents in certified nursing facilities in the United States as of 2022, by state. Retrieved from https://www.statista.com/statistics/1168843/number-residents-certified-nursing-facilities-state/
  12. Vankar, P. (2022, November 23). Nursing care spending in the United States by payer 2013-2020. Retrieved from https://www.statista.com/statistics/247715/us-nursing-care-spending-by-payer/
  13. Hickey, S. Sawo, M. Wolfe, J. (2022, July 27). The state of the residential long-term care industry. Retrieved from https://www.epi.org/publication/residential-long-term-care-workers/
  14. American Association for Long-Term Care Insurance. (2023, February 13). Paid Long-Term Care Insurance 2022 Claims Grow. Retrieved from https://www.aaltci.org/news/long-term-care-insurance-association-news/paid-long-term-care-insurance-2022-claims-grow
  15. Grand View Research. (2023). U.S. Assisted Living Facility Market Size, Share & Trends Analysis Report By Age (More Than 85, 75-84, 65-74, Less Than 65), Region (West, South, Midwest), And Segment Forecasts, 2023 - 2030. Retrieved from https://www.grandviewresearch.com/industry-analysis/us-assisted-living-facility-market
  16. Gitnux. (2023, March 10). The Latest Assisted Living Industry Statistics 2023 You Shouldn’t Ignore. Retrieved from https://blog.gitnux.com/assisted-living-industry-statistics/
  17. American Association for Long-Term Care Insurance. (2023, March 6). 2023 Long-Term Care Insurance Price Index Released. Retrieved from: https://www.aaltci.org/news/long-term-care-insurance-association-news/2023-long-term-care-insurance-price-index-released
  18. U.S. Department of Veterans Affairs. (2023, June 9). Geriatric and Extended Care. Retrieved from https://www.va.gov/geriatrics/pages/Personal_Contributions_And_Long_Term_Care_Insurance.asp