About the data
Coverage
Coverage is reported by state × facility type × dataset. We do not publish a single national coverage percentage, because senior care is not one regulatory category.
Federal · CMSLive
CMS-certified nursing homes (Medicare / Medicaid)
14,686 facilities
National federal coverage. Not the count of all senior-care facilities in the US.
State licenseLive in 9 states
State-licensed nursing homes (licenses, licensed-only homes, state enforcement)
166 facilities
State licensing layer, state by state. Licensed-only homes are not Medicare/Medicaid certified and have no CMS ratings.
States: CA, CT, KY, MD, MO, NY, PA, UT, WY
State licenseLive in 11 states
State-licensed assisted living & residential care
13,596 facilities
State by state from official licensing rosters. Counted separately from nursing homes. No nationwide assisted-living coverage is claimed.
States: CA, CT, KY, MD, MI, MO, NC, NY, PA, UT, WY
Facility taxonomy
Canonical facility types
Source labels are always kept alongside the canonical type.
| Type | Universe | Definition | Status |
|---|---|---|---|
| Skilled nursing facility (SNF) skilled_nursing_facility | Federal · CMS | Certified by CMS to participate in Medicare as a skilled nursing facility (42 CFR Part 483). | Live (CMS) |
| Nursing home (NF) nursing_home | Federal · CMS | Certified to participate in Medicaid as a nursing facility. Many sites are dually certified SNF/NF. | Live (CMS) |
| Assisted living assisted_living | State license | State-licensed residential setting with personal care and supervision. Definitions vary by state. | Live in some states |
| Memory care memory_care | State license | Usually a state license endorsement or service designation for dementia care, not a standalone facility class. | Not yet |
| Residential care facility residential_care_facility | State license | State-licensed residential care for older adults, e.g. California RCFE. | Live in some states |
| Adult care home adult_care_home | State license | State-licensed adult home / adult care facility, e.g. North Carolina adult care homes, New York adult homes. | Live in some states |
| Personal care home personal_care_home | State license | State-licensed personal care home, e.g. Pennsylvania PCH (distinct from PA assisted living residences). | Live in some states |
| Adult family home adult_family_home | State license | Small state-licensed residential home, e.g. Washington or Wisconsin AFH. | Live in some states |
| Continuing care retirement community (CCRC) continuing_care_retirement_community | Varies | Campus offering a continuum of housing and care under a continuing-care contract. Regulation varies by state. | Live in some states |
| Independent living independent_living | Varies | Age-restricted housing without licensed care. Often little structured public data. | Not yet |
| Other senior residential care other_senior_residential_care | Varies | Senior residential care that fits no other canonical type. | Not yet |
By state
Coverage matrix
CMS nursing homes are live in every state. State licenses and state-licensed residential care are added state by state from official rosters.
| State | CMS nursing homes | State nursing-home licenses | State residential care | Regulator / program | State types |
|---|---|---|---|---|---|
| California | 1,165 | Live 1,190 licensed · 38 state-only · 13,303 state actions | Live 7,943 facilities · 207,706 capacity | California Department of Social Services (CDSS), Community Care Licensing Division Residential Care Facilities for the Elderly (RCFE) Statewide CCLD extract covers all community-care program types; filter to RCFE. Inspection/citation sources to validate separately. | CCRC (109), Residential care facility (7,834) |
| New York | 592 | Live 592 licensed · 12 state-only | Live 517 facilities · 50,658 capacity | New York State Department of Health (NYSDOH) Adult Care Facilities (adult homes, enriched housing) and Assisted Living Residences Search Health Data NY for the adult care facility roster and inspection datasets. NY nursing homes are also in CMS: avoid double counting. | Adult care home (517) |
| Pennsylvania | 656 | Live 666 licensed · 40 state-only | Live 990 facilities · 61,858 capacity | Pennsylvania Department of Human Services, Office of Long-Term Living Assisted Living Residences (ALR) and Personal Care Homes (PCH) ALR and PCH are distinct legal categories: never merged. | Personal care home (990) |
| North Carolina | 419 | Not yet | Live 1,086 facilities · 39,128 capacity | North Carolina DHHS, Division of Health Service Regulation (DHSR) Adult Care Homes and Family Care Homes Directory downloads and inspection report search to validate. | Adult care home (566), Family / adult family home (520) |
| Connecticut | 191 | Live 190 licensed · 5 state-only | Live 124 facilities · 0 capacity | Connecticut Department of Public Health / Office of Policy and Management; Connecticut Department of Public Health | Assisted living (124) |
| Kentucky | 266 | Live 294 licensed · 35 state-only | Live 231 facilities · 10,728 capacity | Kentucky Cabinet for Health and Family Services, Office of Inspector General | Assisted living (184), Personal care home (47) |
| Maryland | 221 | Live 216 licensed · 16 state-only | Live 1,512 facilities · 22,218 capacity | Maryland Department of Health, Office of Health Care Quality (OHCQ) | Assisted living (1,512) |
| Michigan | 422 | Not yet | Live 351 facilities · 27,075 capacity | Michigan Department of Licensing and Regulatory Affairs (LARA), Bureau of Community and Health Systems | Assisted living (351) |
| Missouri | 486 | Live 496 licensed · 17 state-only | Live 584 facilities · 27,400 capacity | Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation | Residential care facility (264), Assisted living (320) |
| Utah | 97 | Live 100 licensed · 3 state-only | Live 224 facilities · 12,543 capacity | Utah Department of Health and Human Services, Division of Licensing and Background Checks (DLBC), via UGRC | Assisted living (224) |
| Wyoming | 36 | Live 36 licensed · 0 state-only | Live 34 facilities · 1,141 capacity | Wyoming Department of Health, Healthcare Licensing and Surveys (HLS) | Assisted living (34) |
| Florida | 694 | Not yet | 3. Adapter planned source not validated | Agency for Health Care Administration (AHCA) Assisted Living Facilities Florida Health Finder exports; inspection details may only be exposed through dynamic portal pages. | Assisted living |
| Texas | 1,177 | Not yet | 4. Adapter planned source not validated | Texas Health and Human Services Commission (HHSC) Assisted Living Facilities (Type A, Type B; Alzheimer certification) Excel directory, closures and a time-bounded violations PDF. Keep Type A / Type B distinct. | Assisted living, Memory care |
| Washington | 193 | Not yet | 6. Adapter planned source not validated | Washington DSHS, Residential Care Services Assisted Living Facilities and Adult Family Homes Facility lookup with inspection report links; bulk export to validate. | Assisted living, Family / adult family home |
| Wisconsin | 323 | Not yet | 8. Adapter planned source not validated | Wisconsin DHS, Division of Quality Assurance CBRF, RCAC and Adult Family Homes Model CBRF, RCAC and AFH as separate source subtypes. | Residential care facility, Assisted living, Family / adult family home |
| Alabama | 224 | Not yet | Not started | — | — |
| Alaska | 20 | Not yet | Not started | — | — |
| Arizona | 140 | Not yet | Backlog source not validated | ADHS | — |
| Arkansas | 222 | Not yet | Not started | — | — |
| Colorado | 210 | Not yet | Backlog source not validated | CDPHE | — |
| Delaware | 44 | Not yet | Not started | — | — |
| District of Columbia | 16 | Not yet | Not started | — | — |
| Georgia | 356 | Not yet | Backlog source not validated | Department of Community Health | — |
| Guam | 1 | Not yet | Not started | — | — |
| Hawaii | 43 | Not yet | Not started | — | — |
| Idaho | 80 | Not yet | Not started | — | — |
| Illinois | 664 | Not yet | Backlog source not validated | IDPH | — |
| Indiana | 507 | Not yet | Not started | — | — |
| Iowa | 387 | Not yet | Not started | — | — |
| Kansas | 296 | Not yet | Not started | — | — |
| Louisiana | 265 | Not yet | Not started | — | — |
| Maine | 78 | Not yet | Not started | — | — |
| Massachusetts | 341 | Not yet | Backlog source not validated | Executive Office of Aging & Independence | — |
| Minnesota | 337 | Not yet | Not started | — | — |
| Mississippi | 202 | Not yet | Not started | — | — |
| Montana | 61 | Not yet | Not started | — | — |
| Nebraska | 180 | Not yet | Not started | — | — |
| Nevada | 66 | Not yet | Not started | — | — |
| New Hampshire | 73 | Not yet | Not started | — | — |
| New Jersey | 348 | Not yet | Backlog source not validated | NJ Department of Health | — |
| New Mexico | 68 | Not yet | Not started | — | — |
| North Dakota | 72 | Not yet | Not started | — | — |
| Ohio | 924 | Not yet | Backlog source not validated | Ohio Department of Health | — |
| Oklahoma | 283 | Not yet | Not started | — | — |
| Oregon | 128 | Not yet | Backlog source not validated | ODHS | — |
| Puerto Rico | 9 | Not yet | Not started | — | — |
| Rhode Island | 72 | Not yet | Not started | — | — |
| South Carolina | 187 | Not yet | Not started | — | — |
| South Dakota | 96 | Not yet | Not started | — | — |
| Tennessee | 303 | Not yet | Not started | — | — |
| Vermont | 33 | Not yet | Not started | — | — |
| Virginia | 289 | Not yet | Backlog source not validated | VDSS / VDH | — |
| West Virginia | 123 | Not yet | Not started | — | — |
Known gaps
What is not covered yet
- State-licensed assisted living / residential care is live only in the states listed under the residential universe; other states are not yet ingested.
- State licenses for nursing homes are live only in some states; where a roster has no CCN, links to CMS records are by exact street address and ZIP (INFERRED).
- State inspection reports for assisted living are not yet ingested (published per facility by each state).
- CMS MDS / claims quality measures, survey summary and SNF QRP not yet ingested.
- Building / property records not yet linked.
- Owner organizations are linked across facilities by exact normalized name; individuals are never merged.
CMS publishes a rolling inspection window: CMS rolling lookback: ~3 most recent standard surveys + complaint / infection-control inspections in the prior 3 years. A facility with no citations in that window may still have had findings earlier.