623/Nursing and Residential Care Facilities
US businesses, employees and payroll, 2017 to 2023
3.28M
employees, 2023
3.28M
employees, 2023
In 2023, 94,771 US Nursing and Residential Care Facilities business locations employed 3.28 million people and paid $136.6 billion in annual payroll, $41,647 per employee on average. Employment was up 2.6% from 2022. California had the most employees.
Updated Oct 9, 2026 · data year 2023
Business locations
94,771
-0.4% vs 2022
Employees
3,278,910
+2.6% vs 2022
Annual payroll
$136.6B
+8.0% vs 2022
Average pay
$41,647
+5.2% vs 2022
Over the years
United States, 2017 to 2023
Employees
Paid employees in mid-March
Business locations
Places with paid employees
By state
Employees of Nursing and Residential Care Facilities in each state, 2023
Employees by state
States with the most employees
Employees and the share of all the state's jobs
| State | Business locations | Employees | Average pay | Share of state jobs |
|---|---|---|---|---|
| California | 11,007 | 319,384 | $46,282 | 1.95% |
| New York | 6,024 | 224,886 | $49,887 | 2.57% |
| Pennsylvania | 4,391 | 191,371 | $42,391 | 3.35% |
| Texas | 4,710 | 188,874 | $37,207 | 1.57% |
| Florida | 4,499 | 184,824 | $40,536 | 1.85% |
| Ohio | 3,690 | 151,349 | $37,871 | 2.98% |
| Illinois | 3,217 | 134,862 | $41,657 | 2.38% |
| Minnesota | 4,937 | 105,640 | $38,338 | 3.77% |
| Massachusetts | 3,161 | 103,123 | $48,587 | 2.96% |
| New Jersey | 2,406 | 101,354 | $47,175 | 2.57% |
| Michigan | 3,364 | 95,851 | $37,752 | 2.37% |
| North Carolina | 2,452 | 94,412 | $38,303 | 2.21% |
| Indiana | 2,299 | 82,716 | $39,255 | 2.83% |
| Virginia | 1,886 | 77,105 | $42,339 | 2.15% |
| Wisconsin | 2,921 | 71,066 | $35,582 | 2.69% |
The 15 states with the most employees. Download the CSV for all 51.
Top metro areas
Metro and micro areas with the most Nursing and Residential Care Facilities employees, 2023
Metro areas with the most employees
| Metro area | Locations | Employees | Average pay |
|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 4,408 | 195,779 | $52,605 |
| Los Angeles-Long Beach-Anaheim, CA | 3,716 | 114,972 | $46,926 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 2,181 | 96,941 | $44,949 |
| Chicago-Naperville-Elgin, IL-IN | 1,797 | 87,162 | $45,042 |
| Boston-Cambridge-Newton, MA-NH | 1,990 | 67,427 | $49,851 |
| Minneapolis-St. Paul-Bloomington, MN-WI | 2,613 | 58,625 | $40,107 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1,373 | 52,741 | $46,370 |
| Dallas-Fort Worth-Arlington, TX | 1,084 | 49,964 | $39,278 |
| Miami-Fort Lauderdale-West Palm Beach, FL | 1,379 | 47,657 | $42,566 |
| Phoenix-Mesa-Chandler, AZ | 1,762 | 45,845 | $41,865 |
| Detroit-Warren-Dearborn, MI | 1,407 | 42,545 | $37,856 |
| San Francisco-Oakland-Fremont, CA | 1,448 | 36,696 | $52,465 |
| San Diego-Chula Vista-Carlsbad, CA | 875 | 35,066 | $41,094 |
| Baltimore-Columbia-Towson, MD | 995 | 34,493 | $44,113 |
| Seattle-Tacoma-Bellevue, WA | 1,688 | 34,470 | $48,320 |
Business size
US Nursing and Residential Care Facilities business locations by number of employees, 2023
Locations by size
| Employees | Locations | Share |
|---|---|---|
| Under 5 | 22,618 | 23.9% |
| 5 to 9 | 20,491 | 21.6% |
| 10 to 19 | 16,712 | 17.6% |
| 20 to 49 | 14,378 | 15.2% |
| 50 to 99 | 11,509 | 12.1% |
| 100 to 249 | 7,967 | 8.4% |
| 250 to 499 | 938 | 1.0% |
| 500 to 999 | 130 | 0.1% |
| 1,000 or more | 28 | 0.0% |
Related industries
Nursing and Residential Care Facilities and the 4 industries directly below it
Part of Health Care and Social Assistance 62
| Code | Industry | Employees | Average pay |
|---|---|---|---|
| 6231 | Nursing Care Facilities (Skilled Nursing Facilities) | 1,426,754 | $44,479 |
| 6233 | Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly | 963,870 | $36,655 |
| 6232 | Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities | 769,808 | $42,344 |
| 6239 | Other Residential Care Facilities | 118,478 | $43,624 |
Questions and answers
How many people work in Nursing and Residential Care Facilities in the US?
3.28 million people worked at 94,771 US Nursing and Residential Care Facilities business locations in 2023, up 2.6% from 2022. That is 2.34% of all US private-sector employees.
What is the average pay in Nursing and Residential Care Facilities?
$41,647 a year per employee in 2023, from $136.6 billion in annual payroll (up 5.2% from 2022). The average across all US industries was $68,342.
Which state has the most Nursing and Residential Care Facilities jobs?
California had the most, with 319,384 employees in 2023, followed by New York (224,886) and Pennsylvania (191,371).
Which metro areas have the most Nursing and Residential Care Facilities jobs?
New York-Newark-Jersey City, NY-NJ (195,779), Los Angeles-Long Beach-Anaheim, CA (114,972), Philadelphia-Camden-Wilmington, PA-NJ-DE-MD (96,941) had the most Nursing and Residential Care Facilities employees in 2023.
Are most Nursing and Residential Care Facilities businesses small?
63.1% of the 94,771 Nursing and Residential Care Facilities business locations had fewer than 20 employees in 2023, and 158 had 500 or more.
Official US government statistics, published once a year. Business locations are places with paid employees; employees are counted in mid-March; payroll covers the whole year. Covers most private employers, not the self-employed, most government workers or farm workers on farms. Changes from the year before are shown only when both years use the same edition of the industry codes.