623110/Nursing Care Facilities (Skilled Nursing Facilities)
US businesses, employees and payroll, 2017 to 2023
1.43M
employees, 2023
1.43M
employees, 2023
In 2023, 18,126 US Nursing Care Facilities (Skilled Nursing Facilities) business locations employed 1.43 million people and paid $63.5 billion in annual payroll, $44,479 per employee on average. Employment was up 3.1% from 2022. California had the most employees.
Updated Oct 9, 2026 · data year 2023
Business locations
18,126
+0.8% vs 2022
Employees
1,426,754
+3.1% vs 2022
Annual payroll
$63.5B
+7.5% vs 2022
Average pay
$44,479
+4.3% 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 Care Facilities (Skilled Nursing 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 | 1,955 | 142,911 | $49,683 | 0.87% |
| Texas | 1,546 | 103,808 | $38,966 | 0.86% |
| New York | 731 | 102,063 | $56,665 | 1.16% |
| Florida | 1,052 | 83,431 | $42,444 | 0.84% |
| Ohio | 961 | 79,159 | $38,841 | 1.56% |
| Illinois | 793 | 66,392 | $43,800 | 1.17% |
| Pennsylvania | 648 | 59,380 | $42,817 | 1.04% |
| New Jersey | 537 | 51,119 | $49,286 | 1.30% |
| Indiana | 522 | 45,296 | $41,535 | 1.55% |
| Massachusetts | 428 | 40,112 | $52,058 | 1.15% |
| Michigan | 464 | 37,636 | $43,276 | 0.93% |
| Missouri | 547 | 35,933 | $39,325 | 1.37% |
| North Carolina | 489 | 34,768 | $44,710 | 0.81% |
| Georgia | 455 | 31,051 | $42,317 | 0.70% |
| Connecticut | 235 | 28,433 | $47,024 | 1.85% |
The 15 states with the most employees. Download the CSV for all 51.
Top metro areas
Metro and micro areas with the most Nursing Care Facilities (Skilled Nursing Facilities) employees, 2023
Metro areas with the most employees
| Metro area | Locations | Employees | Average pay |
|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 804 | 98,561 | $58,451 |
| Los Angeles-Long Beach-Anaheim, CA | 798 | 57,489 | $48,204 |
| Chicago-Naperville-Elgin, IL-IN | 454 | 42,621 | $48,130 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 335 | 31,569 | $45,681 |
| Dallas-Fort Worth-Arlington, TX | 380 | 26,660 | $41,376 |
| Boston-Cambridge-Newton, MA-NH | 272 | 24,441 | $53,556 |
| Miami-Fort Lauderdale-West Palm Beach, FL | 288 | 20,646 | $43,582 |
| Cleveland, OH | 202 | 18,224 | $41,148 |
| Detroit-Warren-Dearborn, MI | 209 | 17,790 | $43,262 |
| St. Louis, MO-IL | 197 | 15,530 | $40,864 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 207 | 15,421 | $51,863 |
| San Francisco-Oakland-Fremont, CA | 235 | 15,234 | $57,243 |
| Houston-Pasadena-The Woodlands, TX | 246 | 14,934 | $40,758 |
| Tampa-St. Petersburg-Clearwater, FL | 184 | 14,470 | $41,189 |
| Minneapolis-St. Paul-Bloomington, MN-WI | 242 | 13,361 | $45,157 |
Business size
US Nursing Care Facilities (Skilled Nursing Facilities) business locations by number of employees, 2023
Locations by size
| Employees | Locations | Share |
|---|---|---|
| Under 5 | 2,334 | 12.9% |
| 5 to 9 | 729 | 4.0% |
| 10 to 19 | 949 | 5.2% |
| 20 to 49 | 2,599 | 14.3% |
| 50 to 99 | 5,917 | 32.6% |
| 100 to 249 | 5,223 | 28.8% |
| 250 to 499 | 333 | 1.8% |
| 500 to 999 | 41 | 0.2% |
| 1,000 or more | Not published | - |
Related industries
The industries this code belongs to
Part of Health Care and Social Assistance 62Nursing and Residential Care Facilities 623Nursing Care Facilities (Skilled Nursing Facilities) 6231Nursing Care Facilities (Skilled Nursing Facilities) 62311
Questions and answers
How many people work in Nursing Care Facilities (Skilled Nursing Facilities) in the US?
1.43 million people worked at 18,126 US Nursing Care Facilities (Skilled Nursing Facilities) business locations in 2023, up 3.1% from 2022. That is 1.02% of all US private-sector employees.
What is the average pay in Nursing Care Facilities (Skilled Nursing Facilities)?
$44,479 a year per employee in 2023, from $63.5 billion in annual payroll (up 4.3% from 2022). The average across all US industries was $68,342.
Which state has the most Nursing Care Facilities (Skilled Nursing Facilities) jobs?
California had the most, with 142,911 employees in 2023, followed by Texas (103,808) and New York (102,063).
Which metro areas have the most Nursing Care Facilities (Skilled Nursing Facilities) jobs?
New York-Newark-Jersey City, NY-NJ (98,561), Los Angeles-Long Beach-Anaheim, CA (57,489), Chicago-Naperville-Elgin, IL-IN (42,621) had the most Nursing Care Facilities (Skilled Nursing Facilities) employees in 2023.
Are most Nursing Care Facilities (Skilled Nursing Facilities) businesses small?
22.1% of the 18,125 Nursing Care Facilities (Skilled Nursing Facilities) business locations had fewer than 20 employees in 2023, and 41 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.