GVR Report cover U.S. Skilled Nursing Facility And Rehabilitation Market Size, Share & Trends Report

U.S. Skilled Nursing Facility And Rehabilitation Market Size, Share & Trends Analysis Report By Type of Facility (Freestanding, Hospital), And Segment Forecasts, 2021 - 2028

  • Published Date: Jul, 2021
  • Base Year for Estimate: 2020
  • Report ID: GVR-4-68039-400-4
  • Format: Electronic (PDF)
  • Historical Data: 2016 - 2019
  • Number of Pages: 66

Report Overview

The U.S. skilled nursing facility and rehabilitation market size was valued at USD 217.6 billion in 2020 and is expected to expand at a compound annual growth rate (CAGR) of 3.4% from 2021 to 2028. The rise in the geriatric population and the growing prevalence of chronic diseases are key driving factors for the market. The recent advancements in technology and easier availability of Medicare, Medicaid, and private insurance are likely to drive the market growth during the forecast period.

U.S. skilled nursing facility and rehabilitation market size, by type of facility, 2018 - 2028 (USD Billion)

The skilled nursing and rehabilitation services in the U.S have a lot of regulations by the government. Skilled nursing & rehabilitation services have to comply with the Code of Federal Regulations (CFR). Code 42 CFR subpart B gives all the requirements for these nursing facilities to comply with receiving payment under Medicare and Medicaid programs.

COVID-19 U.S. skilled nursing facility and rehabilitation market impact: 3.0% decline from 2019 to 2020

Pandemic Impact

Post COVID Outlook

The Covid-19 pandemic negatively impacted the market for skilled nursing facility and rehabilitation in the U.S. The skilled nursing and rehabilitation facilities faced a big crisis that the residents in the facilities were at a high risk of Covid-19 infections and as the pandemic progressed many of such facilities became Covid-19 transmission hotspots and thus had to be closed.

To avoid the risk of infection, SNFs are installing wireless videoconferencing technologies. These systems provide patients with internet access in their rooms and facilitate easy communication with friends and family.


The economic downturn owing to the ongoing COVID-19 pandemic is putting publicly funded elderly care and long-term care facilities at risk. Medicaid reimbursements have declined and many SNFs operate on thin financial margins. The COVID-19 pandemic has resulted in a steep decline in occupancy of the SNFs and individuals visiting the rehabilitation centers, leading to a loss of revenue and disruption of care required by patients.

Providing software-based rehabilitation to assess aspects such as the motor skills of the patient need to be employed on a large scale, given the difficulty to visit the facilities due to the pandemic situation. Such initiatives are expected to reduce the fear and increase occupancy in SNFs and rehabilitation facilities.


The reimbursement at skilled nursing and rehabilitation facilities is based on Medicare part A and B. Medicare part A gives reimbursement based on inpatient and hospital. According to part A, the prospective payment system is followed where these therapy facilities are paid on the daily basis covering the patient-associated services that include therapy services calculated in minutes nursing along with daily room services. Medicare part B pays for all therapy services, given using the CPR codes.

Type of Facility Insights

The freestanding segment dominated the U.S. skilled nursing facility and rehabilitation market and held the largest revenue share of 84.0% in 2020. The segment is expected to grow at the fastest rate over the forecast period. The freestanding facilities offer skilled nursing and personalized care for 24 hrs. Rehabilitation services like physical and occupational therapy and speech-language, pathology services are also provided at these facilities. These freestanding facilities are dominating because of their lower cost than hospital-based facilities.

U.S. skilled nursing facility and rehabilitation market share, by type of facility, 2020 (%)

Hospital-based facilities have services like wound care, post-acute care, and rehabilitation. These facilities boost hospital performance by reducing the length of hospital stay which creates more room for new patients as the older patients are transferred to these facilities. Rising cases of injuries at workplaces, chronic diseases, and an increasing number of accidents are the factors driving demand for these hospital-based facilities.

Key Companies & Market Share Insights

The market has a lot of big and small players making it very competitive. Brookdale Senior Living is one of the top players in the market with 72,267 units. For instance, in 2019, Brookdale Senior Living acquired ownership 0f an 18-property leased portfolio for USD 405.0 million. Some of the prominent players in the U.S. skilled nursing facility and rehabilitation market include:

  • Brookdale Senior Living, Inc.

  • The Ensign Group, Inc.

  • Genesis Healthcare, Inc.

  • Extendicare

  • Sunrise Senior Living, LLC

  • ProMedica

  • Golden Living Centers

  • Life Care Centers of America

U.S. Skilled Nursing Facility And Rehabilitation Market Report Scope

Report Attribute


Market size value in 2021

USD 222.3 billion

Revenue forecast in 2028

USD 281.6 billion

Growth Rate

CAGR of 3.4% from 2021 to 2028

Base year for estimation


Historical data

2016 - 2019

Forecast period

2021 - 2028

Quantitative units

Revenue in USD billion and CAGR from 2021 to 2028

Report coverage

Revenue forecast, company ranking, competitive landscape, growth factors, and trends

Segments covered

Type of facility

Regional scope

The U.S.

Key companies profiled

The Ensign Group, Inc; Brookdale Senior Living, Inc; Genesis Healthcare, Inc; Extendicare; Sunrise Senior Living, LLC; ProMedica; Golden Living Centers; Life Care Centers of America

Customization scope

Free report customization (equivalent to up to 8 analyst’s working days) with purchase. Addition or alteration to country, regional & segment scope.

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Segments Covered in the Report

This report forecasts revenue growth at country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2016 to 2028. For this study, Grand View Research has segmented the U.S. skilled nursing facility and rehabilitation market report based on type of facility:

  • Type of Facility Outlook (Revenue, USD Billion, 2016 - 2028)

    • Freestanding

    • Hospital

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