The U.S. skilled nursing facilities market size is estimated to reach USD 290.0 billion by 2033, registering a CAGR of 4.39% from 2025 to 2033, according to a new report by Grand View Research, Inc. The growing aging population with increasing care needs and rising prevalence of chronic diseases in the country will propel the need for skilled nursing facilities(SNFs). In addition, lower costs of SNF as compared to hospitals will drive the market growth. SNFs cover numerous aspects such as therapy, mental health services, special dietary needs, hygiene items, recreational activities, and housekeeping.
The coronavirus pandemic has adversely affected the entire market for skilled nursing facilities. These medical facilities were major infection hotspots that limited operations in skilled nursing facilities. In addition, the elderly population was considered the most vulnerable group to infectious diseases and restricted their use of these services. However, the adoption of digital and wireless technology and video conferencing during a pandemic has supported the growth of the market.
Residents of skilled care facilities may be at increased risk of becoming infected with COVID-19. According to the CDC, during the first few months of the pandemic, about 2.1 million people live in long-term care facilities or nursing homes, accounting for less than 1% of the US population. These facilities were not allowed to accept new residents, had no new source of income for the additional costs associated with the virus, and adversely affected the service department of skilled care facilities.
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Based on type of facility, the freestanding segment dominated the market in 2024, due to its lower cost compared to hospital-based facilities. The segment is expected to remain dominant and is expected to record a significant growth rate.
Based on ownership, the for-profit facilities dominated the market in 2024, due to increased acquisition and delivery of high-quality care while ensuring financial viability.
During the pandemic, the long-term care centers received billions of dollars from the government, according to the Center for Medicare Advocacy report released in March 2021.
In August 2025, Pearl Health and Management Network Services (MNS) recently formed a strategic partnership to empower skilled nursing facilities to participate effectively in value-based Medicare programs such as ACO REACH. MNS, with decades of managed-care expertise and proprietary technology used by nearly 5,000 SNFs, brings capabilities in credentialing, contracting, care coordination, claims handling, and payer operations.
Grand View Research has segmented the U.S. skilled nursing facilities (SNFs) market based on type of facility, ownership, and region:
U.S. Skilled Nursing Facilities Type of Facility Outlook (Revenue, USD Billion, 2021 - 2033)
Freestanding
Hospital
U.S. Skilled Nursing Facilities Ownership Outlook (Revenue, USD Billion, 2021 - 2033)
For-profit
Non-profit
Government
U.S. Skilled Nursing Facilities Regional Outlook (Revenue, USD Billion, 2021 - 2033)
West
Southeast
Southwest
Midwest
Northeast
List of Key Players of the U.S. Skilled Nursing Facilities Market
Genesis Healthcare Corp.
Brookdale Senior Living, Inc.
The Ensign Group, Inc.
National HealthCare Corporation
Sunrise Senior Living, LLC
Life Care Services
HCR ManorCare
Golden LivingCenters
Life Care Centers of America
SavaSeniorCare Administrative Services LLC
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