Skilled Nursing Facilities by the Numbers

125+ million data points from Medicare cost report filings summarizing the financial performance of skilled nursing facilities in the US – How do your facilities compare?
Seattle, WA
December 2019

1. General Inpatient Service Cost Per Day

Average nursing home general inpatient service cost per day by ownership type

  • Nursing home inpatient service costs per day have increased an average of 3.5% year-over-year from 2013-2018 (2.5% for For-Profit, 3.1% for Non-Profit, and 4.9% for Government Owned)

Source: CareListings general inpatient service cost per day data is based on 86,374 Medicare cost report submissions for fiscal years ending in 2013-2018.

2. Average Occupancy (Medicare, Medicaid, Other)

Overall and average occupancy levels for Medicare, Medicaid, and Other residents

  • The average nursing home overall occupancy has declined by 5.1% from 2013 to 2018.

Source: CareListings occupancy data is based on 344,773,487 Medicare days, 1,466,420,715 Medicaid days, 780,380,797 Other days vs 3,174,652,767 Total Available days submitted on Medicare cost report filings by 15,530 nursing homes for fiscal years ending in 2013-2018.

3. Average Length of Stay for Medicare Residents

Average length of stay for Medicare beneficiary residents by nursing home ownership type (in days)

  • The average length of stay for Medicare residents is 40.2 days at For-Profit SNFs, 44.6 days at Non-Profit SNFs, and 54 days at Government-Owned SNFs as of 2018.

Source: CareListings length-of-stay data is based on 344,773,487 Medicare days submitted on Medicare cost report filings by 15,530 nursing homes for fiscal years ending in 2013-2018.

4. Direct Care Minutes Per Day Per Residents

Average nursing home CNA, LPN/LVN, RN, and PT direct care minutes per resident per day

  • Each nursing home resident receives an average of 11.5 minutes less per day in CNA, LPN, RN, and PT care in 2019 vs nursing home residents in 2013.

Source: CareListings direct care minutes per resident day data is based on 408,697 quarterly Medicare Payroll-Based Journal submissions by 15,530 nursing homes for calendar years from 2013-2019.

5. Net Patient Revenues vs Operating Expenses

Average annual net patient revenues and operating expenses by nursing home ownership type (in millions of dollars)

  • Nursing homes generated (-$43,662,614,445) in net income from service to patients from 2013 to 2018.

Source: CareListings revenue and operating expense data is based on $752 billion in net patient revenues vs $796 billion in operating expenses submitted on Medicare cost report filings by 15,530 nursing homes for fiscal years ending in 2013-2018.

6. Average Net Income from Service to Patients

Net patient revenues less (minus) total operating expenses by nursing home ownership type (in thousands of dollars)

  • The percentage of nursing homes operating at a loss in net income from service to patients has increased 10.5% in six years, from 48.9% (2013) to 59.4% (2018).

Source: CareListings net income from service to patients data is based on $752 billion in net patient revenues vs $796 billion in operating expenses submitted on Medicare cost report filings by 15,530 nursing homes for fiscal years ending in 2013-2018.

7. Malpractice Premiums, Self-insurance, and Losses

Total nursing home malpractice costs of premiums, self-insurance, and losses

  • Nursing Homes have paid over 764% more in Malpractice Premiums ($3.7B) and Self-insurance ($750M) than Malpractice Losses ($580M) from 2013 to 2018.

Source: CareListings nursing home malpractice data is based on $3,677,262,915 in malpractice premiums, $759,435,733 in malpractice self-insurance, and $580,387,028 in malpractice losses submitted on Medicare cost report filings by 15,530 nursing homes for fiscal years ending in 2013-2018.
About CareListings

CareListings is an online platform that gives senior care providers access to high-quality caregiver job seekers, as well a channel for families to find the right senior care options for their loved ones.

Nearly 500k families have explored senior care options in our first year and 10,000+ caregivers have joined to find employment opportunities.

As part of our online platform, we created the most comprehensive historical salary information for caregivers in the US (based on 10 billion hours over six years of cost report filings), as well as the SNF Cost Report Compare tool to help identify financial opportunities by comparing SNFs locally.

Get in touch to learn more about our SNF Cost Report Compare or to see how we are reducing recruitment costs in finding experienced CNAs.

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CareListings Plus SignNet Patient Income, Revenues, and Expenses
CareListings Plus SignOccupancy % (Total, Medicare, Medicaid)
CareListings Plus SignMalpractice Premiums and Losses
CareListings Plus SignAvg. Length of Stay (Medicare & Medicaid)
CareListings Plus SignCosts & Charges Per Day (and Episode)
CareListings Plus SignAssets & Liabilities
CareListings Plus SignDirect Care Employee vs Contractor Wages
CareListings Plus SignOperational Staff Employee Wages
CareListings Plus SignFive Star Rating Performance (Quarterly)
CareListings Plus SignCNA, LPN/LVN, RN Staffing Ratios (Quarterly)