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USA Skilled Nursing Facility Market Outlook 2025-2035: Rising Demand, New Care Models, and Sustainable Growth Ahead

11-13-2025 12:57 PM CET | Health & Medicine

Press release from: Future Market Insights

USA Skilled Nursing Facility Market

USA Skilled Nursing Facility Market

The USA Skilled Nursing Facility Market is set for steady expansion, driven by the aging population, Medicaid rate improvements, and technology-driven care innovations. Valued at USD 202.4 billion in 2025, the market is expected to reach USD 279.9 billion by 2035, reflecting a CAGR of 3.3%.

Skilled nursing facilities (SNFs) deliver essential rehabilitative and long-term care services for patients requiring daily medical support. The sector's resilience amid demographic shifts and healthcare reforms continues to shape new growth opportunities.

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Medicare Advantage Fuels Market Utilization and Profitability
Medicare Advantage (MA) remains a pivotal growth engine for the U.S. skilled nursing industry, with 30 million enrollees in 2023 boosting post-acute care utilization. Many MA plans now promote cost-efficient rehabilitation through SNFs, enhancing occupancy rates and revenue consistency.

As states enhance Medicaid reimbursement and encourage private-sector collaboration, operators are witnessing improving operating margins-reaching 0.6% median in 2023. This financial stability encourages reinvestment in workforce development and technology adoption across facilities nationwide.

Advocacy and Staffing Mandates Reshape Industry Dynamics
Federal staffing mandates proposed by CMS continue to stir debate, as facilities face an added demand for over 90,000 caregivers at costs potentially exceeding USD 7 billion annually. While compliance challenges loom large, advocacy efforts have also sparked initiatives to attract and retain healthcare talent.

These mandates, although financially straining, are accelerating workforce investment and operational innovation. SNFs are responding with competitive wages, retention bonuses, and digital tools to improve workflow efficiency-measures critical to ensuring long-term sector sustainability.

Artificial Intelligence Revolutionizes Skilled Nursing Care
AI adoption within skilled nursing facilities has become a transformative force. Automation of administrative tasks-from admissions to medication management-reduces costs and optimizes staff deployment. Predictive analytics are now being used to detect fall risks and pressure ulcers, improving patient outcomes.

By integrating AI-driven monitoring, facilities can deliver proactive, data-informed care even amid staffing shortages. The trend is projected to accelerate through 2025, with broader adoption of robotic process automation (RPA) and natural language processing (NLP) in care coordination and patient engagement.

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Hospital Partnerships Create Sustainable Growth Pathways
Collaborations between SNFs and hospitals are redefining post-acute care delivery. Through seamless data sharing and coordinated discharge planning, facilities are seeing improved patient transitions and reduced readmissions.

Such partnerships stabilize occupancy rates, enhance reputation, and strengthen referral networks-key factors in maintaining steady revenue streams. As more hospitals seek high-quality SNF partners for rehabilitative continuity, these alliances are poised to become a cornerstone of long-term growth.

Workforce Constraints and Financial Pressures Challenge Expansion
Despite positive growth indicators, the U.S. SNF sector faces structural hurdles. Heavy dependence on Medicaid reimbursement, rising labor costs, and inflationary pressures continue to strain margins. Since the pandemic, over 450 SNFs have closed, reflecting a sector under significant cost pressure.

Nevertheless, state-level Medicaid adjustments and gradual occupancy recovery post-pandemic offer signs of stabilization. Facilities prioritizing workforce retention, operational efficiency, and value-based care partnerships are best positioned to thrive in the coming decade.

Market Segmentation and Competitive Landscape
The freestanding SNF segment commands 77.1% market share (2025) due to cost efficiency and service specialization. In contrast, hospital-based SNFs carry higher operational costs. By ownership, for-profit facilities dominate with a 74.3% share, reflecting stronger financial flexibility and private investment.

Tier 1 companies-including Genesis Healthcare, Brookdale Senior Living Solutions, Lincare, Inc., and The Ensign Group-collectively hold nearly 24% of the market, leveraging strategic acquisitions and technology adoption to maintain leadership.

Comparative Outlook and Long-Term Projections
Between 2020 and 2024, the U.S. SNF market grew at a CAGR of 3.1%, rising from USD 171.9 billion to USD 194.2 billion. The decade ahead (2025-2035) marks a recovery phase characterized by enhanced Medicaid rates, increased AI penetration, and evolving care partnerships.

While challenges persist, the industry's adaptation to digitalization and demographic trends underscores its long-term potential. As care demand accelerates, operators that embrace innovation and integrated care strategies are set to capture sustainable market value.

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Future Market Insights, Inc. (ESOMAR certified, recipient of the Stevie Award, and a member of the Greater New York Chamber of Commerce) offers profound insights into the driving factors that are boosting demand in the market. FMI stands as the leading global provider of market intelligence, advisory services, consulting, and events for the Packaging, Food and Beverage, Consumer Technology, Healthcare, Industrial, and Chemicals markets. With a vast team of over 400 analystsworldwide, FMI provides global, regional, and local expertise on diverse domains and industry trends across more than 110 countries.

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