Nursing home care in the United States

As of 2017, approximately 1.4 million Americans live in a nursing home, two-thirds of whom rely on Medicaid to pay for their care. Residential nursing facilities receive Medicaid federal funding and approvals through a state health department. These facilities may be overseen by various types of state agency (e.g. health, mental health, or intellectual disabilities).

Nursing homes have traditionally been large institutions. Smaller community versions were developed around the 1970s. Some "community living" (CL) groups advocated for a different type of care and funding, which resulted in the creation of assisted living facilities.

Efforts to promote community-based Long Term Services and Supports (LTSS) are led by groups such as the Consortium of Citizens with Disabilities which represents over 200 national disability organizations.

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