{
 "site": "hudassistedliving.loan",
 "license": "CC-BY-4.0",
 "attribution": "Data: ALF Atlas (hudassistedliving.loan)",
 "generated_from": "2026-10-24",
 "datasets": [
  {
   "name": "alf-states",
   "title": "Assisted living by state: licensing agency and license types, licensed supply from state lists, CDC NPALS estimates, HUD 232 activity",
   "file_csv": "alf-states-2026-10-24.csv",
   "file_json": "alf-states-2026-10-24.json",
   "rows": 51,
   "as_of": "2026-10-24",
   "source": "State licensing agencies (13 state lists); CDC/NCHS NPALS (2020 state estimates); HUD FHA insured mortgages (September 30, 2026); HUD OHP endorsement database (data run 07/08/2026); licensing table checked 2026-10-24",
   "source_url": "https://data.cdc.gov/Health-Statistics/Biennial-Overview-of-Post-acute-and-Long-term-Care/wibz-pb5q",
   "key": "state",
   "watch": [
    "licensed_facilities",
    "licensed_capacity",
    "memory_care_facilities",
    "list_as_of",
    "hud_active_alf_loans",
    "hud_endorsed_alf_since_fy2001"
   ],
   "record_prefix": "state",
   "columns": [
    {
     "name": "state",
     "description": "Two-letter code. The key."
    },
    {
     "name": "state_name",
     "description": "State name."
    },
    {
     "name": "licensing_agency",
     "description": "Agency that licenses assisted living."
    },
    {
     "name": "license_types",
     "description": "License types and names the state uses."
    },
    {
     "name": "program_url",
     "description": "The agency's assisted living program page."
    },
    {
     "name": "list_url",
     "description": "The agency's downloadable facility list, where one exists."
    },
    {
     "name": "list_note",
     "description": "Why there is no usable list, where there is none."
    },
    {
     "name": "list_as_of",
     "description": "Date or edition of the state list we counted."
    },
    {
     "name": "list_label",
     "description": "What the state list covers."
    },
    {
     "name": "licensed_facilities",
     "description": "Licensed facilities with a capacity above zero in the state list."
    },
    {
     "name": "licensed_capacity",
     "description": "Their total licensed capacity."
    },
    {
     "name": "capacity_unit",
     "description": "beds or units, as the state reports it."
    },
    {
     "name": "facilities_20_plus",
     "description": "Facilities with 20 or more beds or units (HUD 232's minimum size)."
    },
    {
     "name": "capacity_20_plus",
     "description": "Capacity in those facilities."
    },
    {
     "name": "facilities_6_or_fewer",
     "description": "Homes with 6 or fewer beds or units."
    },
    {
     "name": "median_size",
     "description": "Median capacity per facility."
    },
    {
     "name": "memory_care_facilities",
     "description": "Facilities with dementia or memory care capacity, where the list reports it."
    },
    {
     "name": "memory_care_capacity",
     "description": "That capacity."
    },
    {
     "name": "memory_care_label",
     "description": "What the state calls it."
    },
    {
     "name": "cdc_year",
     "description": "Wave of CDC/NCHS NPALS state estimates used."
    },
    {
     "name": "cdc_communities",
     "description": "Residential care communities (CDC estimate, rounded by CDC)."
    },
    {
     "name": "cdc_beds",
     "description": "Beds (CDC estimate)."
    },
    {
     "name": "cdc_avg_beds",
     "description": "Average beds per community."
    },
    {
     "name": "cdc_residents",
     "description": "Residents (CDC estimate)."
    },
    {
     "name": "cdc_for_profit_pct",
     "description": "Share of communities for-profit."
    },
    {
     "name": "cdc_chain_pct",
     "description": "Share chain affiliated."
    },
    {
     "name": "cdc_medicaid_certified_pct",
     "description": "Share Medicaid certified."
    },
    {
     "name": "cdc_dementia_only_pct",
     "description": "Share of communities serving only people with dementia."
    },
    {
     "name": "cdc_dementia_any_pct",
     "description": "Share dementia-only or with a dementia unit."
    },
    {
     "name": "cdc_residents_85_plus_pct",
     "description": "Share of residents 85 and older."
    },
    {
     "name": "cdc_residents_dementia_pct",
     "description": "Share of residents with Alzheimer disease or other dementias."
    },
    {
     "name": "hud_active_alf_loans",
     "description": "Active FHA-insured Section 232 assisted living loans in the state."
    },
    {
     "name": "hud_active_alf_upb",
     "description": "Their unpaid principal balance, dollars."
    },
    {
     "name": "hud_active_alf_rate_median",
     "description": "Median note rate of those loans, percent."
    },
    {
     "name": "hud_active_alf_at_5pct_plus",
     "description": "Of those, loans at 5% or more."
    },
    {
     "name": "hud_active_board_care_loans",
     "description": "Active board and care loans in the state."
    },
    {
     "name": "hud_endorsed_alf_since_fy2001",
     "description": "Assisted living loans HUD endorsed since fiscal 2001."
    },
    {
     "name": "hud_endorsed_alf_amount",
     "description": "Their original principal, dollars."
    },
    {
     "name": "hud_endorsed_alf_since_fy2021",
     "description": "Of those, endorsed since fiscal 2021."
    },
    {
     "name": "hud_endorsed_alf_new_construction",
     "description": "Of those, new construction or substantial rehabilitation."
    }
   ],
   "bytes_csv": 20908,
   "bytes_json": 65361
  },
  {
   "name": "hud-232-alf-loans",
   "title": "Active FHA-insured Section 232 assisted living and board and care loans",
   "file_csv": "hud-232-alf-loans-2026-09-30.csv",
   "file_json": "hud-232-alf-loans-2026-09-30.json",
   "rows": 1198,
   "as_of": "2026-09-30",
   "source": "HUD FHA insured multifamily and healthcare mortgages, active (FHA-BF90-RM-A.xlsx)",
   "source_url": "https://www.hud.gov/hud-partners/multifamily-fhasl-active",
   "key": "fha",
   "watch": [
    "rate",
    "upb",
    "maturity"
   ],
   "record_prefix": "loan",
   "columns": [
    {
     "name": "fha",
     "description": "FHA project number. The key."
    },
    {
     "name": "state",
     "description": "State."
    },
    {
     "name": "city",
     "description": "City as HUD writes it."
    },
    {
     "name": "project_name",
     "description": "Project name as HUD writes it."
    },
    {
     "name": "kind",
     "description": "Assisted living or Board and care."
    },
    {
     "name": "units",
     "description": "Units or beds in HUD's file."
    },
    {
     "name": "original_amount",
     "description": "Original insured amount, dollars."
    },
    {
     "name": "rate",
     "description": "Note rate, percent."
    },
    {
     "name": "upb",
     "description": "Unpaid principal balance, dollars."
    },
    {
     "name": "maturity",
     "description": "Maturity date."
    },
    {
     "name": "endorsed",
     "description": "Endorsement date."
    },
    {
     "name": "section_of_act",
     "description": "HUD section of the act and program code."
    }
   ],
   "bytes_csv": 187340,
   "bytes_json": 352567
  }
 ]
}