Where ALF Atlas's numbers come from
Four kinds of source, each with its own date: state licensing agencies, state facility lists, CDC's long-term care survey and HUD's loan files.
Licensing
For every state, the agency, license types, official program page and facility list were found on the agency's own site and checked on 2026-10-24. They change rarely and are reviewed by hand rather than by script. Where a detail could not be confirmed on an official page, it is left off.
State facility lists
13 states publish a downloadable list with each facility's licensed capacity. A script downloads and parses each one and counts the facilities, the capacity, the facilities with 20 or more beds or units (the smallest building HUD's Section 232 program insures), homes with six or fewer, and memory care capacity where the list carries it.
| State | What the list covers | Facilities | Capacity | As of |
|---|---|---|---|---|
| Alaska | Assisted living homes | 812 | 5,205 beds | October 24, 2026 |
| California | Residential care facilities for the elderly (RCFE), licensed | 7,939 | 207,618 beds | May 25, 2025 |
| Kentucky | Assisted living community licenses | 245 | 9,901 units | October 2026 directory |
| Maryland | Assisted living programs | 1,677 | 26,767 beds | October 24, 2026 |
| Missouri | Residential care and assisted living facilities | 600 | 27,901 beds | October 24, 2026 |
| New Jersey | Assisted living residences, comprehensive personal care homes and dementia care homes | 320 | 28,827 beds | October 24, 2026 |
| New York | Adult care facilities reporting certified capacity | 523 | 51,211 beds | 2026 Q2 |
| North Carolina | Adult care homes | 568 | 36,334 beds | October 24, 2026 |
| Pennsylvania | Personal care homes (assisted living residences not included) | 991 | 61,866 beds | October 24, 2026 |
| Tennessee | Assisted care living facilities (licensed) | 322 | 22,424 beds | October 2026 bed report |
| Texas | Assisted Living Facilities (Types A, B and C) | 2,009 | 82,221 beds | October 24, 2026 |
| Washington | Assisted living facilities | 558 | 38,622 beds | October 24, 2026 |
| Wisconsin | Community-based residential facilities and residential care apartment complexes | 1,894 | 52,256 beds | October 24, 2026 |
Lists are not alike. Some count beds and some units; some include personal care or adult care homes that a lender might not call assisted living; New York's counts adult care facilities that file quarterly capacity reports. Each state page says what its list covers. Kentucky's and Tennessee's sites refuse automated downloads, so their figures come from the October 2026 files and are refreshed only when those downloads work. California's list is the state's open-data file, dated May 25, 2025.
States whose directory is only a search form, a PDF or a page that requires accepting terms are not scraped. Their pages show the agency details and the CDC estimate.
CDC survey
CDC's National Center for Health Statistics runs the National Post-acute and Long-term Care Study. Its data.cdc.gov table gives state figures for residential care communities from the 2020 wave, the latest with state detail. The study counts communities with four or more beds that meet its definition, so it will not match a state's own list. The 2025 wave reports about 31,415 communities nationally with about 1,297,134 beds and 1,001,118 residents, with Medicaid paying for some or all services for 16.9% of residents.
HUD loans
Active loans, with note rate, balance and maturity, come from HUD's FHA insured mortgages, active file, as of September 30, 2026. A loan counts as assisted living when HUD's healthcare endorsement database records the project as assisted living; loans endorsed before fiscal 2001, which that database does not cover, are classified by HUD's section-of-act code. Endorsement counts come from the HUD Office of Healthcare Programs database, data run July 8, 2026. HUD's files give a city but no street address, and property names are HUD's.
Corrections
Write to hello@hudassistedliving.loan.