Sector

Nursing Homes & Long-Term Care Careers

Nursing homes and long-term care provides 24/7 care for those who can't live independently. Very high credential requirements for clinical staff, with work entirely on-site and shift-based.

3.2M
U.S. jobs
In this sector
$47K
Median salary
Across all roles
Understanding this Sector
What it's like to work in Nursing Homes & Long-Term Care

Nursing homes and long-term care serve people who need ongoing skilled support โ€” there's satisfaction in caring for vulnerable populations, building relationships with residents, and providing dignity in difficult circumstances. Many find meaning in elder care.

The challenge can come from staffing pressures and emotional weight. Long-term care is often understaffed; workloads are heavy. Residents decline and die; attachment brings grief. Pay is modest for direct care roles. Regulatory requirements are extensive.

The field varies by care level and role. Skilled nursing differs from intermediate care or memory units. CNAs have different experiences than nurses, therapists, or administrators. For-profit facilities often operate differently than nonprofit.

For those who thrive here, the rewards are genuine: meaningful resident relationships, making difficult situations better, job stability, and work that matters to families. If you're drawn to elder care, can handle the emotional demands, and want healthcare careers with relational focus, nursing homes offer opportunities.

How people break in

CNA certification is primary entry point. LPN/RN for nursing roles. Administrator licensing for leadership.

Work environment tends toward
Staffing shortagesRegulatory heavyCNA entryEmotional demands24/7 operations
Industries it connects to
HealthcareSenior CareInsuranceGovernment
Salary vs. national average
-34%
$47K median vs. $71K national
$239K$179K$119K$60K$0K$15K$37K$150K$239K*387 metro areas across 50 states, sorted by salary level โ†’
Salary range across all nursing homes & long-term care roles
Where your dollar goes furthest
1. San Jose-Sunnyvale-Santa Clara$85K
2. Boulder$73K
3. Washington-Arlington-Alexandria$70K
4. Trenton-Princeton$67K
5. Durham-Chapel Hill$67K
BLS OEWS May 2024
* Top salaries exceed this figure. BLS caps reported wages at ~$240K to protect individual privacy in high-earning roles.

Median salaries range from ~$67K in mid-market metros to ~$96K in top-tier cities. But cost of living closes a lot of that gap โ€” metros with lower regional price parities often offer the best purchasing power.

Highest paying
San Jose-Sunnyvale-Santa Clara ยท $96K
San Francisco-Oakland-Fremont ยท $82K
Washington-Arlington-Alexandria ยท $76K
Best purchasing power
San Jose-Sunnyvale-Santa Clara ยท $85K adj.
Boulder ยท $73K adj.
Washington-Arlington-Alexandria ยท $70K adj.
Most jobs
New York ยท 25.9M
Los Angeles ยท 17M
Chicago ยท 12.3M
BLS OEWS May 2024 ยท BEA Regional Price Parities

What the data says about this sector

Beyond salary and job counts โ€” signals that shape the day-to-day experience of working in Nursing Homes & Long-Term Care.

๐Ÿšช
Annual Quit Rate
Based on all Healthcare data
23%
Higher than average turnover. This could indicate challenging conditions, seasonal work, or abundant external opportunities.
โ†‘ 1%vs. 22% all industries
๐Ÿข
Typical Employer Size
Small-skewed
Small businesses dominate. More variety in roles but less formal structure and benefits.
78%
Small
<50
21%
Mid
50โ€“249
1%
Large
250+
๐Ÿ 
Remote / Hybrid Prevalence
Mostly on-site
Many roles can be done remotely. Location flexibility is a realistic expectation.
Mostly on-siteHybrid commonRemote-first
๐Ÿ“‹
Credential Density
High
Most roles don't require formal credentials. Skills and experience matter more than certificates.
Few credentialsSome requiredMany required
๐Ÿค
Union Presence
Based on all Healthcare data
~6%
Minimal union coverage means compensation is individually negotiated. Know your market rate going in.
โ†“ 6%vs. 11% all industries
BLS JOLTS 2024 ยท BLS QCEW 2024 ยท O*NET Work Context ยท BLS Union Members Summary 2024
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Federal data: BLS Occupational Employment & Wage Statistics (May 2024) ยท BLS JOLTS 2024 ยท BLS QCEW 2024 ยท O*NET Work Context ยท BLS Employment Projections 2024โ€“2034
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