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Sector

Careers in Nursing Homes & Long-Term Care

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
Nursing Homes & Long-Term Care jobs by metro area
Bubble size = total employment
Nursing Homes & Long-Term Care employment by metro · ~393 areas
1.New York-Newark-Jersey City, NY-NJ97K
2.Los Angeles-Long Beach-Anaheim, CA59K
3.Chicago-Naperville-Elgin, IL-IN32K
4.Philadelphia-Camden-Wilmington, PA-NJ-DE-MD29K
5.Dallas-Fort Worth-Arlington, TX21K

Jobs per 100K workforce — measures industry density

1.Grants Pass, OR2,088.7
2.Eagle Pass, TX1,807.5
3.Brownsville-Harlingen, TX1,674.1
4.McAllen-Edinburg-Mission, TX1,665.5
5.Springfield, MA1,435.1
BLS OEWS May 2024
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 — 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 →
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 — metros with lower regional price parities often offer the best purchasing power.

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

What the data says about this sector

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

🚪
Annual Quit Rate
Based on all Healthcare data
23%
Higher than average turnover. This could indicate challenging conditions, seasonal work, or abundant external opportunities.
1%vs. 22% all industries
🏢
Typical Employer Size
Small-skewed
Small businesses dominate. More variety in roles but less formal structure and benefits.
78%
Small
<50
21%
Mid
50–249
1%
Large
250+
🏠
Remote / Hybrid Prevalence
Mostly on-site
Many roles can be done remotely. Location flexibility is a realistic expectation.
Mostly on-siteHybrid commonRemote-first
📋
Credential Density
High
Most roles don't require formal credentials. Skills and experience matter more than certificates.
Few credentialsSome requiredMany required
🤝
Union Presence
Based on all Healthcare data
~6%
Minimal union coverage means compensation is individually negotiated. Know your market rate going in.
6%vs. 11% all industries
BLS JOLTS 2024 · BLS QCEW 2024 · O*NET Work Context · BLS Union Members Summary 2024
Career Tracks

Career tracks in Nursing Homes & Long-Term Care

How jobs in this sector break down by function, and what they typically pay.

Healthcare · Hospitals, clinics, and medical practices. Direct patient care, specialization paths, shift work common. Meaningful impact, strong demand.
21%
$52K median
Explore →
Social Services · The heart of social services employment — hospitals, mental health facilities, and community health organizations providing direct care and support.
15%
$51K median
Explore →
Personal Care · Medical spas, rehabilitation facilities, and clinical settings. Higher pay, medical oversight, insurance billing knowledge valued.
8%
$39K median
Explore →
Business Operations · Hospitals and clinics balance patient care with complex operations. Regulatory pressure, 24/7 demands, meaningful impact. Growing field with strong demand.
8%
$57K median
Explore →
Admin & Office · Medical offices, hospitals, and clinics need organized admins who can handle sensitive information. Stable, meaningful work with clear career paths.
6%
$59K median
Explore →
Transportation · Medical transport, patient logistics, and healthcare supply chain — ambulance services, medical couriers, and hospital logistics.
6%
$37K median
Explore →
Median salary for occupations employed within Nursing Homes & Long-Term Care. BLS OEWS May 2024.

Explore careers in Nursing Homes & Long-Term Care

Understand your strengths, plan your next move, and build your career record.

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Federal data: BLS Occupational Employment & Wage Statistics (May 2024) · BLS JOLTS 2024 · BLS QCEW 2024 · O*NET Work Context · BLS Employment Projections 2024–2034
Truest editorial: Industry narrative, sector context, career track mapping, working signals analysis.