Analysis
NAICS 623 is the 2022 subsector for nursing and residential care facilities, part of 62 (Health Care and Social Assistance). Census lists 58 example activities under it in the official index.
County Business Patterns counts 94,771 US establishments in this code in 2023, employing 3,278,910 people at an average annual payroll of $41,647 per employee (10th percentile of national industries). 24% of the establishments have fewer than five employees, which points to larger operations.
Across its national industries Census lists 58 index entries; typical ones are assisted living facilities (without nursing facilities) for…, group homes, intellectual and developmental disability, alcoholism rehabilitation facilities (except licensed… and assisted living facilities with on-site nursing facilities.
It splits into 4 more detailed codes. The largest by establishments is 6232 (Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities) with 44,134.
Its more detailed codes are 6231 Nursing Care Facilities (Skilled Nursing Facilities) (18,126 establishments), 6232 Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (44,134 establishments), 6233 Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (26,523 establishments) and 6239 Other Residential Care Facilities (5,988 establishments).
Between 2018 and 2023 the number of establishments grew 4% and employment fell 7%. The 2018 count used NAICS 2017, so part of a large move can come from codes being redefined rather than from businesses opening or closing.
Official definition
Industries in the Nursing and Residential Care Facilities subsector provide residential care combined with either nursing, supervisory, or other types of care as required by the residents. In this subsector, the facilities are a significant part of the production process, and the care provided is a mix of health and social services with the health services being largely some level of nursing services.
Source: US Census Bureau, NAICS 2022 Manual.
Index entries (58)
- Assisted living facilities (without nursing facilities) for the elderly with nursing care
- Group homes, intellectual and developmental disability
- Alcoholism rehabilitation facilities (except licensed hospitals), residential
- Assisted living facilities with on-site nursing facilities
- Assisted living facilities for the elderly without nursing care
- Boot camps for delinquent youth