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Georgia Long-Term Care Statistics: What Care Costs, How Many Have Income at or Above the Price, and Where Georgians 65+ Live

6.5% of Georgians 65 or older who live alone had a 2024 income at or above the cost of one year in a private nursing home room at Georgia's 2025 median price, counting income only, not savings (2024 Census data, 2025 CareScout prices).

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About 1 in 15 Georgians 65 or older who live alone (6.5%) had a 2024 income at or above the cost of one year in a private nursing home room at Georgia’s 2025 median price of $113,150, counting income only, not savings (2024 Census data, 2025 CareScout prices).

This report shows what care costs in Georgia. It also measures how many older Georgians have an income at or above those prices. We used Census data on Georgians 65 and older to count how many have a year’s income at or above a year of each kind of care. We also show where older Georgians live: on their own, with a son or daughter, or in a nursing home or other institution. Every figure is for Georgia unless it says otherwise. This report is part of The Hive Law’s Georgia elder law statistics.

Three things stand out. Few older Georgians who live alone have a year’s income at or above a year of nursing home care (2024 income, 2025 prices). More Georgians 85 or older live in a household headed by their son, daughter or child-in-law than in a nursing home or other institution (2024 Census data). And in 2025, Medicaid was the primary payer for most residents of Georgia’s certified nursing homes.

Key Findings

  • 6.5% of Georgians 65 or older who live alone had a 2024 income at or above the cost of one year in a private nursing home room at Georgia’s 2025 median private-pay price of $113,150, counting income only and not savings (2024 Census data, 2025 CareScout prices). How we got this
    Source: U.S. Census Bureau (American Community Survey); CareScout Cost of Care Survey; analysis by The Hive Law
  • 14.8% of Georgians aged 85 or older lived in a household headed by their son or daughter (including stepchildren and adopted children) or their son- or daughter-in-law, and 6.1% lived in a nursing home or other institution (2024 Census data). How we got this
    Source: U.S. Census Bureau (American Community Survey); analysis by The Hive Law
  • Among Georgians 65 or older not living in a nursing home or other institution, 17.2% of those who have difficulty doing errands alone (such as visiting a doctor’s office or shopping) because of a physical, mental or emotional condition lived in a household headed by their son, daughter or child-in-law, against 5.6% of those without it (2024 Census data). After allowing for age, that is about two and a half times as likely. How we got this
    Source: U.S. Census Bureau (American Community Survey); analysis by The Hive Law
  • By The Hive Law’s estimate, about 64% of Georgians 65 or older who live alone could not pay for one year in a private nursing home room at Georgia’s 2025 median price from a year’s income plus everything they own apart from their home, with no other payer such as insurance or Medicare counted (2024 Census survey data, 2025 prices). How we got this
    Source: U.S. Census Bureau (Survey of Income and Program Participation); CareScout; estimate by The Hive Law
  • The median 2024 income of Georgia households headed by someone 65 or older equals 49.5% of Georgia’s 2025 median price for a year in a private nursing home room, and by metro area it is about a third in Columbus (33.7%), Macon-Bibb County (37.9%) and Rome (38.6%) and more than half in Atlanta (53.3%), Savannah (57.7%) and Gainesville (64.1%) (2024 Census income data, 2025 CareScout prices). How we got this
    Source: U.S. Census Bureau; CareScout; analysis by The Hive Law
  • 6.9% of Georgians 65 or older lived in a household headed by their son, daughter or child-in-law, against 5.6% of all Americans 65 or older, which puts Georgia in the top ten of the 50 states and the District of Columbia, 5th to 9th once margins of error are counted (2024 Census data). How we got this
    Source: U.S. Census Bureau (American Community Survey)
  • 30.1% of widowed Georgians 65 or older shared a home with an adult son or daughter, either in their own home with a son or daughter 18 or older living there or in a household headed by their son, daughter or child-in-law, against 15.3% of married Georgians 65 or older, so widowed Georgians were about twice as likely to share a home this way (2024 Census data). How we got this
    Source: U.S. Census Bureau (American Community Survey); analysis by The Hive Law
  • In 2025, Medicaid was the primary payer for 71% of residents of Georgia’s certified nursing homes (all ages, including short rehab stays), against 63% nationally, and Georgia was tied for the 5th-highest share of the 50 states and the District of Columbia (KFF analysis of CMS data). How we got this
    Source: KFF analysis of CMS data

The Prices Behind These Figures

In 2025, the median private-pay price of a year of long-term care in Georgia was $23,400 for adult day care, $63,600 for assisted living, $73,216 for an in-home caregiver 44 hours a week, $105,850 for a shared nursing home room and $113,150 for a private room (CareScout Cost of Care Survey 2025).

Every care price here comes from CareScout’s Cost of Care Survey 2025, except where we compare it with CareScout’s 2024 survey. CareScout is owned by Genworth Financial. The survey asks care providers what they charge people who pay privately. It was done from July to November 2025.

These are median prices. Half of providers charge more and half charge less. They are private-pay prices, not what Medicaid or Medicare pays a nursing home. They are not what a particular family pays.

Type of care Georgia, 2025 median per year How the yearly price is figured United States, 2025 median per year
Adult day health care, 5 days a week $23,400 Daily rate × 5 days × 52 weeks $24,700
Assisted living, one-bedroom unit $63,600 ($5,300 a month) Monthly rate × 12 $74,400
Non-medical in-home caregiver, 44 hours a week $73,216 ($32 an hour) Hourly rate × 44 hours × 52 weeks $80,080
Nursing home, semi-private (shared) room $105,850 ($290 a day) Daily rate × 365 $114,975
Nursing home, private room $113,150 ($310 a day, $9,429 a month) Daily rate × 365 $129,575

Read the in-home row carefully. It is priced at 44 hours a week, not care around the clock. More hours cost more.

A private nursing home room in Georgia cost a median $113,150 in 2025, against $129,575 nationally. That made Georgia 40th most expensive of the 49 states CareScout ranked on private-room price.

CareScout ranks states from most expensive (1st) to least expensive. In 2025, Georgia was 43rd of 50 states on assisted living, 39th of 50 on a shared nursing home room, 39th of 50 on an in-home caregiver 44 hours a week (tied with Florida), and 29th of 45 on adult day care (tied with Texas).

From CareScout’s 2024 survey to its 2025 survey, Georgia’s median nursing home prices did not change. Assisted living rose 7.3%. In-home care rose from $65,780 to $73,216 a year, about 11% (CareScout’s own figure, from hourly rates, is 10%).

For what a nursing home costs each month and what the price covers, see how much a nursing home costs in Georgia. For how families plan for these costs, see our page on long-term care planning in Georgia.

How Many Older Georgians Have an Income at or Above the Cost of Care

We start with Georgians 65 or older who live alone. For them, household income is their own income. That makes the comparison clean. There were 426,993 of them in 2024.

Horizontal bar chart of Georgians 65 and older who live alone, showing the share whose 2024 income was at or above one year of each type of care at Georgia's 2025 median price: adult day care 60.0%, assisted living 21.2%, in-home caregiver 44 hours a week 16.4%, nursing home shared room 7.4%, nursing home private room 6.5%. Income only; savings and home value are not counted.
Where this data comes from
  • This counts Georgians 65 and older who live alone. For them, household income is their own income.
  • It compares income only. Savings, the value of a home, insurance, and programs that pay for care, such as Medicaid or Medicare, are not counted.
  • Incomes are for 2024. Prices are Georgia’s 2025 median private-pay prices. Adjusting 2024 incomes to 2025 prices would raise each bar by at most 1 point.
  • Each bar is a separate test, so the bars do not add up. Anyone whose income is at or above a private-room year is also at or above every cheaper type of care.
  • Based on 5,469 Census survey records, standing for 426,993 people.

Survey records behind each figure: 5,469 survey records (426,993 people)

Source: U.S. Census Bureau, American Community Survey 2024 1-year Public Use Microdata Sample (Georgia); CareScout Cost of Care Survey 2025 (Georgia median annual private-pay prices). Analysis: The Hive Law.

6.5% of Georgians 65 or older who live alone had a 2024 income at or above the cost of one year in a private nursing home room at Georgia’s 2025 median private-pay price of $113,150, counting income only and not savings (2024 Census data, 2025 CareScout prices).

This counts income only. Savings, the value of a home, insurance, and programs that pay for care, such as Medicaid or Medicare, are not in it. Savings and other wealth are measured separately, as The Hive Law’s estimate from a second Census survey.

The median 2024 income of Georgians 65 or older who live alone was $29,442. A year in a private room at Georgia’s median price ($113,150) is 3.84 times that median income.

Here is the same test for each type of care. Each column is a separate group of Georgians who live alone. Each cell is the share whose 2024 income was at or above one year of that care at Georgia’s 2025 median price.

Type of care (Georgia 2025 median per year) Ages 65 to 74 Ages 75 to 84 Ages 85 or older All 65 or older who live alone Living alone with difficulty doing errands alone
Adult day health care, 5 days a week ($23,400) 60.8% 58.3% 61.1% 60.0% 47.2%
Assisted living ($63,600) 22.6% 19.7% 19.3% 21.2% 11.7%
Non-medical in-home caregiver, 44 hours a week ($73,216) 17.6% 15.0% 14.9% 16.4% 10.3%
Nursing home, semi-private room ($105,850) 7.9% 6.8% 6.6% (standard error 1.15) 7.4% 4.8% (standard error 0.97)
Nursing home, private room ($113,150) 6.9% 5.9% 6.1% (standard error 1.11) 6.5% 4.2% (standard error 0.85)

The nursing home figures for people 85 or older, and for people with difficulty doing errands alone, rest on few survey records. We print their standard errors so you can see how rough they are.

The shares do not add up. Anyone whose income is at or above a private room is also at or above every cheaper type of care.

The private-room share barely moves with age: 6.9% at 65 to 74, 5.9% at 75 to 84 and 6.1% at 85 or older. No age group of Georgians who live alone is much better placed than the others.

Women are 68.7% of Georgians 65 or older who live alone. 5.4% of women 65 or older who live alone had a 2024 income at or above a year in a private nursing home room at Georgia’s 2025 median price, against 8.8% of men (2024 Census data). The gap is still there after allowing for age.

Households Headed by Someone 65 or Older

Most older Georgians do not live alone. So we ran the same test on Georgia households headed by someone 65 or older.

21.7% of Georgia households headed by someone 65 or older had a 2024 household income at or above the cost of one year in a private nursing home room at Georgia’s 2025 median price (2024 Census data, 2025 CareScout prices). For married couples it was 35.9%, but that figure sets the couple’s combined income against one person’s care, with nothing left for the other spouse. So it overstates what one person could spend.

Age of the person heading the household All households: income at or above a private-room year Married couples (both incomes, one person’s care) People living alone Other households Median household income
65 to 74 24.0% 38.0% 6.9% 19.7% $61,118
75 to 84 19.3% 31.9% 5.9% 22.6% $51,169
85 or older 14.6% 32.4% 6.1% 17.4% $40,072
All 65 or older 21.7% 35.9% 6.5% 20.4% $56,346

These are households, not people. Do not add the married-couple column to the living-alone column. The median income in the last column is from the Census survey’s public sample. The Census Bureau’s published figure for all Georgia households headed by someone 65 or older is $56,010, which we use in the metro comparison.

If you are asking how older Georgians pay for a nursing home, our guide on how to qualify for Medicaid for a Georgia nursing home covers that question.

Income Plus Savings and Other Wealth

Income is only part of the picture. A second Census survey, the Survey of Income and Program Participation, also asks about savings and other wealth. It covers far fewer Georgians, and using it takes some assumptions, so these figures are estimates.

Grouped bar chart, an estimate for Georgians 65 and older who live alone: share who could pay for at least one year of care from 2024 income plus net worth excluding the home, and including the home. Assisted living 47.6% and 69.8%; in-home caregiver 44 hours a week 47.6% and 69.0%; nursing home shared room 38.8% and 63.5%; nursing home private room 35.6% and 63.1%. Based on 96 households; each bar has a margin of about 9 to 12 points.
Where this data comes from
  • This is an estimate for Georgians 65 and older who live alone, so only their own money is counted.
  • It treats their whole year’s income and everything they own as available for their care, with nothing kept back for other bills or taxes. It ignores Medicare, long-term care insurance, veterans’ benefits and help from family.
  • Wealth is as of December 2024; income is for 2024; prices are Georgia’s 2025 median private-pay prices.
  • Based on 96 one-person households in a Census Bureau survey, so each bar could be off by about 9 to 12 points either way. About 64% could not pay for a year in a private room without counting the home, and the survey’s margin of error puts it between 55.6% and 73.2%.
  • “Everything they own” means net worth: savings and investments, retirement accounts, cars and business shares, minus debts.

Survey records behind each figure: 96 one-person Georgia households (612,148 weighted)

Source: U.S. Census Bureau, Survey of Income and Program Participation 2025 public-use file (one-person Georgia households aged 65+, 2024 income, December 2024 net worth); CareScout Cost of Care Survey 2025 (Georgia median annual private-pay prices). Estimate: The Hive Law.

By The Hive Law’s estimate, about 64% of Georgians 65 or older who live alone could not pay for one year in a private nursing home room at Georgia’s 2025 median price from a year’s income plus everything they own apart from their home, with no other payer such as insurance or Medicare counted (2024 Census survey data, 2025 prices). By the same estimate, the survey’s margin of error puts it between 55.6% and 73.2%.

By The Hive Law’s estimate, counting their home too, about 37% of Georgians 65 or older who live alone could not pay for that year, and the survey’s margin of error puts it between 25.1% and 48.7%.

“Everything they own” means net worth: savings, investments, retirement accounts, cars and business shares, minus debts. The estimate treats all of a year’s income and all of that net worth as available for care, with nothing kept back for other bills or taxes. It does not count Medicare, long-term care insurance, veterans’ benefits or help from family. Some of these push the estimate up and some push it down, so it is not a floor or a ceiling. It rests on 96 one-person Georgia households in the survey.

Here is the estimate for each type of care, for Georgians 65 or older who live alone. Each cell is the share who could pay for at least one year.

Type of care (Georgia 2025) Income plus everything they own apart from the home Income plus everything, including the home
Assisted living 47.6% 69.8%
Non-medical in-home caregiver, 44 hours a week 47.6% 69.0%
Nursing home, semi-private room 38.8% 63.5%
Nursing home, private room 35.6% 63.1%

All figures in this table are The Hive Law’s estimates.

Households of two or more people are different. By The Hive Law’s estimate, 75.9% of Georgia households of two or more headed by someone 65 or older could pay for a year in a private nursing home room from income plus everything they own apart from the home, with both people’s income and wealth counted for one person’s care and nothing left for the other (2024 Census survey data, 2025 prices). That figure shows what the household holds, not what one person could spend.

We also looked at how many years the money would last on average. We do not publish that figure. The survey sample is too small to give a reliable answer.

For context, the median net worth of all Georgia households headed by someone 65 or older was $287,000 in December 2024. Without the value of their home, it was $71,000. That second figure still includes cars, businesses and retirement accounts, so it is not the same as cash savings.

Many older Georgians own their home outright. 48.3% of Georgia households headed by someone 65 or older owned their home free and clear in 2024. The median value of those homes, at the owner’s own estimate, was $280,000. By The Hive Law’s estimate, that equals about 2.47 years in a private nursing home room at Georgia’s 2025 median price, before any selling costs.

That figure says nothing about how Medicaid treats a home. That is a legal question. Our guide to protecting your home from Medicaid estate recovery covers it, and our guide to what assets are protected from Medicaid in Georgia explains which assets count.

How Many Georgia Seniors Live With Their Children

Sharing a home with an adult son or daughter can go two ways. The older person may live in their own home with a grown son or daughter there. Or the older person may live in a household headed by their son, daughter or child-in-law. We count both, and keep them apart.

Grouped bar chart of Georgians by age group in 2024: share living in a household headed by their son, daughter or child-in-law against share in a nursing home or other institution. Ages 65 to 74: 5.0% and 1.5%. Ages 75 to 84: 8.4% and 2.0%. Ages 85 and older: 14.8% and 6.1%. Institutions include a small number of prisons.
Where this data comes from
  • “A household headed by their son, daughter or child-in-law” means the Census listed the person as the parent or parent-in-law of the person in charge of the home. It does not say who owns the home or who moved in with whom.
  • “Nursing home or other institution” includes prisons and other institutions. In the 2020 Census, 98.6% of Georgians 85 and older in institutions were in nursing homes, and 83.9% of those aged 65 to 74.
  • The rest of each age group lives on their own, with a spouse, or in other arrangements, so the bars do not add to 100%.
  • At 85+, the 2020 Census found 8.8% of Georgians in a nursing home, higher than this survey’s 6.1% for all institutions; the two sources count people in institutions differently by age. Either way, more Georgians 85+ live in a household headed by their child or child-in-law.

Survey records behind each figure: 24,639 survey records (1,766,634 Georgians 65+)

Source: U.S. Census Bureau, American Community Survey 2024 1-year Public Use Microdata Sample (Georgia); institution types from the 2020 Census (DHC tables PCO2, PCO5). Analysis: The Hive Law.

In 2024, about 1 in 5 Georgians 65 or older (19.1%) shared a home with an adult son or daughter. That was 12.1% in their own home with a son or daughter 18 or older living there, and 7.0% in a household headed by their son, daughter or child-in-law. No one is in both groups (2024 Census data).

Neither figure tells us who gives care, who helps whom, or who moved in with whom. “A household headed by” their son or daughter means the Census listed the older person as the parent or parent-in-law of the person in charge of the home. Some of these parents may own or co-own the home.

Age group In their own home with a son or daughter 18 or older In a household headed by their son, daughter or child-in-law Either
65 to 74 13.6% 5.0% 18.7%
75 to 84 9.8% 8.4% 18.2%
85 or older 10.3% 14.8% 25.1%
All 65 or older 12.1% 7.0% 19.1%

The combined share is about the same at 65 to 74 and 75 to 84, and higher at 85 or older. In older age groups, the mix is weighted toward living in a household headed by a son, daughter or child-in-law.

14.8% of Georgians aged 85 or older lived in a household headed by their son or daughter (including stepchildren and adopted children) or their son- or daughter-in-law, and 6.1% lived in a nursing home or other institution (2024 Census data).

“Other institution” includes prisons and other institutions. In the 2020 Census, 98.6% of Georgians 85 or older who lived in an institution were in a nursing home. The 2020 Census, a different count, found 8.84% of Georgians 85 or older living in a nursing or skilled-nursing facility. On either count, more Georgians 85 or older live in a household headed by their son, daughter or child-in-law than in a nursing home or other institution.

Where Georgians 65+ Live, by Age

Here is the complete picture. Each column adds to 100%, give or take rounding.

Where they live Ages 65 to 74 Ages 75 to 84 Ages 85 or older All 65 or older
Live alone 21.3% 26.6% 34.9% 24.2%
Head the household, or its head’s spouse or partner, with others there 68.2% 59.5% 37.7% 62.8%
Parent or parent-in-law of the person heading the household 5.0% 8.4% 14.8% 7.0%
Other relative of the person heading the household 2.4% 1.9% 2.2% 2.2%
Not related to the person heading the household 1.3% 1.3% 2.3% 1.4%
In a nursing home or other institution 1.5% 2.0% 6.1% 2.1%
In other group housing that is not an institution 0.2% 0.4% 2.0% 0.4%

This table is from the Census survey’s public sample. The Census Bureau’s own published table gives slightly different statewide totals: 24.3% of Georgians 65 or older live alone, and 6.9% live in a household headed by their son, daughter or child-in-law. We use the Census Bureau’s table when comparing Georgia with other states.

Do not read the institution row as a trend by age. This survey’s count of people in institutions by age does not match the 2020 Census. For ages 65 to 74 in particular, the row includes people in prisons, so never call it “nursing homes.”

Older age groups here are different people, not the same people years later. For example, the share who are widowed rises from 12.2% at 65 to 74 to 52.4% at 85 or older. So the table does not show people moving in with their children as they age.

Women are more likely than men to live in a household headed by their son, daughter or child-in-law: 9.2% of Georgia women 65 or older against 4.1% of men (2024 Census data). In the 2020 to 2024 Census survey data, the gap is among unmarried people. Among married Georgians 65 or older there is no meaningful difference between women and men. The data does not say why.

A different measure: 7.0% of Georgians 65 or older who live in a household (not in group housing) live in a multigenerational household. That means three or more generations under one roof, which can also be a grandparent heading a home with their grown child and grandchildren (2024 Census data).

Difficulty Doing Errands Alone

The Census asks whether a person has difficulty doing errands alone, such as visiting a doctor’s office or shopping, because of a physical, mental or emotional condition. The person or someone in the home answers. It is not a medical test, and it does not mean the person needs paid care. These figures cover only people not living in a nursing home or other institution.

Among Georgians not living in a nursing home or other institution, 7.5% of people aged 65 to 74 report difficulty doing errands alone, 15.7% of those aged 75 to 84, and 41.8% of those 85 or older (2024 Census data).

Among Georgians 65 or older not living in a nursing home or other institution, 17.2% of those who have difficulty doing errands alone (such as visiting a doctor’s office or shopping) because of a physical, mental or emotional condition lived in a household headed by their son, daughter or child-in-law, against 5.6% of those without it (2024 Census data). After allowing for age, that is about two and a half times as likely.

“After allowing for age” matters. People with this difficulty are older on average, and at older ages more people live in a household headed by a son, daughter or child-in-law, with or without the difficulty. A gap remains inside every age group:

Age group Share with difficulty doing errands alone In a household headed by their son, daughter or child-in-law: with the difficulty Without the difficulty
65 to 74 7.5% 11.0% 4.6%
75 to 84 15.7% 19.9% 6.5%
85 or older 41.8% 21.5% 11.6%
All 65 or older 12.9% 17.2% 5.6%

Counting both ways of sharing a home with an adult son or daughter, 31.6% of Georgians 65 or older not living in a nursing home or other institution who have difficulty doing errands alone share a home with one, against 17.7% of those without that difficulty (2024 Census data). After allowing for age, that is about 1.7 times as likely, a smaller multiple than for the household-headed-by direction alone.

About one in four Georgians 65 or older not living in a nursing home or other institution who have difficulty doing errands alone (25.6%) live alone. After allowing for age, they are somewhat less likely to live alone than people without the difficulty.

The pattern is similar for memory and thinking. Among Georgians 65 or older not living in a nursing home or other institution, 16.8% of those with serious difficulty concentrating, remembering or making decisions lived in a household headed by their son, daughter or child-in-law, against 6.3% of those without it, and the gap holds after allowing for age (2024 Census data).

This data shows these things go together. It does not show which came first, whether anyone moved because of the difficulty, or whether the son or daughter gives help. If you are thinking about who would make decisions for you if you could not, see our page on incapacity planning in Georgia.

Widowed and Married Georgians

30.1% of widowed Georgians 65 or older shared a home with an adult son or daughter, either in their own home with a son or daughter 18 or older living there or in a household headed by their son, daughter or child-in-law, against 15.3% of married Georgians 65 or older, so widowed Georgians were about twice as likely to share a home this way (2024 Census data).

Marital status, Georgians 65 or older In their own home with a son or daughter 18 or older In a household headed by their son, daughter or child-in-law Either
Married 12.4% 3.0% 15.3%
Widowed 15.2% 14.8% 30.1%
Divorced or separated 10.7% 11.5% 22.2%
Never married 4.0% 4.6% 8.6%

Most of the gap between widowed and married Georgians is in who lives in a household headed by a son, daughter or child-in-law. Married Georgians 65 or older are somewhat less likely than the widowed to have an adult son or daughter living in their own home (12.4% against 15.2%).

Looking at one direction only, 14.8% of widowed Georgians 65 or older and 3.0% of married Georgians 65 or older lived in a household headed by their son, daughter or child-in-law in 2024. After allowing for age, widowed Georgians were about four to five times as likely to live this way; within each age group, about three to four and a half times.

The data does not say why. A widowed parent may move to a son’s or daughter’s home, or a son or daughter may move in. The Census records neither.

What Percentage of Georgia Seniors Live in Nursing Homes

On Census Day, April 1, 2020, 2.16% of Georgians 65 or older lived in a nursing or skilled-nursing facility. By age, it was 0.95% at 65 to 74, 2.58% at 75 to 84 and 8.84% at 85 or older.

In 2024, the American Community Survey found 2.1% of Georgians 65 or older living in any institution. That includes nursing homes, prisons and other institutions. The two sources count people in institutions differently, especially by age, so they do not show whether the share went up or down.

Georgia Nursing Homes at a Glance

Georgia has 356 nursing homes certified by Medicare, Medicaid or both (CMS file processed August 2026). Together they have 39,494 certified beds; 355 of the 356 homes report a bed count. On an average day they have about 31,770 residents, counting the 353 homes that report a resident count. Those residents are all ages, including people there for a short rehab stay after a hospital visit.

69.4% of Georgia’s 356 certified nursing homes are run for profit. Another 93 are non-profit and 16 are run by a government (CMS file processed August 2026).

6.5% of Georgians 65+ living alone had a 2024 income at or above a year in a private nursing home room (income only, 2025 Georgia median price)
14.8% of Georgians 85+ lived in a household headed by their son, daughter or child-in-law in 2024
71% of residents of Georgia's certified nursing homes (all ages and stays) had Medicaid as primary payer in 2025

What Care Costs in Every Georgia Metro

The median 2024 income of Georgia households headed by someone 65 or older equals 49.5% of Georgia’s 2025 median price for a year in a private nursing home room, and by metro area it is about a third in Columbus (33.7%), Macon-Bibb County (37.9%) and Rome (38.6%) and more than half in Atlanta (53.3%), Savannah (57.7%) and Gainesville (64.1%) (2024 Census income data, 2025 CareScout prices).

Horizontal bar chart of Georgia metro areas: the median 2024 income of households headed by someone 65 or older as a share of one year in a private nursing home room at the 2025 median local price. Gainesville 64.1%, Savannah 57.7%, Atlanta 53.3%, Brunswick 52.7%, Augusta 51.7%, Warner Robins 50.3%, Georgia 49.5%, United States 46.0%, Hinesville 44.6%, Athens 41.7%, Rome 38.6%, Macon 37.9%, Columbus 33.7%. A comparison of two medians, not a share of families; small metros have wide margins.
Where this data comes from
  • Each bar divides one median by another: the middle income of households headed by someone 65 or older (2024) by the middle price of a private nursing home room in that area (2025). It is not the share of families who could pay.
  • Survey margins on income are wide in smaller metros. Columbus, Macon and Rome cannot be told apart, and neither can Gainesville and Savannah. Hinesville’s range runs from 28.5% to 60.8%.
  • Albany has no nursing home price in the 2025 survey. Dalton and Valdosta have no local prices at all.
  • Augusta’s metro includes South Carolina counties and Columbus’s includes Alabama counties.

Source: U.S. Census Bureau, American Community Survey 2024 1-year, table B19049 (median household income, householder 65 and over); CareScout Cost of Care Survey 2025 (median annual private-room price by metro). Analysis: The Hive Law.

This compares a median income with a median price. It is not the share of households that could pay. For that, see how many older Georgians have an income at or above the cost of care. Nationally, the median 2024 income of U.S. households headed by someone 65 or older equals 46.0% of the U.S. 2025 median price for a year in a private nursing home room.

The survey margins on income are wide in smaller metros. Columbus, Macon-Bibb County and Rome cannot be told apart, and neither can Gainesville and Savannah. So no single metro is the highest or the lowest.

Georgia metro Private room, 2025 Semi-private room Assisted living In-home care, 44 hours a week Median income of households headed by someone 65+, 2024 That income as a share of a private-room year
Albany No price No price $57,750 $50,336 $46,041 No price
Athens-Clarke County $127,750 $120,450 $64,170 $66,352 $53,327 41.7%
Atlanta-Sandy Springs-Roswell $118,625 $111,325 $67,200 $73,216 $63,270 53.3%
Augusta-Richmond County $109,500 $103,916 $70,050 $65,208 $56,657 51.7%
Brunswick-St. Simons $116,800 $113,150 $86,100 $66,352 $61,553 52.7%
Columbus $131,400 $122,275 $56,100 $68,640 $44,235 33.7%
Gainesville $118,078 $110,778 No price $80,366 $75,661 64.1%
Hinesville $116,800 $113,150 No price $70,928 $52,115 44.6%
Macon-Bibb County $112,785 $105,850 $70,020 $57,200 $42,760 37.9%
Rome $139,795 $122,640 $72,600 $65,208 $54,008 38.6%
Savannah $106,763 $103,113 $63,600 $82,368 $61,574 57.7%
Warner Robins $124,100 $114,975 $57,000 $57,200 $62,368 50.3%
Georgia (state) $113,150 $105,850 $63,600 $73,216 $56,010 49.5%

“No price” means CareScout’s 2025 survey gave no price for that metro. Dalton and Valdosta have no local prices at all, so they are not in the table. Outside Georgia’s metro areas, the median private room was $106,945 a year and assisted living was $52,500. The Augusta metro area includes South Carolina counties and the Columbus metro area includes Alabama counties, so their figures can include people and providers across the state line.

Adult day care is left out of this table. CareScout’s 2025 metro figures for it are all the same as the state figure, and the source does not say why.

In Warner Robins, the median income of households headed by someone 65 or older is about equal to a year of assisted living or of in-home care.

Different metros lead different types of care. In CareScout’s 2025 survey, Rome had the highest private-room price ($139,795), Brunswick-St. Simons the highest assisted living price ($86,100), and Savannah the highest in-home care price ($82,368). In that same survey, Savannah’s private-room price ($106,763) was the lowest of any Georgia metro. In CareScout’s 2024 survey, the highest and lowest private-room prices were in Columbus and Dalton instead. Metro prices move a lot from one year to the next, so we do not rank metros on price.

How Georgia Compares With Other States

A year in a private nursing home room in Georgia costs 2.02 times the median income of a Georgia household headed by someone 65 or older ($113,150 against $56,010). Nationally it is 2.17 times. Georgia is 40th of 49 states on this measure, where 1st is the state with the highest multiple (2024 income, 2025 prices).

6.9% of Georgians 65 or older lived in a household headed by their son, daughter or child-in-law, against 5.6% of all Americans 65 or older, which puts Georgia in the top ten of the 50 states and the District of Columbia, 5th to 9th once margins of error are counted (2024 Census data).

These state figures compare places as they are, without adjusting for age. Georgia’s older population is younger than the nation’s: 8.7% of Georgians 65 or older are 85 or older, against 10.4% nationally (2024 Census data). Living in a household headed by a son, daughter or child-in-law is most common at 85 or older, so adjusting for age would change Georgia’s figure very little, and if anything raise it.

Inside Georgia, the Atlanta metro area stands out. 8.5% of people 65 or older in the Atlanta metro live in a household headed by their son, daughter or child-in-law, against 5.2% in the rest of Georgia (2024 Census data).

Some smaller areas have higher figures than Atlanta, but their margins of error are so wide that they cannot be told apart from Atlanta. Here is every Georgia area the Census publishes, with its margin of error:

Georgia area (2024) 65+ in a household headed by their son, daughter or child-in-law Margin of error (plus or minus) 65+ living alone
Jefferson (smaller area) 15.9% 6.4 points 12.5%
Dalton 12.0% 5.3 points 25.6%
Atlanta-Sandy Springs-Roswell 8.5% 0.5 points 23.2%
Savannah 6.9% 2.0 points 25.9%
Hinesville 6.7% 4.6 points 21.0%
Rome 6.5% 4.1 points 25.5%
Albany 6.3% 2.5 points 25.4%
Gainesville 6.2% 2.2 points 21.2%
Macon-Bibb County 6.2% 2.2 points 25.9%
Columbus (includes Alabama counties) 5.9% 2.2 points 29.8%
Augusta-Richmond County (includes South Carolina counties) 5.8% 1.3 points 23.5%
Warner Robins 4.2% 2.0 points 24.9%
Statesboro (smaller area) 4.1% 3.3 points 24.8%
LaGrange (smaller area, includes Alabama counties) 3.4% 2.1 points 26.5%
Athens-Clarke County 3.3% 1.5 points 25.3%
Valdosta 3.3% 2.0 points 32.2%
Thomasville (smaller area) 2.3% 2.3 points 29.0%
Brunswick-St. Simons 2.1% 1.2 points 25.3%

We rank nothing in this table except Atlanta against the rest of Georgia. The Chattanooga metro area is left out because it is mostly in Tennessee.

Georgia shows up twice in these state comparisons. A private room costs a smaller multiple of older households’ income in Georgia than in most states (40th of 49 on that measure). Yet Georgia is tied for the 5th-highest share of nursing home residents with Medicaid as their primary payer (see what share of Georgia nursing home residents rely on Medicaid). These two figures describe different groups of people, and this data does not say why they differ.

Older Georgians Living in a Child’s or Child-in-Law’s Household, by County

In Census survey data for 2020 to 2024, 15.4% of Gwinnett County residents 65 or older lived in a household headed by their son, daughter or child-in-law, about twice Georgia’s 7.2%. Only 65 of Georgia’s 159 counties have a figure reliable enough to publish.

These county figures pool five years of the Census Bureau’s American Community Survey, 2020 to 2024, because a single year has too few people in most counties. That is why Georgia’s figure here is 7.2%, not the 6.9% measured for 2024 alone. For the other 94 counties, the margin of error is too large for a reliable figure, so they are left out.

Gwinnett’s share is higher than Forsyth’s and Douglas’s, but it cannot be told apart from Bartow’s or Tattnall’s. The table is sorted by share, but many neighboring counties cannot be told apart, so it is not a ranking. These figures compare counties as they are, without adjusting for age, and the data does not say why they differ.

County People 65 or older In a household headed by their son, daughter or child-in-law Margin of error (plus or minus)
Gwinnett County 110,790 15.4% 1.1 points
Forsyth County 33,956 12.5% 1.6 points
Bartow County 16,520 12.1% 3.7 points
Douglas County 18,051 11.7% 2.1 points
Tattnall County 3,736 11.7% 5.1 points
Henry County 31,217 11.6% 1.9 points
Paulding County 20,997 11.0% 2.1 points
Columbia County 24,555 10.6% 2.9 points
Jackson County 12,298 10.4% 2.3 points
Oglethorpe County 2,969 9.6% 4.5 points
Whitfield County 15,483 9.6% 2.4 points
Dodge County 3,920 9.6% 4.6 points
Barrow County 11,574 9.1% 2.0 points
DeKalb County 105,276 9.0% 0.9 points
Worth County 4,169 8.9% 3.9 points
Walton County 16,849 8.7% 2.1 points
Clayton County 32,022 8.6% 1.4 points
Fayette County 24,467 8.4% 1.5 points
Cobb County 105,818 8.4% 0.9 points
Lee County 4,657 8.4% 3.6 points
Rockdale County 15,068 8.4% 2.5 points
Habersham County 9,246 8.4% 2.6 points
Newton County 15,870 7.8% 1.9 points
Harris County 6,940 7.6% 3.1 points
Cherokee County 44,502 7.1% 1.1 points
Bryan County 5,272 7.1% 3.1 points
Gordon County 9,362 7.0% 2.4 points
Fulton County 136,734 6.8% 0.7 points
Banks County 3,351 6.8% 3.2 points
Monroe County 5,677 6.7% 3.0 points
Effingham County 8,631 6.7% 2.5 points
Spalding County 13,161 6.7% 2.4 points
Carroll County 17,703 6.7% 1.6 points
Hall County 34,659 6.4% 1.1 points
Jones County 5,165 6.4% 2.7 points
Houston County 23,261 6.3% 1.5 points
Butts County 4,177 6.3% 2.9 points
Dougherty County 14,443 6.3% 1.8 points
Floyd County 16,744 6.1% 1.6 points
Upson County 5,215 5.9% 2.5 points
Troup County 11,174 5.8% 2.0 points
Meriwether County 4,473 5.6% 2.2 points
Chatham County 50,376 5.4% 1.2 points
Coweta County 23,218 5.3% 1.5 points
Lumpkin County 6,419 5.2% 1.4 points
Murray County 6,104 5.2% 2.2 points
Bulloch County 10,265 5.1% 1.8 points
Clarke County 16,200 5.0% 1.7 points
Richmond County 31,570 5.0% 1.1 points
Stephens County 5,735 5.0% 2.4 points
Catoosa County 12,806 4.9% 1.7 points
Madison County 5,794 4.9% 2.4 points
Camden County 8,739 4.8% 1.5 points
Liberty County 6,828 4.7% 1.4 points
Thomas County 8,720 4.7% 1.8 points
Laurens County 9,144 4.7% 1.7 points
Colquitt County 7,448 4.6% 1.9 points
Lowndes County 15,923 4.3% 1.4 points
Muscogee County 30,092 4.3% 1.0 points
Pickens County 8,031 4.2% 1.8 points
Oconee County 7,306 3.9% 1.9 points
Bibb County 25,755 3.9% 0.9 points
Walker County 13,502 3.6% 1.4 points
Coffee County 6,318 3.4% 1.6 points
Glynn County 19,398 2.9% 0.9 points

Source: U.S. Census Bureau, American Community Survey 2020 to 2024 five-year estimates, table B09020. The margins of error are the Census Bureau’s 90% margins.

What Share of Georgia Nursing Home Residents Rely on Medicaid

In 2025, Medicaid was the primary payer for 71% of residents of Georgia’s certified nursing homes (all ages, including short rehab stays), against 63% nationally, and Georgia was tied for the 5th-highest share of the 50 states and the District of Columbia (KFF analysis of CMS data).

Grouped bar chart, 2015 to 2025, of the share of certified nursing home residents whose primary payer is Medicaid, Georgia against the United States. Georgia: 72, 71, 71, 71, 73, 72, 73, 73, 73, 72 and 71 percent. United States: 63, 63, 62, 62, 62, 62, 62, 62, 62, 63 and 63 percent.
Where this data comes from
  • Residents of nursing homes certified by Medicare or Medicaid, of all ages and for any length of stay, including short rehab stays.
  • “Primary payer” is the payer the data lists first for each resident. It does not show whether someone paid privately before Medicaid began.
  • Whole percentages, as published. In 2025 Georgia was tied with Alaska for the 5th-highest share of 50 states and the District of Columbia reported.

Source: KFF (Kaiser Family Foundation), State Health Facts, “Distribution of Certified Nursing Facility Residents by Primary Payer Source”, from CMS Certification and Survey Provider Enhanced Reports (CASPER) data, 2015–2025.

For the rest of Georgia’s residents in 2025, Medicare was the primary payer for 11%, and private or other payers for 18%. Nationally it was 14% and 23%.

“Primary payer” is the payer the data lists first for each resident. The source does not define it further. It does not show whether a resident paid privately before Medicaid began, or whether Medicaid paid the whole bill.

Georgia’s share has been between 71% and 73% every year since 2015, and higher than the national share every year. In 2025 it was also higher than in any of Georgia’s five neighboring states: Alabama 68%, South Carolina 62%, North Carolina 60%, Florida 58% and Tennessee 58%.

Year Georgia: Medicaid is primary payer United States
2015 72% 63%
2016 71% 63%
2017 71% 62%
2018 71% 62%
2019 73% 62%
2020 72% 62%
2021 73% 62%
2022 73% 62%
2023 73% 62%
2024 72% 63%
2025 71% 63%

Here is every state and the District of Columbia in 2025, ranked by the share of certified nursing home residents with Medicaid as their primary payer. KFF publishes whole percentages, so states with the same figure share a rank.

Rank State (share with Medicaid as primary payer, 2025)
1 District of Columbia (84%)
2 West Virginia (78%)
3 Mississippi (75%)
4 Louisiana (74%)
5 (tied) Georgia (71%), Alaska (71%)
7 Oklahoma (70%)
8 Kentucky (69%)
9 (tied) Alabama, Arkansas, Connecticut, Illinois (68%)
13 Michigan (66%)
14 (tied) Idaho, Missouri, New Mexico, New York, Ohio, Vermont (65%)
20 (tied) Indiana, Maine, New Hampshire, Pennsylvania, Rhode Island (64%)
25 (tied) Colorado, Hawaii, Massachusetts (63%)
28 (tied) Maryland, South Carolina, Texas, Virginia (62%)
32 (tied) California, New Jersey (61%)
34 (tied) Kansas, Nevada, North Carolina (60%)
37 (tied) Oregon, Utah, Wyoming (59%)
40 (tied) Florida, Tennessee, Washington (58%)
43 Montana (56%)
44 Wisconsin (55%)
45 (tied) Arizona, Nebraska (54%)
47 Minnesota (53%)
48 (tied) Iowa, North Dakota (52%)
50 South Dakota (50%)
51 Delaware (47%)

Source: KFF analysis of CMS data, 2025. Residents of certified nursing homes of all ages and lengths of stay.

This data is about who pays for residents already in a nursing home. It does not link the household income and savings figures in this report to Medicaid.

How Medicare and Medicaid each cover nursing home care is explained in Medicare vs. Medicaid for nursing home care in Georgia. For what happens when a family has not planned for Medicaid, see what happens without Medicaid planning in Georgia. The Hive Law’s own work in this area is described on our pages on Medicaid planning, protecting assets from nursing home costs, and the Medicaid asset protection trust.

How We Worked This Out

Income against prices. We used the Census Bureau’s 2024 American Community Survey public sample for Georgia: 24,639 survey records of Georgians 65 or older. For each person or household, we checked whether total 2024 income was at or above the 2025 Georgia median price of a year of each type of care. Prices come from CareScout’s Cost of Care Survey 2025.

What “income” means here. It is income before taxes, from regular sources such as wages, Social Security, pensions and investment income (not capital gains, gifts or inheritances). It does not include savings, money taken out of the bank, or money from selling a home. Taxes would lower what a person could spend. Someone moving into care may stop paying some housing costs, which would raise it. We did not measure either. That is why we say a person’s income is “at or above” a price, and never that they can afford care.

2024 income, 2025 prices. The 2025 income data was not out yet when we did this work. We checked what happens if 2024 incomes are raised to 2025 prices using the government’s inflation measure. For Georgians who live alone, each share would rise by about 1 point or less. For households headed by someone 65 or older, the shares shown here would rise by up to about 2 points. The metro percentages would rise by about 2.6% of their value (for example 49.5% to 50.8%). So the income figures in this report are slightly low for this reason.

Income plus wealth. For savings and other wealth, we used the Census Bureau’s Survey of Income and Program Participation, 2025 release, which records net worth as of December 2024. We checked our method against the Census Bureau’s own published Georgia wealth figures for all households: it matched one exactly and the other within $3,220. Georgia’s sample is small, so we lead with people who live alone, publish shares only, and label every figure an estimate. We do not publish results by age group or by metro area from this survey, because the samples are too small.

Where people live. “In a household headed by their son, daughter or child-in-law” means the Census listed the older person as the parent or parent-in-law of the person in charge of the home. “In their own home with a son or daughter 18 or older” means the older person heads the home, or is married to the person who does, and a son or daughter of the head of the home aged 18 or older lives there. The public sample does not say which institution a person lives in, so we always say “a nursing home or other institution.”

Metro areas. The metro comparison divides the Census Bureau’s published median income of households headed by someone 65 or older by CareScout’s median price for the same named metro area. CareScout publishes no margin of error, and its metro prices change a lot between years.

How Long People Stay in a Nursing Home

A Georgia figure on how long people stay in a nursing home is published by Brown University’s LTCFocus, but only on request, and we have not obtained it. The best study we could use is national and older: among Americans 50 or older who died while living in a nursing home between 1992 and 2006, the median stay before death was 5 months, and 53% died within 6 months of moving in (Kelly and others, 2010, U.S. data). This is not a Georgia figure and not a current one, and we do not combine it with any other figure in this report.

How to Cite This Page

The Hive Law, “Georgia Long-Term Care Statistics: What Care Costs, How Many Have Income at or Above the Price, and Where Georgians 65+ Live,” 2026, https://www.thehivelaw.com/elder-law/stats/georgia-long-term-care-cost-statistics/.

Sources

  • CareScout, Cost of Care Survey 2025: Median Cost Data Tables, Ranked Median Costs by State Data Tables, and the cost-of-care calculator’s Georgia metro figures (survey fielded July to November 2025). CareScout is owned by Genworth Financial.
  • CareScout, Cost of Care Survey 2024, Georgia and Georgia metro figures, used for the change from 2024 to 2025
  • U.S. Census Bureau, American Community Survey 2024 1-year Public Use Microdata Sample, Georgia
  • U.S. Census Bureau, American Community Survey 2024 1-year, tables B19049 (median household income by age of householder), B09020 (living arrangements of people 65 and over) and B01001 (sex by age)
  • U.S. Census Bureau, Survey of Income and Program Participation, 2025 public-use file (2024 income, December 2024 net worth)
  • U.S. Census Bureau, State-Level Wealth, Asset Ownership and Debt of Households Tables: 2024, used to check our wealth method
  • U.S. Census Bureau, 2020 Census Demographic and Housing Characteristics File, Georgia group quarters by type and age (tables PCO2, PCO5) and population by age (table P12)
  • Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Homes Provider Information, Georgia (file processed August 1, 2026)
  • KFF, State Health Facts, “Distribution of Certified Nursing Facility Residents by Primary Payer Source,” from CMS CASPER data, 2015 to 2025
  • U.S. Bureau of Labor Statistics, Consumer Price Index for All Urban Consumers, 2024 and 2025 annual averages
  • Kelly A, Conell-Price J, Covinsky K, and others, “Length of Stay for Older Adults Residing in Nursing Homes at the End of Life,” Journal of the American Geriatrics Society 58(9), 2010

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Questions About Georgia Long-Term Care Statistics

On Census Day, April 1, 2020, 2.16% of Georgians 65 or older lived in a nursing or skilled-nursing facility: 0.95% of those aged 65 to 74, 2.58% of those aged 75 to 84, and 8.84% of those aged 85 or older. In 2024, the American Community Survey found 2.1% of Georgians 65 or older living in any institution, which includes nursing homes, prisons and other institutions. The two sources count people in institutions differently, so they do not show whether the share went up or down.

About 1 in 5 Georgians 65 or older (19.1%) shared a home with an adult son or daughter in 2024. That was 12.1% in their own home with a son or daughter 18 or older living there, and 7.0% in a household headed by their son, daughter or child-in-law, and no one is in both groups (2024 Census data). Neither figure shows who gives care, who helps whom, or who moved in with whom.

6.5% of Georgians 65 or older who live alone had a 2024 income at or above the cost of one year in a private nursing home room at Georgia’s 2025 median private-pay price of $113,150, counting income only and not savings (2024 Census data, 2025 CareScout prices). 21.7% of Georgia households headed by someone 65 or older had a 2024 household income at or above that price. For married couples it was 35.9%, but that sets the couple’s combined income against one person’s care, with nothing left for the other spouse.

By The Hive Law’s estimate, about 64% of Georgians 65 or older who live alone could not pay for one year in a private nursing home room at Georgia’s 2025 median price from a year’s income plus everything they own apart from their home, with no other payer such as insurance or Medicare counted (2024 Census survey data, 2025 prices). By the same estimate, the survey’s margin of error puts it between 55.6% and 73.2%. By The Hive Law’s estimate, counting their home too, about 37% could not pay for that year, and the survey’s margin of error puts it between 25.1% and 48.7%. The estimate is based on 96 one-person Georgia households in a Census Bureau survey.

In 2025, Medicaid was the primary payer for 71% of residents of Georgia’s certified nursing homes (all ages, including short rehab stays), against 63% nationally, and Georgia was tied for the 5th-highest share of the 50 states and the District of Columbia (KFF analysis of CMS data). Medicare was the primary payer for 11% of Georgia’s residents and private pay or another payer for 18%. “Primary payer” does not show whether a resident paid privately before Medicaid began.

CareScout’s Cost of Care Survey 2025 put Georgia’s median yearly price for long-term care at $23,400 for adult day care five days a week, $63,600 for assisted living, $73,216 for an in-home caregiver 44 hours a week, $105,850 for a shared nursing home room and $113,150 for a private nursing home room. These are prices charged to people who pay privately, not what Medicaid or Medicare pays.

Georgia has 356 nursing homes certified by Medicare, Medicaid or both, according to a Centers for Medicare & Medicaid Services file processed in August 2026. They have 39,494 certified beds and, counting the 353 homes that report it, about 31,770 residents on an average day. Those residents are all ages, including people in for a short rehab stay. Most are run for profit (69.4%), with 93 non-profit homes and 16 run by a government.

A Georgia figure on how long people stay in a nursing home is published by Brown University’s LTCFocus, but only on request, and The Hive Law has not obtained it. The best study The Hive Law could use is national and older: in a study of Americans 50 or older who died while living in a nursing home between 1992 and 2006, the median stay before death was 5 months, and 53% died within 6 months of moving in. The median was 8 months for women and 3 months for men. These are old national figures, not Georgia figures, and should not be combined with Georgia prices.

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